刘继帅

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

男30岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075382},{"body":{"content":"你挂错科了，这是颌面外科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050114499},{"body":{"content":"不是骨科专业的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120674},{"body":{"content":"不是助手配对的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050178430},{"body":{"content":"那我该怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050249341},{"body":{"content":"重新挂科还是您能帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336412},{"body":{"content":"你找客服看能不能给你转科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709911},{"body":{"content":"这样你也能省点钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050725296}]

男35岁

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":1653050217789},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226914},{"body":{"content":"应该是很久了，他之前有过，后来没有了，今天发现了，一问他，他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270009},{"body":{"content":"好的，孩子目前有不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288074},{"body":{"content":"他都是趁没人的时候自己在屋里的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307321},{"body":{"content":"所以我一直被发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319054},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325332},{"body":{"content":"我就很焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332320},{"body":{"content":"之前是上幼儿园中午不睡觉无聊发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360787},{"body":{"content":"后来不让他在那睡觉以为没事了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381498},{"body":{"content":"今天突然发现一问他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396665},{"body":{"content":"应该是很长很长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409452},{"body":{"content":"从第一次发现到现在得有好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425967},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050432204},{"body":{"content":"孩子目前有不适吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452027},{"body":{"content":"孩子平时的饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050459276},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561040},{"body":{"content":"平时吃饭消化都挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578787},{"body":{"content":"好的，孩子去线下医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610571},{"body":{"content":"我一直以为没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618876},{"body":{"content":"今天刚知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624505},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668212},{"body":{"content":"根据您的描述，考虑孩子目前的情况，是不考虑手淫的情况的，多考虑孩子不良习惯的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050740390},{"body":{"content":"孩子目前是可以线下医院儿保科给孩子检查一下是否有注意力不集中，多动等情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764911},{"body":{"content":"您是不用过于担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770316},{"body":{"content":"我一听他每天都弄，特别焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798847},{"body":{"content":"他说他就是搓，觉得好玩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050832639},{"body":{"content":"他说每次都搓痒痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050879164},{"body":{"content":"这不是手淫吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050886472},{"body":{"content":"对的，目前孩子还是比较小的，目前是不考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950722},{"body":{"content":"哦，怎么让他改正呢，我听到了就很生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977244},{"body":{"content":"如果您实在担心，是可以给孩子线下医院儿保科以及泌尿外科给孩子检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050981966},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004960},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140559},{"body":{"content":"您平时可以让孩子适度运动，多晒**，多吃蔬菜水果，规律饮食与作息，少吃辛辣刺激的食物，定期儿保科体检，不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051148920},{"body":{"content":"让孩子多活动，多看一些有益身心的书籍，给孩子多引导，**纠正就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180432},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542914},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555821},{"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":1653051556675}]

男7岁

2022.05.20

[{"body":{"content":"你好，青岛大学附属医院有足踝外科，一般是放在四肢骨骨科里面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965632045},{"body":{"content":"怎么了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965636345},{"body":{"content":"有什么需要帮忙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965640440},{"body":{"content":"能帮忙看个核磁吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686642},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698605},{"body":{"content":"把片子和检查结果一起发过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714552},{"body":{"content":"你这个有积液，有点韧带损伤，但是没有出现断裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816702},{"body":{"content":"这个可以先考虑保守治疗，保守治疗期间定期复查，如果好转就继续治疗，如果病情加重就要考虑做修复术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874173},{"body":{"content":"损伤是撕裂吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965874345},{"body":{"content":"是的，撕裂伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882823},{"body":{"content":"保守了六个月有效果，但是左右脚踝不一样大了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916595},{"body":{"content":"没有断裂吗？只是撕裂了多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965933533},{"body":{"content":"能前后左右各个方向活动吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948657},{"body":{"content":"图片来看没有完全的断裂，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965965617},{"body":{"content":"可以，没啥问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965965705},{"body":{"content":"这个肯定会不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965974399},{"body":{"content":"受过伤的就是受过伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983511},{"body":{"content":"和原装货肯定不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990394},{"body":{"content":"怎么继续恢复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005785},{"body":{"content":"只要它功能正常的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966011113},{"body":{"content":"需要吃点药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015761},{"body":{"content":"爆发没以前高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966025893},{"body":{"content":"平时适当功能锻炼，可以喷的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030207},{"body":{"content":"揉一揉，功能锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966041351},{"body":{"content":"需不需要稳定性力量训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966077633},{"body":{"content":"大约还需要多久能恢复到之前","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127854},{"body":{"content":"这个受伤的前三年都会不舒服，后期会**好起来，但是很难恢复到和之前一模一样，只能比较接近之前的状态","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966247888},{"body":{"content":"前三年吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966320823},{"body":{"content":"我不会残疾吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328783},{"body":{"content":"不会残疾的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966369602},{"body":{"content":"你是骨关节医生吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966398895},{"body":{"content":"我是全科医生，之前做骨科医生，现在做外科医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966442436},{"body":{"content":"你的情况大概就是这样的。如果你想指定莫个人去看，可以直接指定的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966478144},{"body":{"content":"好的，我这个脚踝问题大不大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966589514},{"body":{"content":"只能说目前还好，加强功能锻炼就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966638161},{"body":{"content":"好的 谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966686744},{"body":{"content":"不用谢，祝早日康复，身体健康，万事如意。如果后面有什么问题可以随时找我，你可以关注一下，或者指定我为你的私人医生，方便以后健康咨询。亲，等下系统会自动发一个评价界面过来，记得给一个免费的五星好评哦，非常感谢您的支持！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966735133},{"body":{"content":"医生，您帮我看下距骨有撕脱吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652979612769},{"body":{"content":"韧带有损伤，骨头没有看到明显得断裂之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652997594683}]

