刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878608014},{"body":{"content":"身体健康状态怎么样？身高体重是多少？平时有锻炼身体吗？有没有高血压糖尿病冠心病，有没有再服用治疗慢性病的药物？有没有药物过敏史？平时心理压力怎么样，做事能够集中精力吗？焦虑失眠吗？经常处于紧张状态吗？\n\n性生活规律不，多久一次？\n阴茎勃起功能（硬度）没有问题吧？\n\n最好的状态是几分钟？可以通过转移注意力、中途停顿等方式适度延长性生活时间吗？对方对性生活时间满意吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878643974},{"body":{"content":"身体还可以，就是太久没运动了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878714239},{"body":{"content":"身高171，体重在137左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878734738},{"body":{"content":"没有高血压，冠心病和糖尿病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878752124},{"body":{"content":"没要药物过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878763481},{"body":{"content":"熬夜比较多，上班时偶尔会犯困","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878785273},{"body":{"content":"性生活近一年比较少，勃起没问题，偶尔一次没那么硬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878834274},{"body":{"content":"最好的状态应该在差不多10分钟左右，现在都是3分钟左右比较多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878871403},{"body":{"content":"BP也是比较长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878911654},{"body":{"content":"请问这个需要吃药控制吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879004325},{"body":{"content":"2-7分钟为正常。青年平均6.6分钟。中老年平均4.3分钟。\n\n性生活不稳定，很久一次，一触即发很正常的\n\n有没有乏力，耳鸣，腰酸的症状？是怕热还是怕冷还是没有什么冷热不适的感觉，手脚冰凉或是容易出汗吗？我能看看你的舌苔吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882398248},{"body":{"content":"乏力没睡饱的时候比较明显，耳鸣有时候会，但基本可能一两个月会有一两次，偶尔会怕冷，手脚不会冰凉，出汗比较少，也不大。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925416405},{"body":{"content":"舌苔我晚点发你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925423282}]

男25岁

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":"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":"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，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":1653050075476},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078438},{"body":{"content":"宝宝 身高体重多少\n饮食、睡眠、大小便怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116019},{"body":{"content":"您好。\n 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447782}]

女

2022.05.20

[{"body":{"content":"你****身上有皮疹吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240873},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051242672},{"body":{"content":"哭闹后眼睛痒，脸上起红疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051242894},{"body":{"content":"然后流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051255229},{"body":{"content":"还咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051259901},{"body":{"content":"就是过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267771},{"body":{"content":"之前是过敏体质吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280594},{"body":{"content":"发个图片看看吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051285204},{"body":{"content":"现在眼睛和皮肤感觉都好一些了，但还咳嗽，还有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290002},{"body":{"content":"吃上****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051350277},{"body":{"content":"在几个月之前也试过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366440},{"body":{"content":"****或者****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051367185},{"body":{"content":"家里有没有**机或者***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051379410},{"body":{"content":"有没有呼吸困难","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051386386},{"body":{"content":"有点喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051394912},{"body":{"content":"请问这容易引起哮喘之类的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051412100},{"body":{"content":"容易","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425876},{"body":{"content":"刚才打了好几个喷嚏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051431203},{"body":{"content":"过敏性哮喘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051432133},{"body":{"content":"我现在应该如何处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051452111},{"body":{"content":"家里能不能做**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051468457},{"body":{"content":"我近几年也的了哮喘，很怕孩子容易患","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484687},{"body":{"content":"先用****和****做上**，吃上******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051485669},{"body":{"content":"吃上药之后去医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527633},{"body":{"content":"这些药没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574876},{"body":{"content":"吸吸氧气，吸都保维持几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582851},{"body":{"content":"那赶紧去医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600633},{"body":{"content":"上次是**平静好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051619500},{"body":{"content":"要是家附近有诊所，先打点****也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051663359},{"body":{"content":"请问我现在如果去药房买药，最好买哪种药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051670543},{"body":{"content":"晚上不开诊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679080},{"body":{"content":"附近有没有药点，去买我刚才说的药，******和**，**又叫***********，目前主要是休息，不要剧烈活动，开窗户，要是药店也没有，就只有去医院了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051768235}]

男5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":1652965385659},{"body":{"content":"你好，想问一下十二岁小女孩一般子宫厚度是多少属于正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965434382},{"body":{"content":"2~3厘米。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475308},{"body":{"content":"44mm*38mm*31mm这属于正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965554958},{"body":{"content":"稍微增厚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584469},{"body":{"content":"基本正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621107},{"body":{"content":"那医生说薄薄的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671767},{"body":{"content":"9MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901096},{"body":{"content":"4.4✘3.8✘3.1","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965959454}]

女12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":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566885},{"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":1652965568736},{"body":{"content":"住院时开药需要挂号费吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965605674},{"body":{"content":"住院期间，如果是住院部有的药，是不需要再挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965638907},{"body":{"content":"医保患者出院时只允许带1周的药。如果想多带点，那就需要门诊挂号的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965697489}]

女89岁

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028806},{"body":{"content":"三四天吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050037099},{"body":{"content":"摸着大拇指那里是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045554},{"body":{"content":"基本不会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046861},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050059117},{"body":{"content":"肿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050064921},{"body":{"content":"按着是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097454},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103758},{"body":{"content":"刚刚还破了出黄水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121104},{"body":{"content":"如果按着是软的 里面有脓的话可能就得去医院切开治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145966},{"body":{"content":"有脓吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158513},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171989},{"body":{"content":"吃过***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232238},{"body":{"content":"***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236670},{"body":{"content":"没吃过***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050264375},{"body":{"content":"这是什么情况？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288801},{"body":{"content":"是甲沟炎吗还是别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298741},{"body":{"content":"这样 我建议您吃几天*** 外用*** 如果持续不好转 建议您去医院切开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310990},{"body":{"content":"看着怀疑甲沟炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321946},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388141},{"body":{"content":"用**消毒有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404046},{"body":{"content":"不要用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416351},{"body":{"content":"**可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577071},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646669}]

男28岁

2022.05.20