刘继帅

[{"body":{"content":"您好，我是陈嵩医生，感谢您对我的信任。现在开始为您接诊。需要提醒您注意的是：由于我是利用业余时间为您服务，所以不能保证您每一次的提问都能第一时间答复，也请您耐心等待！但我一定会在规定时间内早点答复您，感谢您的理解并配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694923},{"body":{"content":"去年六月份做的膝关节置换，然后过年那段时间就感觉不对劲，前段时间去拍了片子，发现螺丝松了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965771972},{"body":{"content":"我想问下这种螺丝松动是属于正常的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965799648},{"body":{"content":"这肯定是不正常的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903233},{"body":{"content":"我觉得这种植入身体里的不应该这么轻易松动的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965912577},{"body":{"content":"那会是事故吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965951317},{"body":{"content":"这个不好说的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983561},{"body":{"content":"我是做机械的，像那种震动频繁的地方还有专业的螺丝去防止时间久了松动，这种植入身体里的应该也会吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966060750},{"body":{"content":"我知道一般情况下不会出现医疗事故，但是这时间间隔太短了，还不到一年，也就差不多病人身体刚刚恢复好适应了，现在又要开刀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966167179},{"body":{"content":"如果想弄清楚这个原因应该咨询哪些方面呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966205065},{"body":{"content":"这种情况我不太好说，平台规定是不允许评论的，如果你觉得手术有问题，可以向卫健委或者有关领导部门反映。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966266981},{"body":{"content":"好的，明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966298890},{"body":{"content":"多谢您了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966305931},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966311400}]

女50岁

2022.05.20

[{"body":{"content":"这些疾病是常见病，多发病，不是什么严重的疑难杂症。一般规范药物治疗，大部分人症状可以得到缓解，不影响生活质量，不需要过分担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084848},{"body":{"content":"直系亲属有胃部疾病这个有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136642},{"body":{"content":"当地医院建议内镜手术，想咨询下手术有哪些利弊，非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050234915},{"body":{"content":"内镜手术可以确实有效的清除异形增生的上皮细胞，可以比较好的，防止这些异形增生的粘膜上皮细胞癌变的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330388},{"body":{"content":"内镜手术，虽然是微创，但也是属于有创的手术治疗，还是有一定的风险，这个无法避免，虽然风险不大，但是也不能避免说一定不会发生。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389946},{"body":{"content":"如果现在不手术，后期发展成高级别异型增生再手术时的效果会有什么差异吗，或者说风险会不会更高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050938981},{"body":{"content":"风险肯定会升高，而且手术难度会加大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051273949},{"body":{"content":"非常感谢您的解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051675680},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051710018}]

男38岁

2022.05.20

[{"body":{"content":"可有照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965594642},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629815},{"body":{"content":"只是囊肿已经扩散成好几小个，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965683865},{"body":{"content":"请问我挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965801742},{"body":{"content":"在哪地方囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816745},{"body":{"content":"小腿上面头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965891516},{"body":{"content":"我这种情况该挂什么科","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965962758},{"body":{"content":"在皮下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056380}]

男71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":1653049707352},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049722908},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747385},{"body":{"content":"含糖","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837671},{"body":{"content":"少量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844258},{"body":{"content":"平时血糖高吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860189},{"body":{"content":"您好还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967200}]

女

2022.05.20

[{"body":{"content":"您好!\n我是卢主任，非常感谢您的信任，很高兴由我为您提供医疗咨询服务。正在详细阅读您的病情描述，为进一步分析希望您再仔细描述一下下列情况。\n\n1.目前主要怎么不舒服，症状出现多久了？\n2.还有局部其他症状出现吗？\n3.是否有医院检查或治疗过？有用过什么药物？\n4.为了给您更准确的诊断，如果方便最好拍个局部照片看一下（平台对您的病史，照片保密，请您放心）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878798050},{"body":{"content":"就是今天发现屁股眼上长了肉疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879510257},{"body":{"content":"不知道多久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879525725},{"body":{"content":"然后这阵子大便干结，拉不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550705},{"body":{"content":"根据您的症状及提供病史情况，初步考虑便秘引起“痔疮”，我可以给您一些用药方面的建议。为了您的用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于生理期、备孕期、孕期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885176551},{"body":{"content":"没有药物过敏，近期有过玫瑰糠疹，还没有完全好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652886482438},{"body":{"content":"肛周瘙痒容易反复发作，与个人生活习惯和体质有关。治疗在于三分治七分养，在发作期可以用药物控制瘙痒症状，缓解期要注意保养，保持肛门透气，避免经常潮湿，减少复发，提高生活质量。\n建议\n1、饮食:注意清淡饮食，多吃蔬菜水果、粗粮等纤维素含量高的食物，不要吃**等辛辣刺激食物，多喝水，保持大便软通畅，避免便秘或者腹泻。避免接触过敏源，刺激物。\n2、排便:大便以后避免用力摩擦及用带有香味的纸巾**擦屁股，避免过度清洁及有刺激性的洗剂应用，最好凉水冲洗后柔纸蘸干，（可以配合睡前*****半片泡5000ml坐浴10分钟，每天1～2次，坐浴水温不宜太高，太高会更痒）。注意肛周卫生，勤换内衣内裤，保持肛周透气。\n3、避免局部搔抓，注意局部保湿，可考虑局部尿素乳膏外涂保护皮肤屏障避免感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964459953}]

