徐哲

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107629},{"body":{"content":"在哪里透析的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120901},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132320},{"body":{"content":"新桥医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050137368},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050141485},{"body":{"content":"哪里人啊？**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050163289},{"body":{"content":"今天刚出院，但是回来换了一袋以后，阴囊肿起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050165096},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050176915},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181228},{"body":{"content":"腹膜透析做了几天？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050211048},{"body":{"content":"11号做的手术","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221306},{"body":{"content":"一周多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245610},{"body":{"content":"腹腔镜手术吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250567},{"body":{"content":"插管这种，不是腹腔镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050268185},{"body":{"content":"哦，几号还是腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290276},{"body":{"content":"哦，几号开始腹透的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313532},{"body":{"content":"12","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321076},{"body":{"content":"下面什么时候开始肿的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357542},{"body":{"content":"下午","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362073},{"body":{"content":"今天刚出院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050373880},{"body":{"content":"哦，尿量怎么样啊？应该还可以吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050398629},{"body":{"content":"出院前是2000每次，一天四次，今天出院耽误了，到目前，换了两次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050401571},{"body":{"content":"1000+基本上都是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050412267},{"body":{"content":"有几个建议:暂停几天腹透，观察一下，下次半袋留腹看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489704},{"body":{"content":"好，那我等会儿换的时候，不放完看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531231},{"body":{"content":"若还是不行，可能你有隐匿性的疝气，需要手术修补","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551082},{"body":{"content":"我放出来的时候，感觉飘管了，有点慢，躺着的时候很顺畅","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050597231},{"body":{"content":"等一下都放完啊，空腹几天看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050597358},{"body":{"content":"放进去是很通畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050617701},{"body":{"content":"多走走，保持大**畅，没有都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050638849},{"body":{"content":"多走走，保持大**畅，每天都有大便","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050651857},{"body":{"content":"在这期间有任何不适，及时去新桥医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686563},{"body":{"content":"大**畅的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050714562},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050727053},{"body":{"content":"那我这个，***肿起来，先不管吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050747921},{"body":{"content":"把腹透液都放出来，一般情况，空腹几天，会**消退的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050780249},{"body":{"content":"下次半袋留腹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050795841},{"body":{"content":"若还是不行，建议去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809964},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050875955},{"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":1653051607757}]

男32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":"您好，非常高兴由我为您提供服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097450},{"body":{"content":"你好，淡盐水鼻滴真的幼儿能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124282},{"body":{"content":"我上次不小心流了一滴进嘴里，超级咸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050161918},{"body":{"content":"您好，这款适用于28天以上宝宝呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166970},{"body":{"content":"口鼻相通","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169362},{"body":{"content":"幼儿不是不能吃盐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180982},{"body":{"content":"您好，请问宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202800},{"body":{"content":"三个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050209399},{"body":{"content":"出月开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219663},{"body":{"content":"在想真的能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227013},{"body":{"content":"您好，参考详情页是可以用的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298016},{"body":{"content":"您好，主张宝宝在一岁以后才可以吃盐哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376097},{"body":{"content":"您好，在一岁以内也并不是完全要禁忌食盐，只是在一岁以内已经添加辅食，很多的调味品中已含有少量的盐，而此类盐的含量已足够宝宝食用，所以可以少量的在一岁以后逐渐添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437980},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442803},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童生长发育方面的相关问题，欢迎您随时联系我！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466211}]

女

2022.05.20

[{"body":{"content":"您好！您今天具体是想咨询些什么呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043505642},{"body":{"content":"失眠、心烦，上次开的药吃完了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043551442},{"body":{"content":"您好！您是想开处方吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653043603738},{"body":{"content":"是的。***二盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653043642663},{"body":{"content":"正值疫情期间，各种突发事件不能预知，为免断药引起病情波动，请您提前备好药物！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1660311970192}]

