刘继帅

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050924168},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050939042},{"body":{"content":"嗯好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943800},{"body":{"content":"请问您发现这种症状具体有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050954427},{"body":{"content":"应该有3周了，我以为是鸡眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050975400},{"body":{"content":"目前有瘙痒，疼痛的感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050988619},{"body":{"content":"不痒但是挤压会有点难受","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051005922},{"body":{"content":"我脚拇指有一个鸡眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051018603},{"body":{"content":"质地是硬的还是软的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051033024},{"body":{"content":"有一点硬硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051069376},{"body":{"content":"根据您的图片和描述考虑 寻常疣 可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051109659},{"body":{"content":"寻常疣是一种常见的由病毒感染引起的良性赘生物，俗称猴子，千日疮，肉刺等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112870},{"body":{"content":"那怎么办医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051129764},{"body":{"content":"这个一般首选到医院激光或者冷冻治疗的，效果比较好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137621},{"body":{"content":"去医院是吧好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051162431},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051178122},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051226204},{"body":{"content":"您太客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248538},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250011},{"body":{"content":"建议您避免摩擦刺激，避免抠抓，避免熬夜和精神压力，有利于病情恢复。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051253199},{"body":{"content":"关闭问诊时间临近了，希望我的建议能够帮助到您。 后续如有其他医药问题，您可以随时留言咨询。祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625549}]

男29岁

2022.05.20

[{"body":{"content":"您好，仝（tong）医生为您提供医疗咨询服务。不是AI智能机器人。我正在详细阅读您的病情描述。点击我的头像，可以看到有关信息。回复您慢了，请不要着急，还有其他人也在咨询。多谢理解*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918043},{"body":{"content":"消毒**蘸温****，或者双氧水清洗局部。方法是将消毒**朝这个方向轻轻转动。或者用3%******，在药师指导下清洗局部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941703},{"body":{"content":"局部清洗后可用氧化锌软膏，或者*****轻轻涂抹，也可以口服******，或者******，抗过敏，缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950195},{"body":{"content":"尽可能不要频繁掏耳朵，洗头洗澡时不要让耳朵进水。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049981180},{"body":{"content":"不抽烟，不喝酒，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985696},{"body":{"content":"饮食清淡，少吃辛辣油腻食物和肉类，少吃油炸食品，少吃奶制品和甜食，少吃咸菜，少吃海鲜类食品。不吃零食，不吃泡面。尽可能不要熬夜，多喝温水，多吃蔬菜，对恢复健康有帮助。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049989183},{"body":{"content":"现在有炎症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050015406},{"body":{"content":"右耳耳鸣已经几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046843},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050102605},{"body":{"content":"上医院不方便，这个月去过两次，都是清洗耳道换药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154441},{"body":{"content":"**的能用吗？感觉这个******没什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205123},{"body":{"content":"耳朵里面晚上回有点痒，白天就没什么感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241170},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050272606},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281101},{"body":{"content":"根据您目前症状，结合我的临床经验，特此推荐上述产品信息。都属于非处方药，无需医生开处方，您直接下单订购，即可寄到自己手中。请按照说明书使用1周左右，对恢复健康有帮助。请自由选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309288},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319826},{"body":{"content":"上述综合措施，对恢复健康有帮助。您是否已经理解了？还有其他健康问题需要帮助咨询吗？结束本次问诊后，请留下墨宝，简单给予评价。祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361877},{"body":{"content":"不建议随意使用***，譬如****，**等。需要根据医院血液检查结果，判断是否需要***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366313},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050391898},{"body":{"content":"自己用双氧水洗方便吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050421915},{"body":{"content":"双氧水耳浴办法~在医生或者药师指导下，将患侧耳朵朝上，把双氧水滴满耳道静置10分钟左右，这时可能会有气泡，属于正常现象，等**与耳道内脓性分泌物充分混合反应后坐起来，再将患侧耳朵朝下，让**从外耳道流出来即可。当然，可以用**轻轻将外耳道残留**擦净。每天两次，连续清洗3天即可。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050464730},{"body":{"content":"右耳真菌感染也可以用双氧水洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050498415},{"body":{"content":"外耳道霉菌、真菌感染时，可以用双氧水清洗外耳道后，再用********，或者******耳浴，或者******进行外耳道冲洗，抑制真菌，缓解症状。在药师指导下，按照说明书使用，滴耳或者涂擦外耳道。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050838529},{"body":{"content":"明白了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051006204},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任！本次问诊结束后，请留下您的墨宝，简单给予留言评价。假如还有其他问题，可再次发起问诊，祝健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044309}]