男25岁

2022.05.20

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

女

2022.05.20

[{"body":{"content":"h可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912013},{"body":{"content":"这个医生说每次喝2/3袋 每天晚上喝 可以和奶粉一起给宝宝喝么 会对药物有啥影响 会不会能影响药量浓度啥的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981807},{"body":{"content":"没啥影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004897},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007609},{"body":{"content":"还有 吃这个药孩子会困么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030185},{"body":{"content":"会，但几率很小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102168}]

女1岁6个月

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051288686},{"body":{"content":"鼻子黑头肉眼可见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291720},{"body":{"content":"为了方便医生对病情做出正确的判断，您能发一个异常地方的图片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051292070},{"body":{"content":"皮肤表面黑色素太多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051305904},{"body":{"content":"用那个洗面奶好呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314445},{"body":{"content":"目前方便拍一个面部的图片吗，我帮您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330102},{"body":{"content":"鼻子有事容易出油","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335498},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338792},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051346597},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051401807},{"body":{"content":"目前有用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051405926},{"body":{"content":"相机看不见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407458},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410416},{"body":{"content":"有好用的洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418841},{"body":{"content":"目前您的情况考虑黑头粉刺的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425760},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429951},{"body":{"content":"上述情况有没有呢，这边给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432168},{"body":{"content":"不用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051437902},{"body":{"content":"你介绍个洗面奶吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447709},{"body":{"content":"目前主要是注意局部皮肤清洁及**，可以的话可以适当用点改善油脂分泌及局部对症的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458696},{"body":{"content":"如果是洗面奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461047},{"body":{"content":"可以使用这种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051470824},{"body":{"content":"建议您平时要清淡饮食，避免进食辛辣刺激，油腻及过甜的食物，同时做好面部清洁，避免抠抓挤压，生活规律，避免熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051560745},{"body":{"content":"其他还有什么可以帮到您吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562072},{"body":{"content":"可以去黑头嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570441},{"body":{"content":"去黑头的话还是建议用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582777},{"body":{"content":"洗面奶的作用是比较小的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051588161},{"body":{"content":"用这个还用洗面奶嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051624854},{"body":{"content":"还是建议使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636376},{"body":{"content":"平时的护肤也比较重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642392},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051644590},{"body":{"content":"您没有药物禁忌吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651154},{"body":{"content":"平时保养都用什么呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051654351},{"body":{"content":"我感觉我脸越来越油了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678169},{"body":{"content":"之前还不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682790},{"body":{"content":"是的，所以可以建议用点药物来改善一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051696192},{"body":{"content":"没有上述禁忌的情况下建议您 搭配维生素B6片 口服 每次2片20mg 每天一次 缓解油脂分泌过多情况，同时局部黑头处点涂****** 晚上避光使用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051738971},{"body":{"content":"去黑头怎么去呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051748088},{"body":{"content":"柔和点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751882},{"body":{"content":"*****主要是改善油脂分泌，******可以改善局部黑头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051774161},{"body":{"content":"平时用洗面奶洗脸后适当使用水乳面霜就可以的，做好保湿**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051806442},{"body":{"content":"那个洗面奶用着好点也","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051871766},{"body":{"content":"目前给您推荐的可以控油祛痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051891267},{"body":{"content":"效果还是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896234},{"body":{"content":"配合药物一起使用，一般2周左右会有一定的改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914931},{"body":{"content":"后续您可以根据药物效果找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051922546},{"body":{"content":"、治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051929213},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946528},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051958164},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，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":1653051959684}]