女35岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050397365},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404400},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404539},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407189},{"body":{"content":"就是晚上发现这里长了好多小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435851},{"body":{"content":"我今天这个地方背了比较重的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464651},{"body":{"content":"就这块附近长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474395},{"body":{"content":"医生怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050479707},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482558},{"body":{"content":"这是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483109},{"body":{"content":"这个可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491327},{"body":{"content":"它会自己消掉吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549905},{"body":{"content":"一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556356},{"body":{"content":"好多，好丑的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556559},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559324},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562020},{"body":{"content":"就一直长成那样了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571722},{"body":{"content":"可以试试外用中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572972},{"body":{"content":"用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580495},{"body":{"content":"可以外用*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598936},{"body":{"content":"这病严重的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610179},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618999},{"body":{"content":"咋感觉拿点重的东西就会有这病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050627274},{"body":{"content":"我的手也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050639146},{"body":{"content":"但是少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643136},{"body":{"content":"偶尔会发现一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650050},{"body":{"content":"也可以观察一段时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653800},{"body":{"content":"现在是一大片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657317},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050660107},{"body":{"content":"一般不用理它是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668916},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679303},{"body":{"content":"这病会遗传吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681228},{"body":{"content":"有遗传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693663},{"body":{"content":"如果母亲有这病，小孩会有吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695174},{"body":{"content":"不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050710700},{"body":{"content":"医生，拿药怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720426},{"body":{"content":"那药怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728221},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731943},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备孕期、妊娠期或哺乳期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735571},{"body":{"content":"直接涂就好了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050737947},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050750092},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761979},{"body":{"content":"直接外用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766182},{"body":{"content":"好的，我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865137},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050869704},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940905}]

女26岁

2022.05.20

[{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726762},{"body":{"content":"您好，我那个双手因为颈椎病压迫手僵硬，服药后缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049775705},{"body":{"content":"想照方开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049786549},{"body":{"content":"需要多少副？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049823607},{"body":{"content":"10副谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836042},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049848240},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983115},{"body":{"content":"***是不是5克？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050249338}]

女62岁

2022.05.20

[{"body":{"content":"您好，我是主治医师邢书，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050031277},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050034539},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？如果都没有的话，回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050051758},{"body":{"content":"怎么不舒服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060956},{"body":{"content":"有没有过敏情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050066150},{"body":{"content":"既往有没有服用过呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050076772},{"body":{"content":"没过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050091135},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116069},{"body":{"content":"麻烦您回答一下我的问题，我才能够更好的给你推荐合适的产品。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050127873},{"body":{"content":"唇干，口疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050166412},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180076},{"body":{"content":"还有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184168},{"body":{"content":"痔疮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050191050},{"body":{"content":"口臭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208090},{"body":{"content":"平时喜欢吃什么样的食物？体型怎么样？大便粘不粘？睡眠如何？怕冷还是怕热？容易出汗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254098},{"body":{"content":"综合自身的症状开一剂*****应该是合适的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050262517},{"body":{"content":"湘菜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050284515},{"body":{"content":"不胖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299926},{"body":{"content":"睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340007},{"body":{"content":"有这种中成药，你可以直接点击链接购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352566},{"body":{"content":"如果需要开具中药方建议您完善信息","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050359591},{"body":{"content":"什么信息？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050381450},{"body":{"content":"你也可以直接点击我发送的链接，购买中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050478010},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669296},{"body":{"content":"你只有完善个人信息，我才能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689405},{"body":{"content":"在哪里完善啊？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829932},{"body":{"content":"我不是提醒你了吗 然后你点击一个立即完善就可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918313},{"body":{"content":"以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050923425},{"body":{"content":"开多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134683},{"body":{"content":"中药还是丸剂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051145287},{"body":{"content":"中药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051171165},{"body":{"content":"七付","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051244454}]

男37岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050203310},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287015},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050324196},{"body":{"content":"全面部拍个看看，好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050331184},{"body":{"content":"脸上偶尔会有个红疙瘩，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380787},{"body":{"content":"平时就消下去，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392320},{"body":{"content":"额头这块，已经三四天了没有消下去，平时就透明白白的，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435444},{"body":{"content":"其他地方还有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562271},{"body":{"content":"头上应该是热疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580330},{"body":{"content":"偶尔起来，偶尔消下去，没有额头这样的小点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050604016},{"body":{"content":"热疹一般凉了会退","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622189},{"body":{"content":"额头这块三四天前起来的，现在也没消下去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655568},{"body":{"content":"有湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712892},{"body":{"content":"买个*****稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723925},{"body":{"content":"平常清洁皮肤后多润肤保湿，建议用**或****或******或***宝贝，********等每天涂至少2次以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736516},{"body":{"content":"参考看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741963},{"body":{"content":"一哭就红红的，不哭就好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743002},{"body":{"content":"热也会加剧湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761628},{"body":{"content":"这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775221},{"body":{"content":"就是保湿做好 是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783583},{"body":{"content":"可以试用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861686},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992180}]

女29天

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":1653007325552},{"body":{"content":"肾结石什么问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007337165},{"body":{"content":"肾结石0.7","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653007375241},{"body":{"content":"可以服药**试试看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653007410506}]

男32岁

2022.05.20