刘继帅

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314704},{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050317985},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320262},{"body":{"content":"7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050326854},{"body":{"content":"主要不适症状是什么呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343687},{"body":{"content":"左乳房有点胀痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346870},{"body":{"content":"也做血的化验","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368779},{"body":{"content":"说没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050375096},{"body":{"content":"彩超和抽血都做过了对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050377071},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381877},{"body":{"content":"把结果上传我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050382121},{"body":{"content":"图片没有拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050394934},{"body":{"content":"有外观改变明显，或摸到明显硬块么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050410775},{"body":{"content":"彩超显示有腺体8MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417421},{"body":{"content":"抽血检查的雌性那些指标都是正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444844},{"body":{"content":"那确实是偏大了，这个情况，外观改变明显，首先考虑是手术治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519922},{"body":{"content":"那个医生说建议我吃下******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595303},{"body":{"content":"但是医院没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603546},{"body":{"content":"但医生说**指标正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050632504},{"body":{"content":"只有左胸最近才感觉到痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657120},{"body":{"content":"可以吃 3周看看效果 但是 个人经验 止痛效果好，变小腺体的可能性不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659617},{"body":{"content":"这个****医生也推荐了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050702938},{"body":{"content":"这两个药哪个疗效会好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050721296},{"body":{"content":"可以试试 但个人认为不要抱有太大希望","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722690},{"body":{"content":"一定有这个症状就要做手术吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756265},{"body":{"content":"这个会一直增长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050771859},{"body":{"content":"增长的可能性也不大，是否需要手术 要看您对外观的要求 如果很在意 手术是最直接的方法，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798220},{"body":{"content":"另外如果有发现男性乳房有硬块 那要及时手术切除","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050809738},{"body":{"content":"他说给我饮食和身体肥胖有很大关系","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050821531},{"body":{"content":"对，跟这个有关系的，如果没有硬块 疼痛不明显外观改变不明显 也不用特别在意","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050851148},{"body":{"content":"硬块没有，就是乳头按压会有胀痛感","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905293},{"body":{"content":"****和******看下开那个好点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050961339},{"body":{"content":"麻烦给推荐一下，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050970966},{"body":{"content":"外观改变不明显 可以先口服药物看看效果，******临床反馈效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978994},{"body":{"content":"好的，那就给我开下******2盒，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007701},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051036573},{"body":{"content":"为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于男性备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051076149},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118425},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196208},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051198032},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051381470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450938}]

男33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、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227834},{"body":{"content":"您好，我是京东健康互联网医院专业育儿师。很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230753},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232219},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050260973},{"body":{"content":"孩子被蚊子叮了，要不周围肿了，这个药膏能用眼部周围吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050293431},{"body":{"content":"可以薄薄的涂一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319447},{"body":{"content":"有没有清凉的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345085},{"body":{"content":"有没有成分表发一张看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355273},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367411},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399303},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450949},{"body":{"content":"不客气?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460352}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师曹娜，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824663},{"body":{"content":"需要结痂之后才能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049842845},{"body":{"content":"结痂了，退掉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855510},{"body":{"content":"那可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049905487},{"body":{"content":"使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049907164},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049930767},{"body":{"content":"建议近期避免吃一些辛辣刺激的食物，注意皮肤清洁卫生避免摩擦刺激，应该多吃一些清淡的食物，这样有利于皮肤的恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049954157}]

女

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、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049731623},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049734530},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049746517},{"body":{"content":"宝宝蚊子咬脸上大包，抓破了，流黄水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049780633},{"body":{"content":"痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049787728},{"body":{"content":"抓破的情况下可以涂紫草膏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049807443},{"body":{"content":"可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808018},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049835079},{"body":{"content":"可以先给宝宝用**消毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836012},{"body":{"content":"请问您还有什么需要咨询的问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049884987},{"body":{"content":"对话结束后，麻烦您对我的服务做个评价，耽误您几秒钟，请点右上角的“表扬医生”按钮。拜托拜托??祝\t生活愉快，宝宝健康快乐成长！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049888466}]

女

2022.05.20

[{"body":{"content":"医生，请帮忙看下是不是干性湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879089929},{"body":{"content":"您好，有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098262},{"body":{"content":"就脖子一圈，包括后面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879123532},{"body":{"content":"您好，是婴儿湿疹的，目前处于慢性状态，因此干燥，需要最好保湿的，***大白罐不断涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879223922},{"body":{"content":"是干性湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250192},{"body":{"content":"另外如果用药的话，可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279106},{"body":{"content":"不是干性湿疹，干性湿疹指皮脂分泌少诱发的湿疹状态，宝宝这个只是炎症消退后皮肤脱屑，不过与他本身皮肤屏障功能不佳有关，失水更多，也容易干燥。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420302},{"body":{"content":"这么小出现湿疹样皮炎，如果家族有过敏性疾病，那么属于特应性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879453401},{"body":{"content":"能否推荐用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879547524},{"body":{"content":"没有家族过敏性疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879583035},{"body":{"content":"可以外用*****，＋******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881110637},{"body":{"content":"***一天两次，宝宝一层，消退以后减为一天一次巩固2－3天停用，之后需要长期使用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881143796},{"body":{"content":"好的，感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652885233240}]

男2岁1个月

2022.05.20

[{"body":{"content":"汤主任：请问一下**这几天摆头和挤眼的症状又多了些，怎么办呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877386796},{"body":{"content":"现在吃的***早晚各一颗，***早一粒半，晚二粒，**晚上一粒半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877494310},{"body":{"content":"有没有发生特殊情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880096737},{"body":{"content":"班上最要好的一个女同学前几天不跟她玩了，在学校时她很难过，我开导了她，这两天情绪蛮好了！就是症状缓解不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889003141},{"body":{"content":"先观察几天看看吧！应该和情绪波动有关，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915277224}]

女13岁

2022.05.20

[{"body":{"content":"家长好，我没有理解家长的问诊描述意思","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049681174},{"body":{"content":"那地方红了 应该还没有烂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695679},{"body":{"content":"涂什么能好呢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049711184},{"body":{"content":"太红了 可能是水或者尿没有及时擦干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049727850},{"body":{"content":"这个是局部潮湿引起的类似湿疹，涂点***或者紫草膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738483},{"body":{"content":"在哪可以买到呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080246},{"body":{"content":"药店都有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085168},{"body":{"content":"是的，基本药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192012},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925692}]

男4个月28天

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662436},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965673099},{"body":{"content":"有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965693194},{"body":{"content":"左侧精索静脉曲张1级左侧精索静脉曲张1级","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695029},{"body":{"content":"这个是啥意思","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710829},{"body":{"content":"轻度精索静脉曲张","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965743779},{"body":{"content":"影响怀孕吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965763106},{"body":{"content":"精液常规正常就不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965792801}]

男29岁

2022.05.20

[{"body":{"content":"你好，我是京东妇产科梁国肖医生，非常高兴由我为您提供医疗咨询服务。请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819961},{"body":{"content":"建议少喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965842898}]

女32岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20岁

2022.05.20