刘继帅

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科郝医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298553},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299022},{"body":{"content":"您的症状多长时间了，有没有用药，用药后有没有缓解？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308929},{"body":{"content":"我耳朵疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308937},{"body":{"content":"没有用药，持续的痛感有2天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329507},{"body":{"content":"是 耳廓那吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353106},{"body":{"content":"还是耳朵里边疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415560},{"body":{"content":"里面哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430758},{"body":{"content":"现在感觉脸都有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445674},{"body":{"content":"您有挖耳或是洗头洗澡外耳道进水的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462708},{"body":{"content":"外面是摸到也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050470268},{"body":{"content":"没有进水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477284},{"body":{"content":"考虑是发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517119},{"body":{"content":"我看有耳鸣或是听力下降吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537915},{"body":{"content":"现在没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548135},{"body":{"content":"局部有泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560289},{"body":{"content":"也没有，就是有个洞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575646},{"body":{"content":"以前哪有小眼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612069},{"body":{"content":"以前没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624725},{"body":{"content":"这个是左边耳朵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642776},{"body":{"content":"您可以先用些口服的***加*****对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669527},{"body":{"content":"为了您的用药安全，请问您有没有药物过敏史？有没有在备孕期、孕期或哺乳期？肝肾功能有没有异常？或是其他用药禁忌的情况，如果有请提前说明。没有异常回“无”即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675952},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684082},{"body":{"content":"建议******* 每次1粒每天2次， 局部涂抹******日3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050714181},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732805},{"body":{"content":"建议您清淡饮食避免辛辣及刺激性食物，耳部避免碰水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770314},{"body":{"content":"很高兴能为您解答，希望我的建议对您所帮助，但是网络问诊毕竟有一定的局限性，如果病情变化或是病情恢复不理想，建议您及时复诊或去专科就诊，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050773129},{"body":{"content":"收到。谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992304}]

女43岁

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014645967},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014759142},{"body":{"content":"具体咨询什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014771935},{"body":{"content":"我想问一下青光眼手术后牙根疼怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014788458},{"body":{"content":"***也一碗一碗的疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014796635},{"body":{"content":"都是一侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014807384},{"body":{"content":"手术的那边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014812586},{"body":{"content":"这两者没什么关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014827152},{"body":{"content":"和青光眼手术没关系是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014848449},{"body":{"content":"***疼需要看看眼压是否还高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014855038},{"body":{"content":"眼压不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014862420},{"body":{"content":"现在眼压正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014868423},{"body":{"content":"牙痛和青光眼手术没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014872581},{"body":{"content":"就是有并发症 脉络膜上腔积血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014888611},{"body":{"content":"和这个有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014891695},{"body":{"content":"牙疼和***疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014898306},{"body":{"content":"牙根疼还不是牙疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014918132},{"body":{"content":"吃了***也不好使 后来又吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014936355},{"body":{"content":"现在也还疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014945075},{"body":{"content":"即使是有积血也不会引起牙痛的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014945173},{"body":{"content":"建议看看口腔科，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014958128},{"body":{"content":"积血会引起***疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014969874},{"body":{"content":"眼珠子有点斯啦啦的疼 和积血有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653014988845},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653014989204},{"body":{"content":"这个和缝线有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015021827},{"body":{"content":"那***疼和牙根疼会是手术后的后遗症吗 比如说神经性的疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015030143},{"body":{"content":"不会，手术不会损伤神经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015059378},{"body":{"content":"那咋回事啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015096427},{"body":{"content":"眼压也不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015102608},{"body":{"content":"现在就是牙疼和***疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015117879},{"body":{"content":"有什么好使得药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015124502},{"body":{"content":"只疼的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015127876},{"body":{"content":"或者吃点***可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015138061},{"body":{"content":"可以吃，还是建议去看看牙，看看牙有没有问题需不需要治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015241766},{"body":{"content":"内眼手术都不会引起牙疼和神经疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015322452},{"body":{"content":"我妈做了两次手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015328089},{"body":{"content":"除了青光眼还有一个二次手术 但是不知道叫什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015345644},{"body":{"content":"眼部手术不会引起牙痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015385279},{"body":{"content":"****和***隔一会吃冲突嘛 还有*** 可以一起吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015400641},{"body":{"content":"不过这个着急上火会引起牙痛的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015423135},{"body":{"content":"可以，没什么冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653015436032},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015480422},{"body":{"content":"17号的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015546868},{"body":{"content":"19好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015558440},{"body":{"content":"见好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653015573679},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653016046135},{"body":{"content":"那这个脉络膜积血可以自己吸收吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016396945},{"body":{"content":"用手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016406130},{"body":{"content":"我这个结果你看着严重嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653016424521},{"body":{"content":"一般是很难自己完全吸收的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653016574474},{"body":{"content":"会有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017443879},{"body":{"content":"我这个你看着严重嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017448472},{"body":{"content":"需要手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653017456680},{"body":{"content":"单从B超看还是比较重的，考虑需要手术手术。具体还需结合其他检查来分析。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018409461}]

