刘继帅

[{"body":{"content":"您好，我是京东互联网医院于主任，很高兴为您提供医学服务，请问您想解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965523399},{"body":{"content":"我想问问泰州第二人民医院有没有男科？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623125},{"body":{"content":"一般三甲医院都有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641704},{"body":{"content":"想做男科检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965642412},{"body":{"content":"做什么检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965650781},{"body":{"content":"那是三乙医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749403},{"body":{"content":"建议去正规三甲医院检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965774713},{"body":{"content":"有手淫习惯，想检查一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799208},{"body":{"content":"精液量少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847936},{"body":{"content":"没有晨勃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965865323},{"body":{"content":"做精液的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965872468},{"body":{"content":"要不要做阴茎充血检查？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965973149},{"body":{"content":"听说要看充血情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999319},{"body":{"content":"可以检查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966051855},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966170724},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966185790}]

男27岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822923},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"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":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20

[{"body":{"content":"您好，我是育儿顾问***，很高兴为您提供健康咨询服务，为了更好地解答您的育儿相关问题，请您在描述的时候辛苦补充以下信息:1. 宝宝年龄；2. 宝宝性别；3. 育儿问题；注：育儿顾问为您提供育儿，喂养，**，早教相关的健康咨询服务。涉及医疗问题请您及时就医。祝宝宝健康快乐。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256552},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259640},{"body":{"content":"可以给咱家宝宝使用鸭嘴吸管","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050275224},{"body":{"content":"鸭嘴是奶嘴和学饮嘴的过渡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283707},{"body":{"content":"六个月以上的宝宝就可以使用鸭嘴奶瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290678},{"body":{"content":"您好，您可能忙，没有关系，我一直都在，您有问题随时找我，我会第一时间回复到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064928},{"body":{"content":"欢迎您随时访问京东，咨询育婴问题，我会在线为您解答，很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069308},{"body":{"content":"如果暂时没有的话，能不能麻烦你点击对话框右上角；表扬：按钮？给我一个好评，谢谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051073673},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051471948}]

女

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":1653049650314},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663735},{"body":{"content":"宝宝老是长这个痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680636},{"body":{"content":"这样多久","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683104},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049685733},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694229},{"body":{"content":"就是长痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049698586},{"body":{"content":"过几天好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708727},{"body":{"content":"过了几天又长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049716121},{"body":{"content":"怎么好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721025},{"body":{"content":"自然好 偶尔抹点药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049738267},{"body":{"content":"痒蹭？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049759153},{"body":{"content":"被啥咬？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049763259},{"body":{"content":"背上头上脚上都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771101},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049774310},{"body":{"content":"线下皮肤镜检查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049791393},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049795828},{"body":{"content":"涂啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824861},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049873159},{"body":{"content":"哦，有*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049919441},{"body":{"content":"需要去医院检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049938163},{"body":{"content":"建议需要的，反复发作，而且自己好。多是自身免疫因素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017827},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140134},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142382},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161385}]

男3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":1653050591753},{"body":{"content":"您做过精液常规吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597508},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640416},{"body":{"content":"精液的话一般是60分钟内液化就属于正常的，而且还要以精液常规的检查单为准的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667283},{"body":{"content":"我这个过了一晚上都还是一样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050685441},{"body":{"content":"嗯，还有其他的症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050697688},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050704373},{"body":{"content":"没有不适的症状就没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751488},{"body":{"content":"精液中有米粒大小的**和频繁的手淫和性生活有关系，但是也属于正常的。精液里除了精子以外，还有各种精子存活所必须的各种酶和****、**、肌醇、***、****、卵磷脂小体等组成，这些物质就是说的米粒大小果冻状的透明**，这是正常的，不需要检查和治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050760467},{"body":{"content":"尿频跟这个有没有关系？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830119},{"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":1653050853917},{"body":{"content":"有的时候会尿频过了几天就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050854093},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856101},{"body":{"content":"尿频 / 尿不尽 / 尿道口滴白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050873678},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050876664},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050909980},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913006},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050916632},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920653},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050926970},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930991},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050963744},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050966757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050973205},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050977230},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980988},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987169},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034216},{"body":{"content":"有没有尿分叉、尿等待情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051042861},{"body":{"content":"有尿分叉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076481},{"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？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084598},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091526},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110515},{"body":{"content":"您上述的症状是有前列腺炎的症状的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117729},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121893},{"body":{"content":"那怎么治疗抗议解决这个问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051158057},{"body":{"content":"前列腺炎的问题，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":1653051188276},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051191313},{"body":{"content":"前列腺炎可以治愈，但是生活中需要多注意，易复发，目前的话，就是药物治疗，症状消失即为临床治愈。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051536989},{"body":{"content":"除了吃药，生活习惯也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051544175},{"body":{"content":"用药剂量：0.1g的******，一天两次，一次1片；********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556322},{"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":1653051703023},{"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":1653051705121},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710511},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051718168},{"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":1653051723749},{"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":1653051827931}]