女56岁

2022.05.20

[{"body":{"content":"您好！请问有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992712},{"body":{"content":"最近咽部又开始不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050056898},{"body":{"content":"有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071002},{"body":{"content":"嗓子干有灼烧感 偶有吞咽困难","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100988},{"body":{"content":"这是以前的检查报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130614},{"body":{"content":"有没有咽痛、咽痒、咳嗽、咳痰？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050134431},{"body":{"content":"基本没有 偶尔咽痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050179873},{"body":{"content":"症状不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192321},{"body":{"content":"吃东西时有梗阻感吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209002},{"body":{"content":"有一点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050246050},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297832},{"body":{"content":"这次有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368318},{"body":{"content":"周一比较严重 这几天略微好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377177},{"body":{"content":"和以前症状一样吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050407452},{"body":{"content":"接近一周了 从上周六开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409838},{"body":{"content":"差不多 但是咽部干涩比以前频繁一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050436123},{"body":{"content":"最近用了什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050457252},{"body":{"content":"最近只吃了*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050512831},{"body":{"content":"再考虑要不要加些***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050530400},{"body":{"content":"有无过敏史和肝肾功能不全？有无其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050541093},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546929},{"body":{"content":"潘医生 我这个程度严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562019},{"body":{"content":"可以用点********，******，***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572684},{"body":{"content":"没大问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050583055},{"body":{"content":"但是工作性质就是要一直讲话","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050598235},{"body":{"content":"就是慢性咽炎急性发作","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610032},{"body":{"content":"有点担心影响工作","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611330},{"body":{"content":"说话多也容易引起慢性咽炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662943},{"body":{"content":"我职业生涯可刚刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050715109},{"body":{"content":"不要太担心！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050738522},{"body":{"content":"那我良好作息饮食清淡 正常工作没问题吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752327},{"body":{"content":"平时除了工作还是要注意一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050756982},{"body":{"content":"主要担心病情加重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760157},{"body":{"content":"好的 谢谢医生了 那我*****还继续吃么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778564},{"body":{"content":"偶尔症状明显一点没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050787672},{"body":{"content":"可以继续使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794202},{"body":{"content":"好的 谢谢潘医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803145},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839372},{"body":{"content":"平时饮食要清淡，禁烟酒**，房里多通风，不要吸二手烟，可以用***泡水喝，不要喝茶，进食不要太饱，进食后不要立即平躺，适当走动一下，睡觉垫枕，加强自身抵抗力，避免用声过度，调整心态，找点事做转移自己的注意力！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050847502},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050991356}]

女23岁

2022.05.20

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31岁

2022.05.20

[{"body":{"content":"您好，我是主治医师王惠，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049812814},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815644},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822798}]

女

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384421},{"body":{"content":"摸下什么感觉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404051},{"body":{"content":"皮肤下面有一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433657},{"body":{"content":"腱鞘囊肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050531141}]

男3岁

2022.05.20

[{"body":{"content":"您好，可以治愈，功能性高血压。治疗焦虑就行，**就好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965496859},{"body":{"content":"那怎么控制血压？体检的时候血压会高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541135},{"body":{"content":"****一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694683},{"body":{"content":"是***吗？普通的***降不下来的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965735980},{"body":{"content":"****可以降压，可以抗焦虑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965765866},{"body":{"content":"像****就没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965776098},{"body":{"content":"2片效果有没有比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965793237},{"body":{"content":"是，所以不用他，可以吃两片，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965820666},{"body":{"content":"好像这种也有开过来吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965915355},{"body":{"content":"这个相对是最好的，可以配点****抗焦虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965970173},{"body":{"content":"哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966074006},{"body":{"content":"**就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966092386},{"body":{"content":"有镇静的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966160035},{"body":{"content":"我容易比较紧张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966168512},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966173977},{"body":{"content":"可以跟那两种一起吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966228325},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966254618},{"body":{"content":"****买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966302394},{"body":{"content":"一吃血压就能降吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966324708},{"body":{"content":"医院开的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966324707},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966332208},{"body":{"content":"****，****，****？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966578031},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966588378},{"body":{"content":"还有强效药吗？麻烦给我开点强效药，我怕到时又高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966633250},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966647651},{"body":{"content":"再说您是外部单，开不成药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966665507},{"body":{"content":"去别的医院一般都是开这种是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966709781},{"body":{"content":"不一定，你可以给医生说，开一些就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966734209},{"body":{"content":"好的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811782},{"body":{"content":"一般去心理医院就可以开的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966827107},{"body":{"content":"嗯，可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966847612},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966861455},{"body":{"content":"不客气，放松先，早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966890002},{"body":{"content":"感谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966903442},{"body":{"content":"没事儿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966914128},{"body":{"content":"嗯嗯，那就不麻烦您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966935327},{"body":{"content":"嗯哪，晚安","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966947779}]