女67岁

2022.05.20

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063069},{"body":{"content":"大概2个礼拜，有点痒，以前没有出现过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050142296},{"body":{"content":"而且只有靠近脖子的位置有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154390},{"body":{"content":"这里看着怀疑神经性皮炎呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190004},{"body":{"content":"请问是精神状态导致的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050215730},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253127},{"body":{"content":"你经常去抓吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050263329},{"body":{"content":"最近出现了才抓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275103},{"body":{"content":"这个药可以吗？之前去医院开过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289412},{"body":{"content":"可以可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050472915},{"body":{"content":"但是不能用的时间长了 也就用5-7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050493441},{"body":{"content":"然后换成弱效激素 或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050521352},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536906},{"body":{"content":"请问这个是弱激素的吗？^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050567780},{"body":{"content":"这个没有激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050601658},{"body":{"content":"用第一个5天后换成第二个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612917},{"body":{"content":"好的，谢谢您。之前脸上有过，当时医生开的，看来是同一个问题^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654671},{"body":{"content":"是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725578},{"body":{"content":"谢谢^_^","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050745158},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050777658}]

男29岁

2022.05.20

[{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008471},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009314},{"body":{"content":"是鼻炎 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015321},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021174},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036076},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051047966},{"body":{"content":"可以搭配用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051057181},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062892},{"body":{"content":"****家里有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276514},{"body":{"content":"鼻炎 可以****+****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290995},{"body":{"content":"**** 每个鼻孔各2喷。每日1次（每日200微克），以早晨用药为好。某些患者需每个鼻孔各2喷，每日2次，早晚各1次直至症状改善，当症状得到控制时，维持剂量为每个鼻孔1喷，每日1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385015},{"body":{"content":"//*****：口服 成人及2-12岁以上儿童（ 体重＞30公斤）：一日1次，一次1片（10毫克）\n【用药注意】用药期间建议不喝酒，减少驾车高空高精密作业。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435931},{"body":{"content":"生活温馨提示：清淡饮食，忌食辛辣刺激、油腻食物，注意休息，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051437480},{"body":{"content":"因您未提供既往史信息，只能经验性给予用药指导，您可能存在使用禁忌/过敏的情况，请务必查看药品说明书明确能否应用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051438626},{"body":{"content":"用药前请仔细查看药品说明书中的注意事项，如您在用药过程中出现**不适或持续无法耐受的症状，请立即停药，并及时咨询医师或线下医院 科室就诊！用药期间禁烟酒！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439772},{"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":1653051440482},{"body":{"content":"请问您还在线吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446345},{"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":1653051756485}]

女

2022.05.20

[{"body":{"content":"你好，我是朱医生，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":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

男60岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024099804},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024104129},{"body":{"content":"小便时尿道刺痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024112817},{"body":{"content":"出现这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024114158},{"body":{"content":"今天刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024122025},{"body":{"content":"有没有尿道口分泌物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024144463},{"body":{"content":"总是湿湿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024163882},{"body":{"content":"近期有没有性生活?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024167058},{"body":{"content":"两周前有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024227477},{"body":{"content":"还有没有其他不适症状?\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024236416},{"body":{"content":"最近没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024238591},{"body":{"content":"没有其他不适症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024251457},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024254284},{"body":{"content":"建议到线下医院检查一下尿常规，泌尿系B超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024264686},{"body":{"content":"可以药物治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024320680},{"body":{"content":"暂时没有时间去医院?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024337282},{"body":{"content":"最好是先检查明确，再用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024338245},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024345481},{"body":{"content":"有没有药物过敏史?肝肾功能是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024345918},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024351506},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024358687},{"body":{"content":"是实名注册的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024366037},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024372576},{"body":{"content":"不是实名，不能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024375918},{"body":{"content":"***，是你的真实姓名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024411125},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024417368},{"body":{"content":"治疗期间不要同房，不要喝酒，饮食忌辛辣刺激性食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024538645},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024557618},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024574659}]

