刘继帅

[{"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":1652965190556}]

男14岁

2022.05.20

[{"body":{"content":"您好，我是主治医师连爱琴，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296702},{"body":{"content":"吃多会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050302598}]

女

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":"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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760593},{"body":{"content":"哪个部位的疤痕呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049772349},{"body":{"content":"多长时间了？目前是什么状况？方便发张局部的照片过来看看吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784371},{"body":{"content":"胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786885},{"body":{"content":"小时候有先天心脏病，特别小的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049798453},{"body":{"content":"做过手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801936},{"body":{"content":"确实是很特殊的部位。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049807800},{"body":{"content":"有没有治疗过呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049814407},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049819583},{"body":{"content":"疤痕挺严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833998},{"body":{"content":"平常局部有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857631},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049870567},{"body":{"content":"局部凸起的明显吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881038},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884473},{"body":{"content":"有没有反复感染呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892065},{"body":{"content":"应该算是增生吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892906},{"body":{"content":"没有吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049898902},{"body":{"content":"就是有时候热了出汗，会有这发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920163},{"body":{"content":"建议面积太大，时间又长的周身性疤痕，可以考虑浅部同位素放疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945876},{"body":{"content":"这有什么途径能够消除吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951765},{"body":{"content":"这对身体有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049963785},{"body":{"content":"能够祛疤彻底吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049973276},{"body":{"content":"浅部的*****治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974332},{"body":{"content":"剂量只要不大，对身体影响可以忽略不计。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985713},{"body":{"content":"只是针对增生性瘢痕的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992925},{"body":{"content":"这个需要做多少次呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013827},{"body":{"content":"而且也只是治疗瘢痕的浅部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017588},{"body":{"content":"得需要多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050024261},{"body":{"content":"我看网上说有祛疤手术啥的，还有二次缝合","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065938},{"body":{"content":"疗程要根据机体对放射性元素的敏感程度来定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072018},{"body":{"content":"面积太大的疤痕，切除后如果没有皮肤覆盖，不建议考虑手术。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050091409},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050101810},{"body":{"content":"您说的这个，一般做一次多少钱讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119823},{"body":{"content":"医院不同，选择的治疗不一样，费用标准也不一样的，具体可以到当地医院的核医学科或者是整形美容科面诊咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195434},{"body":{"content":"医院的话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205617},{"body":{"content":"我们医院目前还没有该项治疗项目，所以不方便提供价格参考。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050216046},{"body":{"content":"建议选择正规医院的核医学科或者整形美容科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228250},{"body":{"content":"去什么水平的医院可以做讷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231789},{"body":{"content":"有必要去专门的美容医院吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050266339},{"body":{"content":"建议去医院吧，美容医院估计不会有这种治疗措施的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050282885},{"body":{"content":"综合性医院，应该会有的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296081},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305576},{"body":{"content":"请问还有其他疑问需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315481},{"body":{"content":"我是***的，这种程度，在市级医院可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326188},{"body":{"content":"还是去**呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050336661},{"body":{"content":"可以先去咨询问一下，如果不行再去**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344500},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351381},{"body":{"content":"谢谢您啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357715},{"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，对我答复满意的话，请给予5星好评，祝您生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050362888}]