男24岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049644789},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049646501},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049649414},{"body":{"content":"您方便发一下照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655406},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673723},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049678540},{"body":{"content":"发现多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949564},{"body":{"content":"硬的软的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955278},{"body":{"content":"有快一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018888},{"body":{"content":"软的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022320},{"body":{"content":"之前下去过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030153},{"body":{"content":"然后又起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050035261},{"body":{"content":"现在有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045516},{"body":{"content":"现在是经期，老上厕所纸摩擦的有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072546},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076062},{"body":{"content":"不是经期的时候没有感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085953},{"body":{"content":"好的，您没有来月经前有外阴痒吗？白带量多、颜色改变、有异味等情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095781},{"body":{"content":"有时候有点味道 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116542},{"body":{"content":"偶尔会有青黄色的白带","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130544},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136539},{"body":{"content":"您这个部位有做过手术史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148091},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157598},{"body":{"content":"您的白带情况考虑是有炎症的，但是这个疙瘩从照片看考虑是软疣，需要到皮肤科咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194187},{"body":{"content":"我可以先给您一些炎症的建议，您这个疙瘩的情况可以到皮肤科咨询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209724},{"body":{"content":"看看皮肤科医生给您什么处理意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217140},{"body":{"content":"这好尴尬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237284},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259471},{"body":{"content":" 一定要去皮肤科问一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278876},{"body":{"content":"嗯嗯，需要问一下的，不像炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292828},{"body":{"content":"好的吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301849},{"body":{"content":"那需要先给您炎症的建议吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309578},{"body":{"content":"应该是到皮肤科得建议吧. ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329799},{"body":{"content":"我需要重新购买一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339694},{"body":{"content":"这个阴道炎症是属于我们妇科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344227},{"body":{"content":"我先给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350547},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351173},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355213},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050364304},{"body":{"content":" 有些阴道炎哈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365985},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369210},{"body":{"content":" 好吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458301},{"body":{"content":" 用什么处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050465904},{"body":{"content":" 稍微问下，卫生巾和棉条哪一个比较好？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495293},{"body":{"content":"以上禁忌症有吗？、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523339},{"body":{"content":"卫生巾或者卫生棉都可以的，您月经期间勤换，每天清洗外阴，换洗内裤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543519},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545272},{"body":{"content":" 没有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559235},{"body":{"content":"等您月经干净三天，您可以使用**********放置阴道，每天睡前放1粒，用6天；同时配合洁尔阴洗液，10ml稀释*****后清洗外阴，早晚清洗外阴；使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050574992},{"body":{"content":"点击链接可以直接购买的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593681},{"body":{"content":"治疗期间不要同房，不要饮食辛辣刺激的食物和甜食，多喝水，减少熬夜，适当运动提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594672},{"body":{"content":"红斑狼疮可以正常用吗？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695828},{"body":{"content":"外用药一般影响不大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709874},{"body":{"content":" 好的 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806378},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823841},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050824826},{"body":{"content":"阴道炎跟卫生、饮食、作息，身体体抗力下降有关系，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828517},{"body":{"content":"建议您饮食宜清淡，忌辛辣刺激、甜的食物，多喝水，多吃水果蔬菜，减少熬夜，治疗期间不建议同房，每日清水清洗外阴（不要洗阴道里面），内裤穿棉质、宽松内裤，可以减少阴道炎复发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829584},{"body":{"content":"再给您一些生活建议可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836413},{"body":{"content":"好的。谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905124},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912633},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978863},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235076}]

女24岁

2022.05.20