熊玉红

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********药品，如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42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":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954699},{"body":{"content":"嗯，您看一下我的这些报告单，然后嗯之前做了心脏搭桥手术，我后面就一直在吃药，但是医生说我有心衰，我看报告上说提示有心尖部室壁瘤形成，我需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020642},{"body":{"content":"我这个病情目前属于严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050040122},{"body":{"content":"这是上次心梗遗留的后遗症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050061677},{"body":{"content":"该如何治疗么，病情严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090760},{"body":{"content":"暂时只能这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050101328},{"body":{"content":"室壁瘤如果要处理要找心外科开胸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050124239},{"body":{"content":"还需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050131462},{"body":{"content":"暂时不管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050133777},{"body":{"content":"吃药能治好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050141896},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146748},{"body":{"content":"这个会有生命危险吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050150667},{"body":{"content":"那什么时候治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050160175},{"body":{"content":"主要是冠心病的风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050174638},{"body":{"content":"如果再发心梗容易猝死","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190727},{"body":{"content":"心脏破裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050197049},{"body":{"content":"怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050220520},{"body":{"content":"上一次心梗估计拖时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222607},{"body":{"content":"好好吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227338},{"body":{"content":"定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230656},{"body":{"content":"药吃完之后没见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246090},{"body":{"content":"反而说心衰更严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255989},{"body":{"content":"从图里哪个指标能判断心衰的严重程度啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050283348},{"body":{"content":"没看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289776},{"body":{"content":"要看BNP结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297937},{"body":{"content":"像我这种情况还可以上班么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343445},{"body":{"content":"不适合体力劳动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380626},{"body":{"content":"看看监控室这种可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400934},{"body":{"content":"不能熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416783},{"body":{"content":"目前我比较严重的地方是在哪呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050456768},{"body":{"content":"哪些病情的描述是比较严重的啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050480630},{"body":{"content":"心梗后心衰，肝功能异常，血脂高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523187},{"body":{"content":"室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050526979},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603973},{"body":{"content":"能帮我分析一下我的报告吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623507},{"body":{"content":"分析了啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637651},{"body":{"content":"心梗之后就做了心脏搭桥，没有拖着，然后一直吃药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050646315},{"body":{"content":"室壁瘤为什么会产生呢？那这个我到底什么时候再去做手术呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050673337},{"body":{"content":"心梗时间长会导致并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695123},{"body":{"content":"越早效果越好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732285},{"body":{"content":"这个估计当时时间长了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744762},{"body":{"content":"您的意思是室壁瘤越早治疗越好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785739},{"body":{"content":"治疗早就不会有室壁瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050817987},{"body":{"content":"可是为啥您说不用管呢先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820743},{"body":{"content":"现在已经有了，暂时先观察吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829047},{"body":{"content":"或者你也可以咨询下心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050837884},{"body":{"content":"这个很严重是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050913400},{"body":{"content":"我看这上面的介绍很可怕啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998746},{"body":{"content":"是心梗的比较严重的并发症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051060216},{"body":{"content":"你可以咨询下心外科关于开刀方面的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076045},{"body":{"content":"这个风险大吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051160383},{"body":{"content":"相比搭桥手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168648},{"body":{"content":"大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176348},{"body":{"content":"你做的是支架","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182550},{"body":{"content":"不是搭桥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051192040},{"body":{"content":"不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051194499},{"body":{"content":"这个手术要开胸的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051202670},{"body":{"content":"像你这么重的冠心病风险肯定大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217930},{"body":{"content":"能推荐一下**好的医院和专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353404},{"body":{"content":"安贞医院和阜外医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441436},{"body":{"content":"我目前保守治疗行么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051579322},{"body":{"content":"只吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051584104},{"body":{"content":"观察吧，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051599798},{"body":{"content":"这两个医院有好的专家吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051606161},{"body":{"content":"我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051636633},{"body":{"content":"看心外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051643910},{"body":{"content":"具体哪些专家我也不是很清楚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654703},{"body":{"content":"较小的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051666139},{"body":{"content":"\n我这个部室瘤是属于哪种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688555},{"body":{"content":"麻烦回我一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051700215}]

男47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":"感谢您体验京东育婴师育儿咨询服务，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":1653049640000},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641748},{"body":{"content":"您好，您发链接的这款就是了，真三段适合两岁宝宝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671521}]

女

2022.05.20

[{"body":{"content":"您好， 我是京东医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906600},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921163},{"body":{"content":"最好喝***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049929073},{"body":{"content":"***吸收好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934220},{"body":{"content":"如果没有药物过敏和不良反应可以按说明书使用，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051672333}]