女26岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050402161},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050403727},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050406005},{"body":{"content":"应该是给宝宝吃的多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050461681},{"body":{"content":"第一次就给宝宝吃150毫升，有点太多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482690},{"body":{"content":"**的一次给宝宝吃了多少呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050515388},{"body":{"content":"**是两勺，55ml的温水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050816134},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050825219},{"body":{"content":"刚才冲的没喝完的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826752},{"body":{"content":"初次添加可以用一平勺约5克米粉，加60毫升的水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050850504},{"body":{"content":"米粉初期添加可以先给宝宝吃5-6口让宝宝适应一下，3天后可以逐渐增加喂养量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050870063},{"body":{"content":"可以发个冲调的顺序吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876436},{"body":{"content":"一般的婴儿米粉包装上，都会标明米粉的冲调浓度，第一次给宝宝添加的时候，可以比说明书上标明的浓度冲调的更稀一点，在宝宝能够接受这个浓度以后，再逐渐调整到按照说明书上的比例冲调。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050885626},{"body":{"content":"包装就是写着5勺啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906115},{"body":{"content":"将白开水凉到60℃备用\n在碗中加入准备好的温开水，取米粉到小碗中，边加边按一个方向搅拌，搅拌均匀后，静置30秒即可\n，最后一步是试温度,将米粉滴在手腕内侧温热无烫感就合适了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961257},{"body":{"content":"我就是按照这个来冲调的，想着之前吃过米粉，所以就按照平时的冲调","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006205},{"body":{"content":"那合适冲调比例","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014289},{"body":{"content":"不要一开始就给宝宝吃那么多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028432},{"body":{"content":"可能是吃太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051064785},{"body":{"content":"刚开始添加辅食的宝宝肠胃比较娇嫩，还不太适应辅食，需要先稀一些，**再增加喂养量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077589},{"body":{"content":"之前也没吃过那么多的，我以为你们的冲调不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051083358},{"body":{"content":"宝宝辅食喂养的原则是由少到多，由稀到稠，由单一到多样，循序渐进逐步添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051098776},{"body":{"content":"我是京东医生育儿师，不是任何一款商品的客服哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137872},{"body":{"content":"从哪款商品的窗口都可以联系到我的呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051163171},{"body":{"content":"看起来给宝宝吃的有点多了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187768},{"body":{"content":"给宝宝减少喂养量，喂***调理，观察会不会好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051207013},{"body":{"content":"让宝宝肠胃休息一两天，在**少量开始添加喂养。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231410},{"body":{"content":"??","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051332007},{"body":{"content":"您还有问题咨询吗，如果方便的话麻烦右上角给点个评价，谢谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051362747}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051055014},{"body":{"content":"你好我平时做一次就很难硬起来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079166},{"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":1653051088695},{"body":{"content":"请问您近6个月内有无性生活？（仅指阴道内性交，不包含手淫、飞机杯等）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051090936},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051103421},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106429},{"body":{"content":"3—7次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051116329},{"body":{"content":"您近期的晨勃情况如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120367},{"body":{"content":"每周1-3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051125326},{"body":{"content":"勃起后，按照豆腐、剥了皮的香蕉、香蕉、黄瓜，四个硬度分级的话，您感觉属于哪个级别？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139358},{"body":{"content":"剥了皮的香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051151422},{"body":{"content":"性生活过程中是否有未射精就疲软的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158449},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051168179},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171220},{"body":{"content":"近期出现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051174528},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178552},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051181015},{"body":{"content":"还有别的慢性疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051185023},{"body":{"content":"以上都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051192333},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051212726},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051234887},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051238412},{"body":{"content":"首先，您这个硬度不够，中途疲软的症状属于勃起功能障碍的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246625},{"body":{"content":"这种情况影响因素还是很多的，压力，身体状况，情绪，烟酒，熬夜，手淫过度，性生活过多等，都可能会导致性能力的下降。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255153},{"body":{"content":"性生活建议一周不要超过2-3次，也不建议一晚多次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260266},{"body":{"content":"您多次性生活，是会影响勃起功能的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268430},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317310},{"body":{"content":"药物的话， 可以使用******看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051330926},{"body":{"content":"***物，针对治疗勃起功能障碍，辅助勃起增加硬度的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337176},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340180},{"body":{"content":"主要是需要控制性生活频率","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350979},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356627},{"body":{"content":"药物没有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371842},{"body":{"content":"******主要副作用头痛、面部潮红、消化不良和肌肉疼痛，其次为鼻塞、腹泻、头晕和皮疹等，一般症状较轻，且是一过性的，安全可控的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376243},{"body":{"content":"不是用药就一定会有副作用，也没有什么永久性副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051378776},{"body":{"content":"备孕如果吃这个药物有什么影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051379441},{"body":{"content":"药物说明书中表示，药物一般不影响精子质量的，优生优育角度来说，建议停药2-3个月再备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389032},{"body":{"content":"但是这个药物本身是不会影响备孕精子质量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051399581},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051401361},{"body":{"content":"我可以帮您先开一盒25mg7片装的小剂量的看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422888},{"body":{"content":"这个25mg和50mg什么区别啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051469495},{"body":{"content":"*******，初次使用推荐50mg，推荐性生活前1小时左右服用，但在性活动前0.5～ 4小时内的任何时候服用均可。基于药效和耐受性，剂量可减至25毫克或增加至100毫克。每日最多服用1次。有性刺激起效。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051475807},{"body":{"content":"2片25mg就等于50mg","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051486820},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051494390},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051496322},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559812},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051563907},{"body":{"content":"建议您平时多运动，注意个人生活习惯，避免熬夜，放松心情，避免辛辣刺激食物，规律性生活，减少手淫次数。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051565403},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574679},{"body":{"content":"备孕建议您常规口服*** ，具有补充锌硒、***等作用，提高精子活力和存活率，增加受孕几率，男性精液的重要组成部分就是锌。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584906},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051636650},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051751732}]