男18岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964976602},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981868},{"body":{"content":"人流手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964994968},{"body":{"content":"你好，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652964996554},{"body":{"content":"药物流可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965038532},{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965080029},{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965094764},{"body":{"content":"末次月经日期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965103888},{"body":{"content":"每个月都是十几号来，每次都是提前两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965156687},{"body":{"content":"药流：停经49天内","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965246774},{"body":{"content":"现在有两个月了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965308965},{"body":{"content":"差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965317452},{"body":{"content":"b超检了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965336777},{"body":{"content":"流产需要b超过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346129},{"body":{"content":"老师，我问一下，查胎心需要憋尿是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965359588},{"body":{"content":"阴超不用留尿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965438660},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454927},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965505863},{"body":{"content":"老师，你说的流产需要B超啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965520953},{"body":{"content":"个人也可以申请开药是吗？自己做流产不可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595622},{"body":{"content":"在吗，老师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965733826},{"body":{"content":"流产，需确诊宫内有孕囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965742782},{"body":{"content":"若宫内无孕囊，流什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965768669},{"body":{"content":"我有一个孩子了，一个男孩，之前我是刨腹产，我对于**不管用，打了两三次，最后打的是全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965932683},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965980417},{"body":{"content":"不想要了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965995171},{"body":{"content":"去手术台的时候，比我去晚的人都从里边出来了，我呆了好久才出来的，出来去重病监护室输液的时候我的胳膊都没点直觉了，吓死我了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127275},{"body":{"content":"是，我不想要，可是我对象家里人想要，这次怀孕对我来说太害怕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966210346},{"body":{"content":"全麻有清醒期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966212610},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966232333},{"body":{"content":"上次剖宫产的原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966284602},{"body":{"content":"老师，我再问你一句，两个月用药流的话，没有那么复杂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345192},{"body":{"content":"不能了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966363293},{"body":{"content":"停经达到7周，就不能药流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966414849},{"body":{"content":"老师，我记得是去年还是前年的时候也流过一次产，那时候天数短，就疼了一天就不疼了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966441630},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966472433},{"body":{"content":"先算准时间，b超检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966493131},{"body":{"content":"才能选择流产方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966510550},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966525583},{"body":{"content":"如果两个月不能用药流是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966571752},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966582221},{"body":{"content":"能保留，就保留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966595127},{"body":{"content":"我不想要了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966624049},{"body":{"content":"无痛人流受罪吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966664230},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966690642},{"body":{"content":"嗯，**散了会会不会疼？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966755003},{"body":{"content":"会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966783016},{"body":{"content":"有2个小时左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966794024},{"body":{"content":"老师，我现在用啥都会受点罪是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966810080},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966828577},{"body":{"content":"你是说**散了疼两个小时是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966854746},{"body":{"content":"无痛人流怎么做？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966881777},{"body":{"content":"与普通的手术一样，就是多一项麻醉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967035008},{"body":{"content":"也是划开肚子是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967075053},{"body":{"content":"阴道手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967088446},{"body":{"content":"哦，就是从阴道里取出来是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967173013},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967183241},{"body":{"content":"太吓人了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967196740},{"body":{"content":"现在为啥不能用药流呢？刚才搜索的也可以药流呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967242112},{"body":{"content":"大了，药流无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967259594},{"body":{"content":"不会吃大点量不可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967310087},{"body":{"content":"之前吃的一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967326466},{"body":{"content":"没用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967330004},{"body":{"content":"流产方法是有规定的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967361704},{"body":{"content":"有适应症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967372042},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967388229},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967395180},{"body":{"content":"我太害怕了，老师，留着更害怕，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967420177},{"body":{"content":"您需要解决心理恐惧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967468951},{"body":{"content":"没有什么可怕的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967487967},{"body":{"content":"有人剖宫产三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967515217},{"body":{"content":"人流每天都有做的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967535032},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967633844},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967681111}]

女37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":1653049980726},{"body":{"content":"您稍等会我给您查询一下！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049983132},{"body":{"content":"上火：这种情况常见于天气炎热，宝宝喝水少或饮食中进食过多辛辣、油腻、甜甘食物。让宝宝多吃点水果蔬菜泥，多喝点水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093518},{"body":{"content":"这是上火还是疱疹啊？身上没有，牙龈上没有，舌头上没有，舌苔有点厚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103854},{"body":{"content":"可以用口腔溃疡散吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050128997},{"body":{"content":"有哭闹情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147637},{"body":{"content":"可以用口腔溃疡散。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050162403},{"body":{"content":"用的是瑞和口腔溃疡散行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050203470},{"body":{"content":"需要及时调整饮食结构，同时局部疱疹部位可以适当涂抹口腔溃疡散，以缓解局部疼痛症状，通常疱疹1周左右就可以恢复正常；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203702},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216841},{"body":{"content":"一天可以涂几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236570},{"body":{"content":"给宝宝煮点苹果梨，**水，让宝宝多喝点水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249699},{"body":{"content":"三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261556},{"body":{"content":"涂完口腔溃疡散嘴唇干要不要在嘴唇上涂点水？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288692},{"body":{"content":"希望我的回答能帮到您，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":1653050292989},{"body":{"content":"给宝宝多喝点水，不用在嘴巴上涂水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050327798},{"body":{"content":"宝宝是母乳喂养还是吃奶粉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344260},{"body":{"content":"如果宝宝是吃母乳，妈妈饮食上也要多注意些，多吃水果蔬菜，多喝水，别吃辛辣刺激的食物，别吃油腻的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366628},{"body":{"content":"希望我的回答能帮到您，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":1653050377682},{"body":{"content":"今天我们的服务考核，需要您的好评。希望您能在右上角的表扬点一下，给一个五星好评，辛苦您了，谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382850},{"body":{"content":"母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050385413},{"body":{"content":"送您一个追问包。再有其他关于育儿方面的问题，您可以随时咨询我。期待您的支持和好评！谢谢您了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050401080},{"body":{"content":"已好评","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050443862},{"body":{"content":"祝情人节快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050468302}]

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":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450678},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timest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女31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":1653007325552},{"body":{"content":"肾结石什么问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007337165},{"body":{"content":"肾结石0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653007375241},{"body":{"content":"可以服药**试试看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007410506}]

男32岁

2022.05.20