刘继帅

[{"body":{"content":"你好，我是京东互联网医院王医生，很高兴为你提供医学服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468353},{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530229},{"body":{"content":"今天做胸部CT 右肺上叶小空腔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668511},{"body":{"content":"我这里是泌尿外科，挂普外科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051692645}]

男31岁

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？按压痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402026},{"body":{"content":"按压不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965426017},{"body":{"content":"有无挤压过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965442252},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454819},{"body":{"content":"根据您症状情况，考虑是甲下出血，与无意中挤压有关系的。对身体没有影响的。可以不用管它的。自己会**恢复退掉的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490474}]

女20岁

2022.05.20

[{"body":{"content":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

男26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":1652999828008},{"body":{"content":"你好，问问以前手淫后还有点睡意想休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999850205},{"body":{"content":"现在手淫后就没有了，不怎么有睡意了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999864778},{"body":{"content":"这个问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999905154},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999915068},{"body":{"content":"问问","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999917300},{"body":{"content":"是不是有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999921480},{"body":{"content":"还是正常没事的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999925392},{"body":{"content":"没有问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999928181},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999934940},{"body":{"content":"比较精神现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999957576},{"body":{"content":"没事对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999959837},{"body":{"content":"兴奋缘故","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999971724},{"body":{"content":"没事对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999978456},{"body":{"content":"没有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999980086},{"body":{"content":"我也还好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999991364},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999999283},{"body":{"content":"不是很兴奋","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000001619},{"body":{"content":"没有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000016063},{"body":{"content":"反正这样没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000018701},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000027394},{"body":{"content":"我问问我晚上8点做的 晚上12点睡 6点起 睡6个小时不影响手淫后身体吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000049108},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000070874},{"body":{"content":"睡6个小时够了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000106619},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000156318},{"body":{"content":"好的感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000181998},{"body":{"content":"别结束，让他24小时自动关闭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000189740},{"body":{"content":"后期有可能还有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000195169},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000195786}]

男20岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414453},{"body":{"content":"这里是京东医生平台","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881387}]

男58岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217789},{"body":{"content":"孩子这种情况多久啦？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226914},{"body":{"content":"应该是很久了，他之前有过，后来没有了，今天发现了，一问他，他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050270009},{"body":{"content":"好的，孩子目前有不适吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288074},{"body":{"content":"他都是趁没人的时候自己在屋里的时候","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050307321},{"body":{"content":"所以我一直被发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319054},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325332},{"body":{"content":"我就很焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050332320},{"body":{"content":"之前是上幼儿园中午不睡觉无聊发现的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360787},{"body":{"content":"后来不让他在那睡觉以为没事了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381498},{"body":{"content":"今天突然发现一问他说每天都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396665},{"body":{"content":"应该是很长很长时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050409452},{"body":{"content":"从第一次发现到现在得有好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050425967},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050432204},{"body":{"content":"孩子目前有不适吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452027},{"body":{"content":"孩子平时的饮食与消化如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050459276},{"body":{"content":"没有不适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561040},{"body":{"content":"平时吃饭消化都挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578787},{"body":{"content":"好的，孩子去线下医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610571},{"body":{"content":"我一直以为没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050618876},{"body":{"content":"今天刚知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624505},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668212},{"body":{"content":"根据您的描述，考虑孩子目前的情况，是不考虑手淫的情况的，多考虑孩子不良习惯的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050740390},{"body":{"content":"孩子目前是可以线下医院儿保科给孩子检查一下是否有注意力不集中，多动等情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764911},{"body":{"content":"您是不用过于担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770316},{"body":{"content":"我一听他每天都弄，特别焦虑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798847},{"body":{"content":"他说他就是搓，觉得好玩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050832639},{"body":{"content":"他说每次都搓痒痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050879164},{"body":{"content":"这不是手淫吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050886472},{"body":{"content":"对的，目前孩子还是比较小的，目前是不考虑的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050950722},{"body":{"content":"哦，怎么让他改正呢，我听到了就很生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977244},{"body":{"content":"如果您实在担心，是可以给孩子线下医院儿保科以及泌尿外科给孩子检查一下的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050981966},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004960},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140559},{"body":{"content":"您平时可以让孩子适度运动，多晒**，多吃蔬菜水果，规律饮食与作息，少吃辛辣刺激的食物，定期儿保科体检，不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051148920},{"body":{"content":"让孩子多活动，多看一些有益身心的书籍，给孩子多引导，**纠正就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180432},{"body":{"content":"祝孩子早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542914},{"body":{"content":"您平时让孩子注意均衡饮食。适当进行户外运动。保证充足的睡眠。疾病高发季节适当补充维生素C泡腾片。平时注意饮食起居，减少接触病原体，疾病高发期避免去人群密集地区。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051555821},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556675}]

