刘继帅

[{"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":1653050118298},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050121771},{"body":{"content":"非常抱歉，由于我们是平台育婴师，售后退换问题，或者是质量问题，您需要联系京东客服来处理。您可以在京东首页先点击“我的”，再点那个“客户服务”，可以输入“人工客服”，里面有一个在线客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142896},{"body":{"content":"我也可以把客服电话给您，您和客服咨询一下产品问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159927},{"body":{"content":"请您拨打客服电话******，咨询具体商品的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163346},{"body":{"content":"请问您是否有**育婴问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167734},{"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":1653050674401},{"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":1653050677500},{"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":1653050679861}]

女

2022.05.20

[{"body":{"content":"您好，我是副主任医师常瑜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013730},{"body":{"content":"你好，我是京东医生，请问有什么可以帮助你吗？\n请实名，实名后提供更完整的诊疗服务，然后开始问诊！\n是否有药物过敏史，肝肾功能是否正常？是否备孕期？女性的话是否在哺乳期，孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050016430},{"body":{"content":"都是正常状态","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050065332},{"body":{"content":"不是哺乳期孕期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080629},{"body":{"content":"你好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050122056},{"body":{"content":"您在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895968},{"body":{"content":"你线下看过了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909329}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师刘丹，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813368},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049816548},{"body":{"content":"有什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049827619},{"body":{"content":"屁股上三块蚕豆大小的掉皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049902529},{"body":{"content":"没有照片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049933740},{"body":{"content":"帮你转老年科了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062321},{"body":{"content":"你点确认转诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050072897}]

女

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577657},{"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":1653050587268},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050592164},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050602751},{"body":{"content":"就是脚底有水泡，还痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616340},{"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？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050637563},{"body":{"content":"性别女年龄25","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050662692},{"body":{"content":"建议用这个 、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050681537},{"body":{"content":"需要泡脚吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050706279},{"body":{"content":"就是脚痒，用清水洗也不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050761233},{"body":{"content":"还需要搭配泡脚的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802368},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809861},{"body":{"content":"水泡型 不可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050815716},{"body":{"content":"水泡挑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050847003},{"body":{"content":"怎么使用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050852662},{"body":{"content":"这个药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050890108},{"body":{"content":"使用剂量\n一日一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928623},{"body":{"content":"温馨提示：为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药14天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051664609},{"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":1653051666902},{"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":1653051667410}]

女

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":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":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806963},{"body":{"content":"请问医生在吗?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903303},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913454},{"body":{"content":"方便上传清晰的患处图片吗？以便更好地为您分析病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050917115},{"body":{"content":"发际线吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928378},{"body":{"content":"对的，或者发量比较稀疏的部位","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945827},{"body":{"content":"您看我都快秃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050986862},{"body":{"content":"主要是前面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007730},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008188},{"body":{"content":"您家里有遗传的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051011148},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051016910},{"body":{"content":"根据您的图片及描述考虑是脂溢性脱发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036030},{"body":{"content":"我爷爷是秃顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037530},{"body":{"content":"那是遗传问题可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070591},{"body":{"content":"目前考虑是脂溢性脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072776},{"body":{"content":"遗传基因是改变不了的，但是可以用药控制和缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084087},{"body":{"content":"应该怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051117557},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？ 如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131286},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137625},{"body":{"content":"建议您口服*****，外用******治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199561},{"body":{"content":"平时的***可以换成*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254933},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267574},{"body":{"content":"稍后可以给您推荐一种***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280416},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354247},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359453},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376322},{"body":{"content":"可以给您开具处方方便您线上购药，如果需要稍后可以直接点击处方单预约购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380747},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445699},{"body":{"content":"******是是非处方药，您可以自己购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457350},{"body":{"content":"建议您避免辛辣刺激油腻饮食，均衡饮食，多吃高蛋白的食物，蔬菜和水果，适当锻炼身体，避免头皮长时间暴露在阳光下，避免熬夜，焦虑，精神紧张等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051569208},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051744111},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051832312}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是主治医师邢书，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031277},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034539},{"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？是否在备育期？如果都没有的话，回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050051758},{"body":{"content":"怎么不舒服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060956},{"body":{"content":"有没有过敏情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066150},{"body":{"content":"既往有没有服用过呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050076772},{"body":{"content":"没过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091135},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116069},{"body":{"content":"麻烦您回答一下我的问题，我才能够更好的给你推荐合适的产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050127873},{"body":{"content":"唇干，口疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166412},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180076},{"body":{"content":"还有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184168},{"body":{"content":"痔疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191050},{"body":{"content":"口臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208090},{"body":{"content":"平时喜欢吃什么样的食物？体型怎么样？大便粘不粘？睡眠如何？怕冷还是怕热？容易出汗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254098},{"body":{"content":"综合自身的症状开一剂*****应该是合适的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050262517},{"body":{"content":"湘菜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050284515},{"body":{"content":"不胖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299926},{"body":{"content":"睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340007},{"body":{"content":"有这种中成药，你可以直接点击链接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352566},{"body":{"content":"如果需要开具中药方建议您完善信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359591},{"body":{"content":"什么信息？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381450},{"body":{"content":"你也可以直接点击我发送的链接，购买中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478010},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669296},{"body":{"content":"你只有完善个人信息，我才能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689405},{"body":{"content":"在哪里完善啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829932},{"body":{"content":"我不是提醒你了吗 然后你点击一个立即完善就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918313},{"body":{"content":"以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050923425},{"body":{"content":"开多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134683},{"body":{"content":"中药还是丸剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145287},{"body":{"content":"中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051171165},{"body":{"content":"七付","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051244454}]

