刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834447},{"body":{"content":"请问你有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857453},{"body":{"content":"就是大便次数比较少，然后有的时候胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897005},{"body":{"content":"多长时间大便一次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049926422},{"body":{"content":"除了胃疼有没有胃胀反酸烧心，食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943351},{"body":{"content":"大便次数少，便量很少 食欲正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982342},{"body":{"content":"一星期能排便一次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020788},{"body":{"content":"排便费劲儿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028326},{"body":{"content":"你刚才发了点检查报告吧，你重新发一下我看一下，我现在看不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080145},{"body":{"content":"我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110247},{"body":{"content":"回肠这块的病变看病理，结果确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170144},{"body":{"content":"其他方面问题不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177520},{"body":{"content":"回肠这块怎么看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287545},{"body":{"content":"我看已经取了活检了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375976},{"body":{"content":"取下来的组织会到显微镜下去看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384764},{"body":{"content":"应该是没啥大毛病吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091907},{"body":{"content":"如果活检没事儿，就没什么大事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359168}]

女21岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是儿科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050055570},{"body":{"content":"宝宝这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056985},{"body":{"content":"前天的打的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050063499},{"body":{"content":"昨天没注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066674},{"body":{"content":"今天发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069355},{"body":{"content":"宝宝肿的厉害吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050071865},{"body":{"content":"按了会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050100110},{"body":{"content":"好的，宝宝之前出现过这种前情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126268},{"body":{"content":"没有，之前就是打****后身上起过疹子发热，就一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187136},{"body":{"content":"好的，宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195312},{"body":{"content":"基本都是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241401},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258780},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261100},{"body":{"content":"没有不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050271212},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296176},{"body":{"content":"根据您的描述，考虑宝宝**接种后的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309554},{"body":{"content":"就是能用**什么的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335847},{"body":{"content":"目前宝宝没有不适，您给宝宝注意局部的**，给宝宝避免沾水，保持局部的干燥清洁就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345781},{"body":{"content":"目前宝宝是不用特殊干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050354124},{"body":{"content":"就是洗澡沾水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388044},{"body":{"content":"后续给宝宝多注意就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050414554},{"body":{"content":"如果宝宝肿胀持续增大，宝宝出现皮疹，瘙痒等情况，是可以及时带宝宝小儿皮肤科明确检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516117},{"body":{"content":"宝宝的接种部位，您给宝宝注意日常的**，避免摩擦和捂热、注意局部的干燥清洁，避免皮肤破损与感染，密切观察就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051685507}]

男3岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578391},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051579045},{"body":{"content":"***什么时候吃比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593360},{"body":{"content":"建议可以餐前一小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594730},{"body":{"content":"但是今天没到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051602854},{"body":{"content":"我一会睡前吃行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051609974},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615774},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620367},{"body":{"content":"饮食影响 不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051621705},{"body":{"content":"主要看您方便 来，这个是最重要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630555},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633241},{"body":{"content":"是消化不良吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637235},{"body":{"content":"肚子胀气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051645524},{"body":{"content":"男 24岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051653657},{"body":{"content":"那您可以直接用成人的哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051666410},{"body":{"content":"我买了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678824},{"body":{"content":"好嘞","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051707945},{"body":{"content":"//**********：本品为儿童专用药品，； \n：一次1～袋，一日～2次。 用40℃以下温开水或牛奶冲服，也可直接服用\n【用药注意】1.与其他药物间隔2小时服用（如***类），阴凉保存","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051714605},{"body":{"content":"按这个用量用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051721980},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751578},{"body":{"content":"温馨提示：1、建议选择清淡易消化的食物，避免吃油腻、煎炸类的食物，最好不要吃**和**，否则会刺激胃黏膜，加重病情。\n2、建议多喝一些淡盐水，能够防止身体脱水，并且可以有效缓解腹泻或呕吐的症状。\n3、建议吃新鲜的食材，不要吃放置过久的食物，更不可以吃霉变的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051765157},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914926},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051915884},{"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":1653052017431}]