男20岁

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400673},{"body":{"content":"血糖高多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050409326},{"body":{"content":"好长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050439010},{"body":{"content":"有10年了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050520345},{"body":{"content":"你这种情况预防和早期诊断是防止糖尿病神经病变造成严重后悔的基本措施。\n\n1、严格控制血糖，戒烟，纠正血脂异常，控制高血压。\n\n2、加强足部**：选择透气性良好质软的合脚的鞋袜，经常检查并取出鞋内异物。患者应每日洗脚，水温不宜过高。秋冬季节足部易干裂，可用中性润肤霜均匀涂擦，汗脚可撒些***。\n\n3、定期进行筛查及病情评价：\n\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533052},{"body":{"content":"差不多吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050590876},{"body":{"content":"**，那你需要注意一下了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615418},{"body":{"content":"我把上面的注意事项也发给你了，预防非常关键。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050623422},{"body":{"content":"预防糖尿病周围神经病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050630880},{"body":{"content":"这吃什么药，好的快点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050683754},{"body":{"content":"可以试试****，早中晚各一粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050805140},{"body":{"content":"那个厂家的药会好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946956},{"body":{"content":"***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956406},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977650},{"body":{"content":"试试吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051024582}]

男33岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。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":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34岁

2022.05.20

[{"body":{"content":"你****身上有皮疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240873},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051242672},{"body":{"content":"哭闹后眼睛痒，脸上起红疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051242894},{"body":{"content":"然后流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051255229},{"body":{"content":"还咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051259901},{"body":{"content":"就是过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267771},{"body":{"content":"之前是过敏体质吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280594},{"body":{"content":"发个图片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051285204},{"body":{"content":"现在眼睛和皮肤感觉都好一些了，但还咳嗽，还有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290002},{"body":{"content":"吃上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350277},{"body":{"content":"在几个月之前也试过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366440},{"body":{"content":"****或者****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051367185},{"body":{"content":"家里有没有**机或者***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379410},{"body":{"content":"有没有呼吸困难","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051386386},{"body":{"content":"有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051394912},{"body":{"content":"请问这容易引起哮喘之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051412100},{"body":{"content":"容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425876},{"body":{"content":"刚才打了好几个喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431203},{"body":{"content":"过敏性哮喘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432133},{"body":{"content":"我现在应该如何处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051452111},{"body":{"content":"家里能不能做**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468457},{"body":{"content":"我近几年也的了哮喘，很怕孩子容易患","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484687},{"body":{"content":"先用****和****做上**，吃上******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485669},{"body":{"content":"吃上药之后去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527633},{"body":{"content":"这些药没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574876},{"body":{"content":"吸吸氧气，吸都保维持几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582851},{"body":{"content":"那赶紧去医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600633},{"body":{"content":"上次是**平静好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619500},{"body":{"content":"要是家附近有诊所，先打点****也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051663359},{"body":{"content":"请问我现在如果去药房买药，最好买哪种药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051670543},{"body":{"content":"晚上不开诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679080},{"body":{"content":"附近有没有药点，去买我刚才说的药，******和**，**又叫***********，目前主要是休息，不要剧烈活动，开窗户，要是药店也没有，就只有去医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768235}]

