刘继帅

[{"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":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"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":1653050450678},{"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":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"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"},"timest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女31岁

2022.05.20

[{"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":1653050059298},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063290},{"body":{"content":"给咱家宝宝换奶粉了，是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080287},{"body":{"content":"转奶了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084568},{"body":{"content":"宝宝现在拉肚子好了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089774},{"body":{"content":"有没有给宝宝喝点***调节一下****？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050099615},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050318151},{"body":{"content":"转奶的时候一定要慢，逐渐的减少原来的奶量，增加新奶的量，需要看每个宝宝的耐受情况，一般来说，需要半个月左右的时间转奶过快过急，很容易出现消化功能不良的情况，就出现拉肚子，胃肠功能损伤以后修复起来需要很长的时间，需要**的来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336846},{"body":{"content":"最好选择宝宝身体健康时进行转奶，同时避开宝宝打预防针的期间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349617},{"body":{"content":"不同系列，阶段，品牌的奶粉，成分都是不一样的，刚开始换的时候需要新旧奶粉掺在一起喝，让宝贝有适应的过程，否则容易拉肚子的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359114},{"body":{"content":"咱家宝宝已经转完奶了是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375465},{"body":{"content":"拉了四五天，昨天去看了医生，给了点药，***的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429558},{"body":{"content":"是的，转奶了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050437494},{"body":{"content":"嗯，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441693},{"body":{"content":"咱家宝宝转奶是不是转快了？宝宝对新奶粉还没有适应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467707},{"body":{"content":"有一个月的时间转奶，现在开始完全换了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471219},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485488},{"body":{"content":"注意给宝宝小肚子保暖，不要让宝宝的小肚子着凉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050498224},{"body":{"content":"用***吹热干毛巾，在40度左右给宝宝热敷肚子。别烫着宝宝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050505747},{"body":{"content":"有一个月时间转奶了，所以不知道是不是奶粉问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050506662},{"body":{"content":"如果给咱家宝宝在转奶期间，宝宝没有拉肚子，就不是奶粉的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545204},{"body":{"content":"宝宝拉肚子没有好之前不要添加新的辅食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560262},{"body":{"content":"转奶期间没有拉，完全转了这几天拉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050625708},{"body":{"content":"嗯，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640223},{"body":{"content":"最近也不添加辅食了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050640736},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050650290},{"body":{"content":"两奶之间给宝宝多喝温开水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663749},{"body":{"content":"都会的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783816},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050790709},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050801845},{"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":1653050806033},{"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":1653050809235},{"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":1653051182948},{"body":{"content":"我们今天有考核，请您帮忙点好评，辛苦您了，??非常感谢????","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187656}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994715},{"body":{"content":"这款常温保存6个月。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050039118},{"body":{"content":"如果开封后建议冷藏。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044308},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062759}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317234},{"body":{"content":"您想预约什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965326892}]

男45岁

2022.05.20

[{"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、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143466},{"body":{"content":"现在哺乳期，甲周疣有什么治疗手段？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188894},{"body":{"content":"拍个照片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210359},{"body":{"content":"前两天用指甲刀修简后今天撕开了一部分","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287753},{"body":{"content":"可以到医院皮肤科做冷冻治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050297740},{"body":{"content":"我在网上看可以擦成****，有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050328239},{"body":{"content":"无效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339333},{"body":{"content":"冷冻是不是周期很长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341677},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050349153},{"body":{"content":"其他没什么办法","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050355858},{"body":{"content":"现在哺乳期，还没出月子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369133},{"body":{"content":"可以治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379247},{"body":{"content":"好吧，越晚治疗越严重吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050398172},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050424161},{"body":{"content":"预计要多长时间？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471579},{"body":{"content":"好郁闷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475554},{"body":{"content":"应该是怀孕最后一个月感染的，一直不知道是什么，没重视","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499618},{"body":{"content":"外用一个月看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502667},{"body":{"content":"先做一次冷冻看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050525961}]

女31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":1653051384394},{"body":{"content":"我有阴道炎和宫颈炎，医生让我提高免疫力，给我开**********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051543508},{"body":{"content":"是您的医生给您的用药建议对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562252},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051570112},{"body":{"content":"是*************栓 50万IU*3枚这个是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051592845},{"body":{"content":"3盒是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051627956},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051647919},{"body":{"content":"您是需要帮您开一下是吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051652686},{"body":{"content":"对，帮我开一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051682440},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他高血压、糖尿病等慢性病史、或血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051684986},{"body":{"content":"血压吃药正常，乳腺增生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051761670},{"body":{"content":"您之前的检查是有发现有HPV的情况是吗？因为帮您开处方需要写上诊断，这个用药是治疗HPV的情况的，所以跟您核实一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766139},{"body":{"content":"您稍等，后续关注一下处方的信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828726},{"body":{"content":"您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894109},{"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。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897494}]