男37岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037218},{"body":{"content":"这个表不适合女性，有什么问题可以直接咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212394}]

女

2022.05.20

[{"body":{"content":"您好，我是儿科医生麻大夫，您看有什么可以帮您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257721},{"body":{"content":"宝宝发热几天了，最高体温多少度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274279},{"body":{"content":"请问宝宝是否有高热惊厥史，宝宝是否正常预防接种**。是否去过疫区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051287525},{"body":{"content":"宝宝这几天时不时就发烧，但是没有其他症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302091},{"body":{"content":"宝宝精神状态如何？宝宝有咳嗽/流鼻涕/打喷嚏/呕吐/腹痛的表现吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051313569},{"body":{"content":"有时感觉他会干呕，别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051364644},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、家人有感冒的吗，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413689},{"body":{"content":"宝宝**接种呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051430293},{"body":{"content":"家人没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051438320},{"body":{"content":"宝宝目前尿量、大便正常吗，宝宝奶量或食量有变化吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439110},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447540},{"body":{"content":"大便有点稀，但是是金黄色","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051475557},{"body":{"content":"时不时会打喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051499979},{"body":{"content":"孩子是否线下医院诊疗过，是否检查过血常规等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051500159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051509599},{"body":{"content":"根据您的描述，考虑 呼吸道感染 的可能性大，宝宝年龄小，抵抗力弱，受凉，交叉感染后容易出现上述表现。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051513790},{"body":{"content":"为了宝宝用药安全，请问宝宝既往有药物过敏及肝肾损害、慢性病史吗？以便我给您治疗建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515502},{"body":{"content":"宝宝目前服用药物治疗了吗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051525087},{"body":{"content":"服用了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551160},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051571315},{"body":{"content":"如果宝宝没有药敏史及用药禁忌，根据宝宝现在病情，建议服用 ********* 口服。一次10毫升；一日4 次，3 天为一个疗程。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611270},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051617339},{"body":{"content":"配合蒲公英颗粒每次1/3袋每日3次服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641794},{"body":{"content":"上述方案：建议治疗2-3天复诊，结合孩子恢复的情况 调整药物。治疗过程中，如果宝宝病情没有缓解，或有其他症状出现， 请及时线下就诊，避免耽误宝宝病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051644981},{"body":{"content":"有没有可能是春天热胃有火呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051694075},{"body":{"content":"宝宝年龄比较小免疫力弱，疾病 期间建议注意保暖、房间多通风，少去人员密集的地方，避免交叉感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695877},{"body":{"content":"如果宝宝没有惊厥史，宝宝体温37.5-38.5℃可以物理降温，以温水擦浴、洗温水澡，适当减少衣服，口服温水，多补充液体等，注意保持室内温度24°。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703036},{"body":{"content":"超过38.5℃，可以口服*****，间隔4-6小时可以重复吃，24小时内可以吃4次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704862},{"body":{"content":"主要建议：1、用退热药2小时后体温不降，发热超过3天，2、出现高热惊厥，精神萎靡，或烦躁，呼吸困难、喘憋，哭闹不止等。3、食量明显下降、拒食水，6小时内无尿。这些情况出现后立即就诊医院。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710198},{"body":{"content":"喝那个******➕蒲公英颗粒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810133},{"body":{"content":"最好配合****一起服用，效果更好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051853417},{"body":{"content":"干呕，打喷嚏，有时候食欲会不太好，但是喝奶还可以，上述大概是呼吸道感染吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051960515},{"body":{"content":"嗯，还要考虑合并消化不良情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051999507},{"body":{"content":"那如果有消化不良情况怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052028290},{"body":{"content":"可以配合********** 温水冲服，每次1袋，每日2次；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052058107},{"body":{"content":"均衡饮食，少吃油腻、生冷食物，尽量不吃零食。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052066612},{"body":{"content":"请用药前仔细阅读说明书中禁忌，注意事项，有无过敏或者其他副作用，孩子病情如果有变化，请及时到复诊，或到当地医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052073509},{"body":{"content":"******可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052098044},{"body":{"content":"这个药物是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122107},{"body":{"content":"好的，谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052130455},{"body":{"content":"不用客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162065},{"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":1653057152981},{"body":{"content":"后续如果您还有其他问题需要咨询，可以在京东APP，搜寻--京东医生麻建辉，就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653057154230}]

女3岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20