男5岁

2022.05.20

[{"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":1653050225474},{"body":{"content":"在么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258498},{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050281191},{"body":{"content":"最近这段时间尿完之后总会流一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307864},{"body":{"content":"就是**尿完了，但是提上裤子之后，他就会给内裤上滴点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346867},{"body":{"content":"尿不尽对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384915},{"body":{"content":"就是尿完之后啊，他总会有那么一点残留，过一会儿再滴几滴出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050414380},{"body":{"content":"还就是有时候尿黄且有点浑浊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484069},{"body":{"content":"请问是否还有以下症状：○1尿频○2尿急○3尿痛○5排尿困难○6小腹胀痛○7会阴胀痛○8睾丸胀痛○9尿道口滴白。回复序号即可，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501811},{"body":{"content":"9","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050533277},{"body":{"content":"就是偶尔一年可能就出现这么一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569584},{"body":{"content":"尿的时候有点白色的，干了之后就跟淀粉干了之后一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050582133},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605037},{"body":{"content":"有几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618089},{"body":{"content":"半年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050630874},{"body":{"content":"现在收集的信息来看，您的症状初步诊断为：前列腺炎可能性大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700599},{"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，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":1653050703759},{"body":{"content":"你给推荐一下治疗药物吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722158},{"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":1653050729915},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740719},{"body":{"content":"您还有早泄是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746002},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749879},{"body":{"content":"对于射精时间或控制射精能力是您不满意，还是伴侣不满意，还是您们两人都不满意呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050754053},{"body":{"content":"一般多久射精呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761228},{"body":{"content":"不带**套的情况下，进去动几下就想射","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765047},{"body":{"content":"带套的情况下，3到5分钟吧！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050779567},{"body":{"content":"是否有使用什么药物治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050781180},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788488},{"body":{"content":"对于射精的时间和控制射精的能力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050815653},{"body":{"content":"有过几年的手淫史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050839513},{"body":{"content":"嗯，现在很少手淫了对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050853069},{"body":{"content":"戒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050893675},{"body":{"content":"现在有5，6年没有手淫了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050917408},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920911},{"body":{"content":"根据**男科疾病诊断治疗指南，****** 对早泄这个疾病是有治疗作用的，且目前为一线治疗药物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050926498},{"body":{"content":"****\n可以降低精囊内压，降低球海绵体肌的爆发性收缩，降低阴茎背神经敏感性而增加控精能力延长性生活时间，虽然不是每天用药，但是其实是具有治疗作用的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050930861},{"body":{"content":"******：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950312},{"body":{"content":"这个是属于根治的还是辅助的药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036275},{"body":{"content":"只是这个疾病没有根治一说，除非像阑尾炎做完手术切除了，就不会再有阑尾发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051048342},{"body":{"content":"治疗作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051053853},{"body":{"content":"为用药安全，既往有药物过敏及肝肾损伤、慢性病史吗？请问您是否有严重心血管病史？是否在使用***、****、***、****；****；****、****、****、等药物。是否在备孕？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051064359},{"body":{"content":"没有使用这些药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051078684},{"body":{"content":"您这个情况是在泌尿外科非常常见的，也不用过于担心，是可以通过药物治疗的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051147511},{"body":{"content":"针对您的情况，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":1653051176272},{"body":{"content":"这两个是治疗早泄和尿不尽的，是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051200674},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051205317},{"body":{"content":"****是一种选择性5-羟色胺再吸收抑制剂。早泄可能是大脑性欲中心存在着5-羟色胺和***之类的化学物质，它们传导强烈的射精冲动，而****能干扰上述化学物质，达到延时射精的目的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211277},{"body":{"content":"他们经常给我推荐那个*****那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051215428},{"body":{"content":"******适应症: **利湿，****。用于慢性前列腺炎属湿热挟瘀证，症见：小便频急、尿后余沥、尿后滴白、尿道涩痛、少腹疼痛、会阴不适、腰骶疼痛、阴囊潮湿、睾丸疼痛。一天2次 一次4粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051217532},{"body":{"content":"*****诊断早泄会有帮助的，但是一般建议中医辩证论治指导会更好些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268539},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051284809},{"body":{"content":"上面给您推荐的药物为处方药，我可以给您开一张电子处方，以供线上购买使用，或者作为线下购买及用药参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291284},{"body":{"content":"还有就是每到夏天晚上的话，就是脚心发热，心悸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297159},{"body":{"content":"脚心发热等中医症状，建议中医科望闻问切，辩证论治，会更准确些的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366288},{"body":{"content":"咱们京东有中医吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051389742},{"body":{"content":"我给您一个医院临床治疗反馈效果好的一线用药方案，您可以参考下，比较适合您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392015},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419092},{"body":{"content":"处方供您开好了，供您参考","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463686},{"body":{"content":"已经开好了，处方内药品由京东质保，京东物流配送（保密发货，送药到家）.用量处方上帮您备注上，用药前建议您仔细阅读说明书，注意药物的不良反应，副作用及用法用量，如果用药后出现不适症状或症状得不到缓解，建议及时线上咨询或去医院就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468230},{"body":{"content":"好的，到时候怎么联系您？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051577323},{"body":{"content":"您可以按照上图的这个流程找到我，建议用药一段时间后及时复诊，相对于埋头吃药来说，医生的指导更重要，减量和停药都要在医生的指导下进行；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594542},{"body":{"content":"给您些生活建议，希望能够帮助到您","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735069},{"body":{"content":"这个****一盒够吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051749960},{"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。规律性生活，不要忍精不射，避免不洁性交。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051780137},{"body":{"content":"4周6片1疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792604},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051807720},{"body":{"content":"给您开一盒3片的****先试试，效果明显的话，没有啥不适症状，再继续按需服用，性生活时间达到满意度以后再停药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051821655},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051865666},{"body":{"content":"目前很多患者除了在口服药物治疗以外，都在用***，提高性功能，连续服用效果还是非常不错的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051904967},{"body":{"content":"***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051921229}]

男32岁

2022.05.20