刘继帅

[{"body":{"content":"您好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878499020},{"body":{"content":"请说一下具体病史，如发病时间和部位，症状，有无诱因，家族史，既往史，医院化验结果，诊断， 治疗方案，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878849286},{"body":{"content":"后背，腋下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878865859},{"body":{"content":"化验单刚才发的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878879511},{"body":{"content":"两大块儿，手上之前走过烧伤，感觉开始有小点点的白。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878948430},{"body":{"content":"后背腋下照片发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879003392},{"body":{"content":"好的马上拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879058500},{"body":{"content":"后背","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879094766},{"body":{"content":"您看是***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129486},{"body":{"content":"腋下跟这个类似，然后就是手上很早年烧伤过，看着像是开始有小白点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879251520},{"body":{"content":"有没有预防再在别处长的药或打针之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880142114},{"body":{"content":"是***！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882524411},{"body":{"content":"预防发展就是用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882553166},{"body":{"content":"吃药片或打针都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882574311},{"body":{"content":"能直接给开药？还是要到医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884765850},{"body":{"content":"您推荐吃药还是打针好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884795330},{"body":{"content":"**哪能瞎开啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884929788},{"body":{"content":"必须去医院面诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884943531},{"body":{"content":"如果开点外用药膏还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884963618},{"body":{"content":"吃药麻烦但是可以精确控制**的剂量，打针方便（一月一针）但不能精确控制剂量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885046821},{"body":{"content":"打扰下，打针一般需要几针，一个月到一次医院是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968746320},{"body":{"content":"一两针就好了，一个月到一次医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002754293}]

女48岁

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280998},{"body":{"content":"孩子有不舒服么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288780},{"body":{"content":"昨天头晕，疼，吐了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300593},{"body":{"content":"这个囊肿没有症状不不需要处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307977},{"body":{"content":"吃了药，今天精神有所好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050313512},{"body":{"content":"这种严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050322514},{"body":{"content":"是什么原因引起的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343780},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050417102},{"body":{"content":"一般是先天性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422115},{"body":{"content":"看范围不大，应该不是这个囊肿引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439891},{"body":{"content":"这种情况一般会不会长大呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497414},{"body":{"content":"这种吃药有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563962},{"body":{"content":"定期复查，有长大的也有自己没的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573449},{"body":{"content":"不需要口服，没啥效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580570},{"body":{"content":"不长大的话。是不是就没啥影响呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050615656},{"body":{"content":"还有就是，这个囊肿引起的症状会头晕**，还有什么症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663615},{"body":{"content":"如果持续增大，有症状就处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698460},{"body":{"content":"手术治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701905},{"body":{"content":"主要是**头晕恶心呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723533},{"body":{"content":"或者活动异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732315},{"body":{"content":"这种是微创吗？还是传统的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858500},{"body":{"content":"有微创","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050873787},{"body":{"content":"目前一年复查一次行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933757},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051479520},{"body":{"content":"平时需要注意些什么呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051626785},{"body":{"content":"没啥特殊注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051658152}]

女9岁

2022.05.20

[{"body":{"content":"您好，我是口腔科医生，为您提供医疗咨询。请问这种情况多久了？之前线下就诊过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201382}]

女5岁

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"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建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。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，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051992932}]

男70岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20

[{"body":{"content":"可以用，但是不要弄到眼睛里去，有刺激性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965796971},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965813550},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901609},{"body":{"content":"不用了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966156723},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966175068}]

女40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":1653050690150},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699955},{"body":{"content":"不确认怀孕的情况下是可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702870},{"body":{"content":"确认没有怀孕的情况下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720012},{"body":{"content":"刚测到排卵强阳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722379},{"body":{"content":"影响排卵受精吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050730994},{"body":{"content":"这个不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050737764},{"body":{"content":"尽量不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744595},{"body":{"content":"因为有点感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746507},{"body":{"content":"如果准备同房的话","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750313},{"body":{"content":"准备同房","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757990},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763263},{"body":{"content":"感冒嗓子太不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050772129},{"body":{"content":"女方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050776791},{"body":{"content":"还是建议治疗好以后下个月同房","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791234},{"body":{"content":"或者是就多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794116},{"body":{"content":"不建议吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801276},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816686},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820317},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823656},{"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":1653050826690},{"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":1653050828193},{"body":{"content":"您对肾虚有了解吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838706},{"body":{"content":"肾虚分为肾阳虚和肾阴虚，肾阳虚——肾阳虚主要表现为脸色苍白、畏寒怕冷、浮肿、腰腿冷痛、尿频而少、慢性腹泻等症状。肾阴虚——腰膝部位酸痛，头晕或耳鸣，听力下降，口乾咽燥，烦热，手足掌心发热，晚上出汗，大便乾结，男子遗精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871606},{"body":{"content":"有点早泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876687},{"body":{"content":"在吃药物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892879},{"body":{"content":"射的快，三五分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897582},{"body":{"content":"没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050900527},{"body":{"content":"敏感","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905253},{"body":{"content":"如果一直这个情况的话，还是需要看一下男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920927},{"body":{"content":"医院吗？挂什么号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944676},{"body":{"content":"饮食宜清淡营养，忌辛辣不容易消化食物，节制房事，加强体育锻炼，增强体质，多吃一些清淡的食物，含有***和蛋白质比较高的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949685},{"body":{"content":"男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050951789},{"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":1653051036039},{"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":1653051039837},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070292},{"body":{"content":"能治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075031},{"body":{"content":"线下看男科看一下是先天敏感还是什么原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100683},{"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":1653051360547}]