女1岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051114312},{"body":{"content":"目前主要有哪些不适症状？什么时候开始的？持续多长时间了？有没有加重或缓解的因素？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123002},{"body":{"content":"大夫，您好！我母亲68岁，膝盖疼的厉害，医生建议膝关节置换手术，想让您看看是不是必须手术治疗，母亲年龄大了，害怕手术。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051134834},{"body":{"content":"膝关节炎很严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152531},{"body":{"content":"关节间隙没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051159051},{"body":{"content":"疼痛估计也很厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163965},{"body":{"content":"活动受限吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171568},{"body":{"content":"她这个5岁时被砸了，是伤腿，一直疼，最近一周影响走路了，疼痛厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200657},{"body":{"content":"必须手术吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051221517},{"body":{"content":"建议手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240693},{"body":{"content":"保守治疗，注射****效果怎么样？她听说周围有人手术恢复不好后来拄拐了，害怕手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293929},{"body":{"content":"保守治疗，也只是拖延时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051333861},{"body":{"content":"我觉得早做手术，康复更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362579},{"body":{"content":"手术风险大吗？她有高血压，血糖的话前两天测的8点多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051426521},{"body":{"content":"可以这样子，先****注射保守治疗三个月看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435001},{"body":{"content":"如果没有缓解，还是痛的厉害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443066},{"body":{"content":"再考虑手术也不迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447803},{"body":{"content":"手术风险还可以，这些术前会调整到正常水平","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051469539},{"body":{"content":"好的，谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051487403},{"body":{"content":"希望我的建议能够帮助到您！\n如果您对我的回答表示满意，请在对话结束后给出推荐评语和五星好评～\n祝您早日康复，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051534285}]

女67岁

2022.05.20

[{"body":{"content":"您好， 我是京东医生，非常高兴由我为您提供医疗咨询服务，请稍等，我正在详细阅读您的病情描述。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744709},{"body":{"content":"可以游泳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767523},{"body":{"content":"套脖圈也没问题吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779906},{"body":{"content":"网上说会损伤脊椎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050792576},{"body":{"content":"一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868148},{"body":{"content":"如果宝宝哭闹就不要游泳了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892208},{"body":{"content":"有没什么办法可以判断宝宝脖子有没问题，还是要去医院拍片的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051053716},{"body":{"content":"宝宝以前趴着能抬头吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051080863},{"body":{"content":"以前可以的 现在比较少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091888},{"body":{"content":"一般经常抬头的时期是几月开始的 以前偶尔会抬几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051124874},{"body":{"content":"一般1到3个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276317},{"body":{"content":"如果以前会抬头，现在不能抬头了，建议你带宝宝去医院就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051323920},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051350450},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378229},{"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":1653051383292},{"body":{"content":"暂时没有了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431808},{"body":{"content":"非常感谢您的信任！请对话结束后对我的服务作出评价，谢谢您！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502024}]

女1个月11天

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965641659},{"body":{"content":"腰椎不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965658928},{"body":{"content":"左脚大脚趾会肿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965688501},{"body":{"content":"您好方医生。我儿子14周岁，近来一周感觉左大脚趾外侧到脚后跟麻木，大脚趾没有肿痛。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762867},{"body":{"content":"还有就是：左外侧小腿处麻木。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855422},{"body":{"content":"可能要查下腰！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965897856},{"body":{"content":"先拍张片，如果经济允许，查腰椎ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965927037},{"body":{"content":"什么情况？请问。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965927313},{"body":{"content":"问孩子了，孩子说腰不疼。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957256},{"body":{"content":"小腿外侧，是坐骨神经支配","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966019887},{"body":{"content":"因为年龄尚年轻，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966042568},{"body":{"content":"哦。请问，问题严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966048381},{"body":{"content":"必须查下才能诊断是怎么回事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966064530},{"body":{"content":"也就是说，孩子的问题是出在腰部？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966120653},{"body":{"content":"我们**目前封控，骨科医院都不上班。怎么办好？谢谢您。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966181104},{"body":{"content":"可能，医学发达，需要排除，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966183076},{"body":{"content":"小孩这个情况，多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966208663},{"body":{"content":"平时坐姿怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223155},{"body":{"content":"现在很多小孩，脊柱侧弯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966248270},{"body":{"content":"大概有两周左右。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966284921},{"body":{"content":"目前孩子14岁。身高178，体重136","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966318172},{"body":{"content":"常饮饮粒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966325299},{"body":{"content":"坐姿不太规范","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966342966},{"body":{"content":"饮料","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966349100},{"body":{"content":"有时喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360777},{"body":{"content":"先查下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380884},{"body":{"content":"必要还可以抽血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966394645},{"body":{"content":"请问，抽血化验哪一方面？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966417080},{"body":{"content":"有没有什么药物可以暂时治疗一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966458608},{"body":{"content":"一三六","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966533038},{"body":{"content":"一四零四","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966556849},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966573531},{"body":{"content":"七二","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966582454},{"body":{"content":"请假","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966602700},{"body":{"content":"查血沉，血常规，尿酸，风湿三项","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966756713},{"body":{"content":"可以用点药，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966773637},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966830787},{"body":{"content":"请问，多久能到货？目前不知道**能不能收到货。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967390347},{"body":{"content":"我真不知什么时候，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967426157},{"body":{"content":"京东快递能去吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967438513},{"body":{"content":"你问客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967445548},{"body":{"content":"谢谢您。这药多少钱？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967468913},{"body":{"content":"你才知道多少钱，我只开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967516989},{"body":{"content":"抱歉，您本次购买的部分商品因无货、下架等原因暂不支持购买，请稍后再试我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967550466},{"body":{"content":"这是怎么回事？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967559829},{"body":{"content":"什么药没货？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967584113},{"body":{"content":"或因疫情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967592956},{"body":{"content":"我看不到。我点击时，就是这么说的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967615071},{"body":{"content":"您加我吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967781009},{"body":{"content":"怎么给您打赏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967824178},{"body":{"content":"不能买到吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968237042},{"body":{"content":"您好。京东没有货。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968272834},{"body":{"content":"哦，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968284111},{"body":{"content":"抱歉，您本次购买的部分商品因无货、下架等原因暂不支持购买，请稍后再试我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968294436},{"body":{"content":"重新开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968296491},{"body":{"content":"有没说什么药没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968311580},{"body":{"content":"***********","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968320075},{"body":{"content":"v","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968324836},{"body":{"content":"没有说。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968345392},{"body":{"content":"要不要重新开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968365427}]