男28岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741174},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746532},{"body":{"content":"32，男","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760312},{"body":{"content":"请问吃****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050789503},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839051},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050857944},{"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":1653050890163},{"body":{"content":"【注意事项】 对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344197},{"body":{"content":"【用法用量】 口服，一次3~4片，一日3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051352240},{"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":1653051355297},{"body":{"content":"忌烟、忌酒，饮食上当中应该以清淡的食物为主，避免吃过度辛辣刺激性的食物，坚持锻炼身体，多喝水，不要憋尿，有尿意的时候应该立即去排尿，不要久坐和长距离的骑自行车，性生活既不要过度的频繁，也不要长期不过性生活，要坚持定期的规律的排精，可以练习提肛的动作，保持一种良好的生活的习惯，早起早睡。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051497792},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594745},{"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":1653051596362}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965718203},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965732564},{"body":{"content":"需要及早治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965732945},{"body":{"content":"需要怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757609},{"body":{"content":"查肺CT，没问题的话可以服用****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965784876},{"body":{"content":"CT正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965795777},{"body":{"content":"用法用量呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876135},{"body":{"content":"每周一次，每次3片，定期复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965876252},{"body":{"content":"用药多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965908332},{"body":{"content":"多久复查，复查那些项目？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965957194},{"body":{"content":"每月复查，血常规、肝肾功能、血沉、CRP、RF等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966025766},{"body":{"content":"终身服药？还是多久可以停药，在什么时候停药比较合适？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966135984},{"body":{"content":"老师还在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966513959},{"body":{"content":"老师还在吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966626880},{"body":{"content":"基本上要终身服药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966738955},{"body":{"content":"长期吃这药，最严重的并发症是什么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966856886},{"body":{"content":"血常规、肝功能需要监测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966989623},{"body":{"content":"老师指导一下，生活上还需要注意点什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967222847},{"body":{"content":"保暖，保护关节，避免感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967386796},{"body":{"content":"其他没有了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967394241}]

男45岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879403707},{"body":{"content":"舌苔黄厚腻，中间有裂纹，有齿痕，食欲不振，盗汗，咳嗽，口水多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427914},{"body":{"content":"这个舌苔厚腻黄 舌质红","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879428097},{"body":{"content":"上次找过你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440389},{"body":{"content":"属于肝郁化火脾虚湿热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879443674},{"body":{"content":"目前感觉怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879457161},{"body":{"content":"前期效果不明显，我另外吃了专治盗汗的药，现在只是多汗，不盗汗，其他改善不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879526875},{"body":{"content":"最近吃的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879547174},{"body":{"content":"吃东西没胃口，但不胀，不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879570158},{"body":{"content":"还有什么症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879589858},{"body":{"content":"吃了知柏地黄丸，喝了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879621690},{"body":{"content":"目前你这个情况应该以清湿热为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879640623},{"body":{"content":"舌苔黄厚腻，中间有裂纹，有齿痕，食欲不振，咳嗽，口水多，睡眠不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879654892},{"body":{"content":"是的 清湿热为主 配合*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879692924},{"body":{"content":"放屁多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879698760},{"body":{"content":"放屁多与脾虚有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879710791},{"body":{"content":"我本来也在学中医，当地一个中医建议我不清湿热，我也很怀疑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879790669},{"body":{"content":"你不去湿热也不行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879814518},{"body":{"content":"他建议燥热祛湿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879823019},{"body":{"content":"其实燥热祛湿或者是去湿热是一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879850081},{"body":{"content":"我也感觉应该清湿热，顺带补脾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879856401},{"body":{"content":"应该中医是没有燥热的概念","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879883459},{"body":{"content":"你再来个方，因为中医很难一蹴而就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879925951},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879960667},{"body":{"content":"湿性粘腻不容易去","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879975935},{"body":{"content":"可以猛一点，我这个症状几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879986859},{"body":{"content":"目前有没有口干口苦烦躁的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879987957},{"body":{"content":"其实不在于用药猛，而在于用药时间长一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880016921},{"body":{"content":"因为我天天喝酒，口干口苦我一直没往这方面想，肯定有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880023701},{"body":{"content":"服药尽量不要喝酒，不然药物会无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042600},{"body":{"content":"呵呵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060885},{"body":{"content":"酒是湿热的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880083380},{"body":{"content":"嗯，辛辣，我的必备","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880099548},{"body":{"content":"辛辣生湿热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880111057},{"body":{"content":"你这种老吃辛辣的，确实是对服药是有很大影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880124001},{"body":{"content":"这个比较难办，工作性质决定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880172286},{"body":{"content":"好吧，这个没办法，只能先给你开方吃了，看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880185621},{"body":{"content":"对了，知柏地黄丸吃，没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880253652},{"body":{"content":"没影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880297988},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880374972},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品\n\n如果上述问题你没有，可以直接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880545291}]

男45岁

2022.05.20