男32岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，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":1653050320672},{"body":{"content":"您好，明天发货的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050325933},{"body":{"content":"一般次日到达","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050328866},{"body":{"content":"如果货物延迟可以拔打售后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050331225},{"body":{"content":"您好:这是售后电话******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333086},{"body":{"content":"从哪里发的货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346089},{"body":{"content":"到**是正常发货吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362024},{"body":{"content":"从您最近仓库出货的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050388893},{"body":{"content":"您当地快递正常运行就可以发货","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050397861},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050540684},{"body":{"content":"我家宝宝眼睛老是有湿的眼屎有时候黄黄的，可以用这个擦眼睛和脸不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050601161},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734278},{"body":{"content":"这款是婴儿可用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739035},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051363449},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051387408}]

女

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965001307},{"body":{"content":"我想问下用****清洗耳朵怎么清洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965025404},{"body":{"content":"滴满外耳道 5到10分钟 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965060396},{"body":{"content":"然后用**吸干吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965105226},{"body":{"content":"可以空出来的 单侧耳朵像下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965150014},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965184212},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965195527},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965210827}]

男20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":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481173},{"body":{"content":"您是需要开具处方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483144},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491941},{"body":{"content":"2瓶***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499172},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553355},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050557520},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050561686},{"body":{"content":"直接开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572735},{"body":{"content":"非常抱歉，国家为保证儿童的用药安全，所以现在儿童用药都需要线下明确的的病例或药单资料，系统匹配到病例才能使用处方系统，没有匹配到明确的病例或药单开方系统不能使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579843},{"body":{"content":"那我去找","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589964},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830441},{"body":{"content":"请问孩子是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050834886},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050894877},{"body":{"content":"问诊中只能开具一次 处方，处方是一次性的，一旦确认不能更改","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942056},{"body":{"content":"您需要几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945455},{"body":{"content":"您好、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137305},{"body":{"content":"2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051142229},{"body":{"content":"您稍等，处方开具需要2-3分钟，马上给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171030},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233440},{"body":{"content":"您好，处方已开好，您可以直接点击处方预约购药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302221},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051303471},{"body":{"content":"注意遵线下医嘱用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305450},{"body":{"content":"有问题您随时复诊咨询我，您在京东健康首页，看病，直接搜索我的名字，就可以找到我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589464},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051590549},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051595984},{"body":{"content":"祝孩子早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601707}]

女4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":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":"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":"你是检查出来有染色体异常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965212641},{"body":{"content":"胎儿检查出来是染色体缺失，我跟老公还没有去检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253480},{"body":{"content":"夫妻双方最好去检查一下双方的染色体。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965324740},{"body":{"content":"如果是染色体随体增加等染色体多态性，并不影响怀孕，可以正常要孩子，不会产生遗传物质的增加、减少或功能异常。如果是染色体平衡易位携带者，则有后代染色体异常导致反复流产的可能，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965365609},{"body":{"content":"医生，这是胎儿的检查报告，麻烦您看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965501000},{"body":{"content":"主要还是发现了有x染色体的丢失。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572578},{"body":{"content":"这种情况常见吗，还是很担心下次怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965640422},{"body":{"content":"这种情况造成胎停的还是比较多。建议还是去夫妻双方完善染色体相关的检查。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715540},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741347},{"body":{"content":"如果检查出双方没有大问题的话还是可以正常备孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965777148},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787679},{"body":{"content":"好的，谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965814630},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965824273}]

女26岁

2022.05.20