男19岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171337},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050186761},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287048},{"body":{"content":"有什么问题・_・?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291417},{"body":{"content":"之前有结石，已经排出去了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050500867},{"body":{"content":"这个是今天复查的报告。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507285},{"body":{"content":"请问，能看出来什么吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528226},{"body":{"content":"嗯，结石已经排出来了，挺好的啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581870},{"body":{"content":"现在已经没有问题了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590972},{"body":{"content":"这句话，代表什么啊？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619642},{"body":{"content":"髂血管旁，可能有血管钙化，或者淋巴结钙化，没有明显的临床意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807},{"body":{"content":"有什么危害么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050692411},{"body":{"content":"没有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711336},{"body":{"content":"这个是肾结石么？？还是输尿管结石？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050739928},{"body":{"content":"如果肾结石，或者输尿管结石，会有肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050903948},{"body":{"content":"报告没有提示肾积水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911078},{"body":{"content":"所以暂不考虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916748},{"body":{"content":"那，，，是什么结石呢。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924850},{"body":{"content":"这可能是血管钙化，或者淋巴结钙化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050952152},{"body":{"content":"钙化灶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955679},{"body":{"content":"不是结石","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962460},{"body":{"content":"当时痛的走不了路。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987150},{"body":{"content":"医院医生说是结石。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994783},{"body":{"content":"是的，当时不是有肾积水么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051032913},{"body":{"content":"右肾集合系分离","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055743},{"body":{"content":"就是积水的意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062865},{"body":{"content":"不知道额。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051106981},{"body":{"content":"医生没说。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051110594},{"body":{"content":"报告上写了？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116594},{"body":{"content":"吃完**的药。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306733},{"body":{"content":"也确实排出来了一点点小石头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051315596},{"body":{"content":"结石已经排出来了，预防也很重要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051564407},{"body":{"content":"避免复发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574461},{"body":{"content":"现在没什么问题了嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707961}]

女40岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176918},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051230127},{"body":{"content":"宝宝是双眼都有症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234152},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051239097},{"body":{"content":"平时宝宝有经常用手揉眼睛的情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267519},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290655},{"body":{"content":"眼泪在眼睛里存着的时候就会有好多黄色的脓状眼屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345952},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390235},{"body":{"content":"宝宝是纯母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396214},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400220},{"body":{"content":"症状出现后有给宝宝用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051568555},{"body":{"content":"用过几天*** 后来发现不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051708066},{"body":{"content":"这个药物一天使用了几次呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726670},{"body":{"content":"一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051730877},{"body":{"content":"一只眼睛一滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744138},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051777058},{"body":{"content":"根据您的描述初步考虑宝宝为泪囊炎伴泪道阻塞的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789461},{"body":{"content":"眼部分泌物增多是炎症的表现，需要局部用药来**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051801433},{"body":{"content":"而******是**效果的药物，是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051812262},{"body":{"content":"建议一天3次，一次1滴，给宝宝继续使用5天看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828013},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051905655},{"body":{"content":"您客气，应该的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913445},{"body":{"content":"在宝宝眼分泌物增多时，建议用****冲洗眼睛后再用药，有利于促进炎症的恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917801},{"body":{"content":"****跟泪液的成分相似，有轻度**的作用，对眼睛没有刺激，而且这款是小支装****，使用方法跟***是一样的，非常方便卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051996808},{"body":{"content":"使用10分钟后再使用***，不冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052011235},{"body":{"content":"宝宝用药期间，妈妈饮食清淡，增加饮水量，多吃水果蔬菜，避免辛辣刺激的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052124025},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052179870},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052183827}]

男4个月

2022.05.20