女51岁

2022.05.20

[{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280998},{"body":{"content":"孩子有不舒服么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288780},{"body":{"content":"昨天头晕，疼，吐了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300593},{"body":{"content":"这个囊肿没有症状不不需要处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307977},{"body":{"content":"吃了药，今天精神有所好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050313512},{"body":{"content":"这种严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050322514},{"body":{"content":"是什么原因引起的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343780},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050417102},{"body":{"content":"一般是先天性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422115},{"body":{"content":"看范围不大，应该不是这个囊肿引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439891},{"body":{"content":"这种情况一般会不会长大呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497414},{"body":{"content":"这种吃药有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563962},{"body":{"content":"定期复查，有长大的也有自己没的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573449},{"body":{"content":"不需要口服，没啥效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580570},{"body":{"content":"不长大的话。是不是就没啥影响呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050615656},{"body":{"content":"还有就是，这个囊肿引起的症状会头晕**，还有什么症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663615},{"body":{"content":"如果持续增大，有症状就处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698460},{"body":{"content":"手术治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701905},{"body":{"content":"主要是**头晕恶心呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723533},{"body":{"content":"或者活动异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732315},{"body":{"content":"这种是微创吗？还是传统的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858500},{"body":{"content":"有微创","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050873787},{"body":{"content":"目前一年复查一次行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933757},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051479520},{"body":{"content":"平时需要注意些什么呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051626785},{"body":{"content":"没啥特殊注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051658152}]

女9岁

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":1653050837557},{"body":{"content":"您是明确诊断为早泄，需要开具*******吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050846891},{"body":{"content":"其他药物都是试了 没效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050892863},{"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":1653050905801},{"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":1653050910794},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050946970},{"body":{"content":"性生活一周几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949985},{"body":{"content":"1—3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954851},{"body":{"content":"每次几分钟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050956911},{"body":{"content":"1—3分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970570},{"body":{"content":"双方均满意概率是否到达50%？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975576},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050980688},{"body":{"content":"您这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983701},{"body":{"content":"一直存在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050987461},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991463},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002970},{"body":{"content":"还有别的疾病或者不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051007028},{"body":{"content":"都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051023576},{"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":1653051035951},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060975},{"body":{"content":"那您这个早泄的情况是可以使用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074403},{"body":{"content":"******* 这个药物是目前国内唯一获得CFDA(国家药品监督管理局)批准治疗早泄的西药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051077668},{"body":{"content":"*********：口服。药片应完整片吞下。建议至少用一满杯水送服药物。推荐的首次剂量为30mg（1片），需要在性生活之前约1至3小时服用。推荐的最大用药剂量使用频率为每24小时一次。推荐使用频率为1周1-2次，服药当天避免饮酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051078646},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051098190},{"body":{"content":"***有3片和6片装的，您需要哪种？需要几盒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051106247},{"body":{"content":"三盒六片装","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179112},{"body":{"content":"好的，稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196462},{"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":1653051231610},{"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":1653051233865},{"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":1653051235346},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283649},{"body":{"content":"推荐您可以搭配用这个*** ， ***是**，**，**，**，还有**混合在一起泡出来的茶。可以起到调理身体的作用，功效有：**固精，**，补充精力，提高性能力的作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051300500},{"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":1653051305153},{"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":1653051528201}]

男33岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049800103},{"body":{"content":"孩子多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049803766},{"body":{"content":"15岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815991},{"body":{"content":"为了您孩子的用药安全，特殊情况请提前告知，如：（其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049829504},{"body":{"content":"脸，背都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049837336},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049841547},{"body":{"content":"方便发张照片看下症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049849486},{"body":{"content":"背上的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860570},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865027},{"body":{"content":"请问针对您孩子的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049939982},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049952101},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955378},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049986102},{"body":{"content":"**\n用法用量，一天一次，涂抹在患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989696},{"body":{"content":"这个不含**等成分的，孩子也可以使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050001251},{"body":{"content":"脸上也可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050012398},{"body":{"content":"是 的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030952},{"body":{"content":"脸上身上都可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050037282},{"body":{"content":"好的 非常感谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050055314},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067629},{"body":{"content":"建议您孩子平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087754},{"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":1653050233290},{"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":1653050234957}]

女

2022.05.20