男7岁

2022.05.20

[{"body":{"content":"您好，感谢您体验京东育儿师咨询服务，我您有新生儿或儿童必备药品，或有关儿童生长发育相关问题的，需要京东平台为您准备，儿科专家及一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284274},{"body":{"content":"您好，在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292403},{"body":{"content":"多大的孩子适用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296393},{"body":{"content":"宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308122},{"body":{"content":"1个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325278},{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427503},{"body":{"content":"适用6至12岁的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050471620},{"body":{"content":"这么小不要乱吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513996},{"body":{"content":"宝宝不爱吃奶吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546407},{"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，祝宝宝健康快乐成长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703533},{"body":{"content":"您还有其他问题吗，咨询结束前，我一直都在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051711325},{"body":{"content":"感谢您的支持，您的评价对我非常重要，麻烦您给个好评，谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051716064}]

女

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051419300},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427973},{"body":{"content":"您是感觉大便次数增多，还是大便困难呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051448219},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463653},{"body":{"content":"大便次数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051472188},{"body":{"content":"增多是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051477175},{"body":{"content":"不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485533},{"body":{"content":"经常早餐吃完后就完啦，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051528036},{"body":{"content":"大便还是正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551682},{"body":{"content":"症状大致多久了？腹胀，腹痛，排气异常，肠道咕噜响有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051556085},{"body":{"content":"很久了，没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051590175},{"body":{"content":"您查过肠镜吗？用过什么药物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051625079},{"body":{"content":"还没去检查，也没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051650820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051654511},{"body":{"content":"请问您有什么药物过敏史吗？既往有什么疾病史吗？肝肾功能正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051655583},{"body":{"content":"没有，正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051677905},{"body":{"content":"结合您描述的情况，考虑肠易激综合征可能性大一些，建议您可以服用****0.1g 3次/日口服+**********，每次2粒，每日3次。与其他药物分开2小时服用，联合使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051682049},{"body":{"content":"用药症状改善不理想，医院消化科就诊，必要时查个肠镜检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051695160},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051719784},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051787948},{"body":{"content":"给您开个处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051792678},{"body":{"content":"少食多餐，忌辛辣刺激饮食，忌浓茶咖啡，忌过多甜食，忌过饱饮食，少吃生冷食物，少吃海鲜、鱼，火锅类的食物，喝温热水，不喝饮料，保持***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051848752},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052108584}]

男34岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0081，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236153},{"body":{"content":"你干活的时候一直要用眼，所以眼睛干涩疼，还有点儿红，该用什么***呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051257512},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？特殊情况请提前告知，如：（糖尿病、肝肾等其他病史、备孕期、孕期、哺乳期、是否有过敏史）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051282432},{"body":{"content":"性别女，年龄50。没有其他病史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458997},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463229},{"body":{"content":"该用什么***啊，医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652429},{"body":{"content":"这个药物看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051662985},{"body":{"content":"功能主治】 用于缓解眼睛疲劳、结膜充血以及眼睛发痒等症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894673},{"body":{"content":"【用法用量】 滴眼，一次1～2滴，一日3～4次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020068},{"body":{"content":".打开后应在4周内用完，逾期请勿使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052080547},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药3-4天无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052092811},{"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":1653052098010},{"body":{"content":"没有没有，谢谢，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052155151},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052188223}]

女

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050316161},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319087},{"body":{"content":"收到了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447947}]

女

2022.05.20