刘继帅

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378282},{"body":{"content":"您好，颈椎病平时应该注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408672},{"body":{"content":"怎么锻炼呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426915},{"body":{"content":"颈椎不好，时不时会引起**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444940},{"body":{"content":"你这个情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546018},{"body":{"content":"有四五年了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595805},{"body":{"content":"如果是颈椎引起的话，注意平时的生活习惯，注意患处保暖，可以做颈椎保健操","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634914},{"body":{"content":"颈椎操怎么做啊？有参考的视频之类的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674657},{"body":{"content":"有的 网上有很多的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687842}]

男30岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

女24岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800103},{"body":{"content":"孩子多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803766},{"body":{"content":"15岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815991},{"body":{"content":"为了您孩子的用药安全，特殊情况请提前告知，如：（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":1653049829504},{"body":{"content":"脸，背都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049837336},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841547},{"body":{"content":"方便发张照片看下症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049849486},{"body":{"content":"背上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860570},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865027},{"body":{"content":"请问针对您孩子的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049939982},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049952101},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955378},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049986102},{"body":{"content":"**\n用法用量，一天一次，涂抹在患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989696},{"body":{"content":"这个不含**等成分的，孩子也可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050001251},{"body":{"content":"脸上也可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012398},{"body":{"content":"是 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030952},{"body":{"content":"脸上身上都可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037282},{"body":{"content":"好的 非常感谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055314},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067629},{"body":{"content":"建议您孩子平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087754},{"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":1653050233290},{"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":1653050234957}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877478815},{"body":{"content":"开药?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877540497},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671700},{"body":{"content":"你好能给我开一下药?吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878722371},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878762072},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878768086},{"body":{"content":"没有****，无货，开不出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878878352},{"body":{"content":"定单也开了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878954299},{"body":{"content":"等审核了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879139326},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879161678},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365472}]

男44岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049820341},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049825634},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049830392},{"body":{"content":"开始是*****有疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049867819},{"body":{"content":"这样的情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049868128},{"body":{"content":"三四天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049871999},{"body":{"content":"有没有衣服摩擦痛，牵扯到其他部位的疼痛感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049886390},{"body":{"content":"不碰就疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900463},{"body":{"content":"请问是分布于身体的单侧吗？都在左边或者右边","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920582},{"body":{"content":"右边胳膊上边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020483},{"body":{"content":"据您的情况考虑带状疱疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050026380},{"body":{"content":"俗称蛇盘疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050033204},{"body":{"content":"这个有一定传染性的.病毒感染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050052323},{"body":{"content":"出现这种情况的原因是上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056221},{"body":{"content":"目前有在用药治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056412},{"body":{"content":"传染导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063164},{"body":{"content":"没有 因为疫情没法出去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072093},{"body":{"content":"治疗的话需要怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050082294},{"body":{"content":"下面给您针对性的用药建议。为了安全用药，请问既往是否有药物过敏史？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148131},{"body":{"content":"没有过敏史 肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160093},{"body":{"content":"目前疼痛是否明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182239},{"body":{"content":"明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050213049},{"body":{"content":"好的稍等，我这边给您发送药物链接，使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282003},{"body":{"content":"处方上边开具好了，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501618},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050513593},{"body":{"content":"***吃完 另外一个口服药使用7-10天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050524129},{"body":{"content":"确定是这个病症是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540896},{"body":{"content":"据我的临床经验是要考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553914},{"body":{"content":"如果需要明确诊断的话需要到线下医院皮肤科做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050564993},{"body":{"content":"建议您保持患部清洁卫生，避免摩擦刺激，清淡饮食，避免辛辣刺激食物，避免饮酒，避免熬夜及劳累。期间要和老人小孩隔离，避免传染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050627651},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661085},{"body":{"content":"希望我的建议能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050718704},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719819},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050726597},{"body":{"content":"如果您对我的服务满意，可以点击手机右上角“表扬医生”给我五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732248}]

男55岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194213},{"body":{"content":"您好，我是主治医师高瑞雪，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196402},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309669},{"body":{"content":"1、（男性）为了您的用药安全，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？\n2、（女性）为了您的用药安全，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？是否在备孕期、妊娠期或哺乳期？\n3、（婴幼儿，儿童，青少年）为了用药安全，是否有药物及食物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345828},{"body":{"content":"使用补钙吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360000},{"body":{"content":"这个是高钙全脂奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390514},{"body":{"content":"有补钙补充营养作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404939}]

女

2022.05.20

[{"body":{"content":"你好，我是京东互联网医院王医生，很高兴为你提供医学服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468353},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530229},{"body":{"content":"今天做胸部CT 右肺上叶小空腔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668511},{"body":{"content":"我这里是泌尿外科，挂普外科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051692645}]

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965259994},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965264379},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271609},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280343},{"body":{"content":"怀孕了下面流绿色液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965322873},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359745},{"body":{"content":"有痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965367530},{"body":{"content":"什么感染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965369501},{"body":{"content":"有异味吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375083},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965381082},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965389773},{"body":{"content":"滴虫感染。可有绿色白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403316},{"body":{"content":"建议检查一下白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965416655}]

女22岁

2022.05.20

[{"body":{"content":"现在睡着了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663249},{"body":{"content":"摸着可以抹平的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697752},{"body":{"content":"那可以总","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718740},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720064},{"body":{"content":"用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721144},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808641},{"body":{"content":"躺着好点，做起来就凸起来明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853106},{"body":{"content":"嗯，符合脐疝。可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872614},{"body":{"content":"这个有规格吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891620},{"body":{"content":"这个就需要咨询客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904914},{"body":{"content":"一般用多久能好呀长平点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911246},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954647},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984305}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143466},{"body":{"content":"现在哺乳期，甲周疣有什么治疗手段？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188894},{"body":{"content":"拍个照片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210359},{"body":{"content":"前两天用指甲刀修简后今天撕开了一部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287753},{"body":{"content":"可以到医院皮肤科做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297740},{"body":{"content":"我在网上看可以擦成****，有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050328239},{"body":{"content":"无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339333},{"body":{"content":"冷冻是不是周期很长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341677},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349153},{"body":{"content":"其他没什么办法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355858},{"body":{"content":"现在哺乳期，还没出月子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369133},{"body":{"content":"可以治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379247},{"body":{"content":"好吧，越晚治疗越严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050398172},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050424161},{"body":{"content":"预计要多长时间？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471579},{"body":{"content":"好郁闷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475554},{"body":{"content":"应该是怀孕最后一个月感染的，一直不知道是什么，没重视","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499618},{"body":{"content":"外用一个月看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502667},{"body":{"content":"先做一次冷冻看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525961}]

女31岁

2022.05.20