女

2022.05.20

[{"body":{"content":"回了一趟老家然后就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049750704},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049771479},{"body":{"content":"尊敬的PLUS会员，您好。我是全科医生任佳，非常高兴由我为您提供医疗咨询服务，请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050005837},{"body":{"content":"宝宝家长您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050053519},{"body":{"content":"皮疹发作前是否伴有，腹痛，腹泻，发热，呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050146625},{"body":{"content":"您好，本次问诊还在进行中，请问您还在关注吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350553},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918282},{"body":{"content":"您好，请问孩子上述皮肤皮损情况有几天了？孩子是有搔抓动作导致局部皮损破溃是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964605},{"body":{"content":"迟迟没有收到您的回复，鉴于您离线，我根据您的描述，给您一些建议， 结合宝宝上述皮损部位图片信息，建议您带宝宝线下公立医院皮肤科面诊，根据查体及皮肤镜检进一步明确宝宝皮损的性质。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051605309},{"body":{"content":"由于关诊时间临近，系统将会自动关闭，疾病的诊断及治疗需要您提供宝宝的症状，病情演变情况，既往病史等相关信息，如果您现在不方便，建议您方便的时候再来咨询，并保持在线，我们再进行详细沟通，以便给您提供帮助。非常感谢您的关注与信任，祝您生活愉快。再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113253},{"body":{"content":"考虑您掉线可能，带您上线后可尝试联系客服，为您做出问诊次数补充等操作。感谢您的理解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148971}]

女2岁6个月

2022.05.20

[{"body":{"content":"多长时间了，我是京东医生孙文贺，很高兴为你服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040272},{"body":{"content":"症状说完，我仔细分析","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050042761},{"body":{"content":"说下具体症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048298}]

女

2022.05.20

[{"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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"请问类似症状出现多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965494521},{"body":{"content":"就是这一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965595244},{"body":{"content":"平时还挺正常的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965617283},{"body":{"content":"考虑是异常子宫出血，异常子宫出血是妇科常见的症状和体征，是指与正常月经的周期频率、规律性、经期长度、经期出血量任何一项不符的、源自子宫腔的异常出血。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966251973},{"body":{"content":"一般三天出结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966260541},{"body":{"content":"请问末次月经来潮时间？平常月经规律吗？月经多长时间来潮一次？怀孕过几次？宝宝多大了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966280109}]

女42岁

2022.05.20

[{"body":{"content":"您好，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？具体问题能描述详细些吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629543},{"body":{"content":"您是咨询这个产品吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049656154},{"body":{"content":"有什么不适症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049660434},{"body":{"content":"您好，我最近锻炼膝盖有些不舒服，现在正在吃**，然后想补补钙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049733607},{"body":{"content":"我爱人说***适合女性和儿童，不适合男性，所以我想咨询一下您，我吃什么钙合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853707},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934727},{"body":{"content":"男性也可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049938663},{"body":{"content":"这款即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942247},{"body":{"content":"这个***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970691},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050010777},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050018108},{"body":{"content":"您发的那个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021792},{"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！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050024601},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030302},{"body":{"content":"有任何医学问题，可以随时再找我问诊即可，很高兴为您服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038181}]

男36岁

2022.05.20

[{"body":{"content":"你好！请问宝宝目前多大了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793053},{"body":{"content":"目前有什么不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801347},{"body":{"content":"5个月10天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049807624},{"body":{"content":"**和辅食都正常吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829421},{"body":{"content":"还有洗澡也正常洗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049844914},{"body":{"content":"宝宝已经添加了辅食吗？辅食要满六个月才建议添加","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851886},{"body":{"content":"宝宝没有不舒服的症状，可以洗热水澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049865032},{"body":{"content":"这两天刚开始吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049868680},{"body":{"content":"*********，不要让孩子受凉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879067},{"body":{"content":"辅食满六个月可以添加不建议添加太早","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891006},{"body":{"content":"如果孩子有缺钙，可以吃**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049901956},{"body":{"content":"有点流鼻涕 咳嗽和打喷嚏比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049908009},{"body":{"content":"那可以用*********喷喷鼻子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921699},{"body":{"content":"宝宝目前吃奶精神状态玩的都好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935568},{"body":{"content":"看了医生吃了药效果也不是太好 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954601},{"body":{"content":"精神状态还是很好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049965659},{"body":{"content":"胃口也一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049995956},{"body":{"content":"是的，感冒没有特效药，属于自限性疾病，一周会自然好转","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049999923},{"body":{"content":"那就用*********喷喷鼻子就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010638},{"body":{"content":"不需要吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050019715},{"body":{"content":"感冒原因因该是上前天烤烧烤呛了烟 引起咳嗽 然后今天吃辅食又呛起了然后就咳嗽打喷嚏流鼻涕了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124389},{"body":{"content":"嗯，避免一些污染的粉尘烟雾呛着宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050151509},{"body":{"content":"本来昨天基本很少咳嗽 今天呛到了就加重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050175263},{"body":{"content":"咳嗽症状比较多，那可以给宝宝吃上点小儿咳嗽糖浆","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050221394},{"body":{"content":"好的 谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302478},{"body":{"content":"嗯嗯，别客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330394}]

男5个月11天

2022.05.20

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]

男50岁

2022.05.20