女

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420699},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、去过疫区的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428642},{"body":{"content":"大人之前感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491432},{"body":{"content":"估计有点传染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497292},{"body":{"content":"好的，宝宝目前是什么喂养方式呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529781},{"body":{"content":"母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534519},{"body":{"content":"宝宝有呼吸不畅，喘憋，喉鸣、声音嘶哑、口吐泡泡等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050582782},{"body":{"content":"嗓子呼呼的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050605443},{"body":{"content":"查了血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050612089},{"body":{"content":"好的，那宝宝目前有发烧吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657466},{"body":{"content":"宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663103},{"body":{"content":"不发烧，精神没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668174},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672494},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689373},{"body":{"content":"线下医院给宝宝开具什么药物了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698133},{"body":{"content":"麻烦看看查**果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749965},{"body":{"content":"要不要吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755183},{"body":{"content":"好的，线下医院给宝宝什么建议了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050854732},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856855},{"body":{"content":"根据您的描述，考虑宝宝呼吸道感染的可能性大的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103358},{"body":{"content":"宝宝目前的血常规提示宝宝病毒感染的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051111605},{"body":{"content":"目前宝宝比较小，宝宝没有呼吸不畅，喘憋，是可以先暂时不给宝宝口服药物的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133241},{"body":{"content":"自己会好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165535},{"body":{"content":"**属于***吧，病毒感染不用抗生素吧。我觉得三个月太小了，不太敢用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051207356},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240130},{"body":{"content":"目前宝宝情况不严重，是可以给宝宝外用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051253474},{"body":{"content":"***是什么，这么小能贴吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051342910},{"body":{"content":"这个一般宝宝没有皮肤破损及过敏，是可以给宝宝使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366531},{"body":{"content":"您点击我给您的健康指导，都是非处方的，就可以直接点击购买的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383931},{"body":{"content":"除了这个，还能干嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457188},{"body":{"content":"需要**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463386},{"body":{"content":"目前宝宝没有其他不适，暂时不需要给宝宝其他处理的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490024},{"body":{"content":"宝宝没有药物过敏，是可以给宝宝**的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051501453},{"body":{"content":"**只用****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051532171},{"body":{"content":"病毒，需要用*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051565295},{"body":{"content":"宝宝没有药物过敏，是可以给宝宝使用****的，一次半支，一天2次，搭配****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642432},{"body":{"content":"目前宝宝暂时不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649641},{"body":{"content":"一次**多久呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741038},{"body":{"content":"一般雾化5到10分钟左右就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051776628},{"body":{"content":"我自己买过**，给大宝用的，应该也能用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810978},{"body":{"content":"一般宝宝没有药物过敏，一般是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051861013},{"body":{"content":"这个可以代替****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052005416},{"body":{"content":"这个一般多用于宝宝喘息的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052012380},{"body":{"content":"那还是用****是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052080268},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052106124},{"body":{"content":"宝宝比较小，病情变化快，发现宝宝病情加重或者精神状态及尿量差，食欲差，建议您带宝宝线下医院及时就诊，以免贻误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052112262},{"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":1653052113971},{"body":{"content":"祝宝宝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052115371},{"body":{"content":"天气多变，您给宝宝注意**，避免着凉，正常养护就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052116077},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052116384},{"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":1653052118902},{"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":1653052121374},{"body":{"content":"用几天呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052121667},{"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":1653052122350},{"body":{"content":"这个是因人而异的，一般是可以给宝宝使用1周左右的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052140233},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052148396},{"body":{"content":"祝您晚安。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148454},{"body":{"content":"祝宝宝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052151934},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052153690},{"body":{"content":"如果宝宝出现呼吸困难，喘憋的情况，建议您及时带宝宝线下医院就诊的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052153721},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052157706},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052158829},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162543}]

女2岁3个月

2022.05.20