男26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049590094},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049595098},{"body":{"content":"您好，我是泌尿外科医生，非常高兴可以帮到您，为了确保本次问诊顺利进行，请您始终保持在线，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049609735},{"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":1653049617449},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049620195},{"body":{"content":"尿急 / 尿频","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642281},{"body":{"content":"白天小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049645303},{"body":{"content":"大于6次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049671014},{"body":{"content":"晚上小便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673923},{"body":{"content":"大于2次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049680680},{"body":{"content":"每次小便量是否较前减少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049684861},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690458},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049694491},{"body":{"content":"超过30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697452},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049700490},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049708008},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049712056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715373},{"body":{"content":"治疗效果是否满意？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718385},{"body":{"content":"不满意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722346},{"body":{"content":"是否方便上传检查报告？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726374},{"body":{"content":"不方便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049729682},{"body":{"content":"医生，我最近吃药了，你应该可以看到我开药记录","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049752502},{"body":{"content":"但是我这两天打了飞机后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049765635},{"body":{"content":"我就感觉排尿更频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783027},{"body":{"content":"刚上完厕所，几分钟又有尿意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796042},{"body":{"content":"去尿，又没多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049806697},{"body":{"content":"药也吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811355},{"body":{"content":"都是处方药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049816034},{"body":{"content":"不知道问题出在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049825755},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎。可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊，不方便到医院，我可以根据经验，给您选择些药物治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838219},{"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、骑车、骑马、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":1653049840500},{"body":{"content":"我戒烟了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049976793},{"body":{"content":"并且不喝饮料","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981096},{"body":{"content":"甚至辛辣的食品都不吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049992115},{"body":{"content":"为了更好更安全的为您提供用药指导，请问您是否有药物过敏史？是否有严重的肝肾功能不全？严重的心脏病、高血压、糖尿病等病史？是否备育期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022253},{"body":{"content":"而且之前吃过六味地黄丸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026315},{"body":{"content":"那我应该吃什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050041506},{"body":{"content":"没有上述用药禁忌对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050090907},{"body":{"content":"你觉得会不会是结石呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092800},{"body":{"content":"没用过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100734},{"body":{"content":"没有禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110536},{"body":{"content":"，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231673},{"body":{"content":"既往是否有泌尿系结石病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248885},{"body":{"content":"是否有腰疼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263532},{"body":{"content":"没有腰疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050378154},{"body":{"content":"三年前，疼过一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387429},{"body":{"content":"疼过几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391214},{"body":{"content":"后面就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050400631},{"body":{"content":"可以做泌尿系彩超明确的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434580},{"body":{"content":"目前来看，主要考虑是前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050453949},{"body":{"content":"有哪几种检测方式","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461994},{"body":{"content":"可以到公立医院泌尿外科检查前列腺液常规和前列腺彩超确诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478381},{"body":{"content":"肾虚是不可能引起这么严重的前列腺炎的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050478617},{"body":{"content":"对吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481442},{"body":{"content":"就是我这种情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050485993},{"body":{"content":"肾虚，是中医说法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619134},{"body":{"content":"我这边是西医，系统分诊到我这边的，主要是使用西药及不需要严格辩证的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907732},{"body":{"content":"那我去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967764},{"body":{"content":"我应该是泌尿内科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050976129},{"body":{"content":"还是外科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979402},{"body":{"content":"泌尿外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050996709},{"body":{"content":"好的，谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051076209},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051099494},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102467},{"body":{"content":"生活建议您：保持良好的心态，减轻心理压力，多喝水，勤排尿，忌烟酒、别熬夜，不吃辛辣刺激性食物。忌久坐，避免长时间骑车，坚持运动锻炼，如提肛、深蹲锻炼，避免剧烈运动。控制手淫，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133585}]

男27岁

2022.05.20