刘继帅

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科郝医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298553},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299022},{"body":{"content":"您的症状多长时间了，有没有用药，用药后有没有缓解？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308929},{"body":{"content":"我耳朵疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308937},{"body":{"content":"没有用药，持续的痛感有2天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329507},{"body":{"content":"是 耳廓那吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050353106},{"body":{"content":"还是耳朵里边疼痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415560},{"body":{"content":"里面哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430758},{"body":{"content":"现在感觉脸都有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445674},{"body":{"content":"您有挖耳或是洗头洗澡外耳道进水的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462708},{"body":{"content":"外面是摸到也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050470268},{"body":{"content":"没有进水的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477284},{"body":{"content":"考虑是发炎了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050517119},{"body":{"content":"我看有耳鸣或是听力下降吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537915},{"body":{"content":"现在没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050548135},{"body":{"content":"局部有泡吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050560289},{"body":{"content":"也没有，就是有个洞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575646},{"body":{"content":"以前哪有小眼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050612069},{"body":{"content":"以前没有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050624725},{"body":{"content":"这个是左边耳朵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642776},{"body":{"content":"您可以先用些口服的***加*****对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669527},{"body":{"content":"为了您的用药安全，请问您有没有药物过敏史？有没有在备孕期、孕期或哺乳期？肝肾功能有没有异常？或是其他用药禁忌的情况，如果有请提前说明。没有异常回“无”即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675952},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050684082},{"body":{"content":"建议******* 每次1粒每天2次， 局部涂抹******日3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050714181},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732805},{"body":{"content":"建议您清淡饮食避免辛辣及刺激性食物，耳部避免碰水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770314},{"body":{"content":"很高兴能为您解答，希望我的建议对您所帮助，但是网络问诊毕竟有一定的局限性，如果病情变化或是病情恢复不理想，建议您及时复诊或去专科就诊，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050773129},{"body":{"content":"收到。谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992304}]

女43岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049850568},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049853742},{"body":{"content":"近日期生产的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859313}]

女

2022.05.20

[{"body":{"content":"晚上好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626351},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049633841},{"body":{"content":"一个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049643325},{"body":{"content":"这个是哪里问题，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658214},{"body":{"content":"一开始是如何引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049669474},{"body":{"content":"吃东西过于寒凉吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704110},{"body":{"content":"睡眠怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798350},{"body":{"content":"有点少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049803973},{"body":{"content":"睡眠不好，是引起这一类现象的主要原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049963782},{"body":{"content":"1）养成良好的生活习惯　如建立一天有规律的生活制度，在固定时间睡觉和起床，保持正常的睡眠－觉醒节律。白天适度的体育锻炼，尤其下午锻炼是帮助睡眠的最佳时间。有规律的体育锻炼能提高夜间睡眠的质量。2）建立科学的睡眠卫生习惯　避免睡前吃得过饱，尽量避免在睡前饮用酒、咖啡、茶、可乐等刺激性饮料（但可以喝适量牛奶），避免睡前进行体育活动。另外，应限制白天睡眠时间，避免午睡或减少午睡时间。3）创造良好的睡眠环境　保持卧室清洁、安静、远离噪声、避开光线刺激等。保持室温稍凉，卧室温度稍低有助于睡眠。好的卧具可以帮助入睡，可从选择合适的床垫开始。4）建立“睡眠仪式”　入睡前要抛开清醒时的一切烦恼。“睡眠仪式”可依据个人喜好或繁或简，可始于轻轻地舒展身体，松弛肌肉，或冲个热水澡，也可以听听音乐或者翻翻不具恐怖色彩的书。但是不管选择哪种方式，都要记住每晚睡前做同一件事，直到它成为夜间休息的一种暗示。5）保持乐观、知足的良好心态　对社会竞争、个人得失等有充分的认识，避免因为生活和工作中遇到挫折而导致心理失衡。6）服***　对于失眠较严重的病人，可在医生指导下，短期、适量地服用***或小剂量的抗焦虑、抗抑郁制剂，这样可能会取得更快、更好的治疗效果。但是需要强调的是，***不宜长期服用，否则容易变成习惯，甚至成瘾。另外，长期服用***也可能产生耐药性，使药物的效用降低。有些药品具有一定的肝毒性，并可能引起胃肠功能紊乱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974359},{"body":{"content":"这个问题应该吃什么中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994923},{"body":{"content":"中医讲究辨证论治，我需要再详细了解一下您的基础情况，帮您对症分析，再给您一个综合调理的方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069342},{"body":{"content":"方便拍个舌头的照片（让舌头对着光线明亮的方向拍照，尽量不要使用美颜，舌体尽量自然伸出来，也可以多拍几张对比一下），传一下看看舌象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080618},{"body":{"content":"舌头很红。有齿痕。舌苔很厚。白，这种情况多数情况是体内湿气比较重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360812},{"body":{"content":"食欲怎么样？油腻的东西吃的多不多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385313},{"body":{"content":"用镜子看没有舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050982926},{"body":{"content":"红头红，有齿痕，无舌苔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050997051},{"body":{"content":"好的，那就是光线的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008985},{"body":{"content":"食物正常，油腻的东西吃的不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013228},{"body":{"content":"大便正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100698},{"body":{"content":"正常吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135618},{"body":{"content":"小便什么颜色的一天几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051167190},{"body":{"content":"小便颜色淡，一天10次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051285560},{"body":{"content":"有没有口渴？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051320792},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051331257},{"body":{"content":"有没有怕冷的感觉？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371118},{"body":{"content":"有点怕冷吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400343}]

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171129},{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，请稍等，我们有线下的临床工作需要处理，非常感谢您的耐心等候、理解与支持，我会在规定时间内完成您的诊疗工作。再次感谢您的理解与支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965178458},{"body":{"content":"明早联系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965183265},{"body":{"content":"我们还有23小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965188928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444934},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653004854395}]

女23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":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

[{"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":"以前去医院看过吗用药了吗效果怎么样？根据上述情况我可以给您一些用药建议。为用药安全，请问是否有肝肾功能损伤，请问是否有严重药物过敏史或者药物严重不良反应？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964982681},{"body":{"content":"图片看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984851},{"body":{"content":"湿 疹是过 敏性皮疹，注意观察饮食，吃了什么加重就是过 敏就不要吃了，食物可以一个一个试，这是最精确的判断过 敏 原的办法，再就是查过 敏 原，查了过 敏 原并不能面面俱到，也是需要自己细心观察，再就是湿 疹忌讳洗，忌讳干燥，忌讳热，一直保持油腻状态看起来油光光的，湿 疹的外用药物一类是保持油腻的，一类就是***了，如果普通药物效果不好可以用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965142841},{"body":{"content":"用药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965149101},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965158939},{"body":{"content":"家里有什么药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184766},{"body":{"content":"家里没有储备药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965224867},{"body":{"content":"好的好的麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593043},{"body":{"content":"好的好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965681153},{"body":{"content":"不客气祝宝贝健康，结束后记得给我个好评哦感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965694388},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965719249},{"body":{"content":"❤️","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965734893}]

女5岁

2022.05.20

[{"body":{"content":"您好，我是住院医师任凯文，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049854489},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857603},{"body":{"content":"一岁半宝宝平时肚子胀可以吃这个***粉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871895},{"body":{"content":"1岁宝宝便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049880148},{"body":{"content":"胃口特别好就是不消化","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049894230},{"body":{"content":"食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049894542},{"body":{"content":"可能是积食了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900187},{"body":{"content":"这个怎么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912600},{"body":{"content":"可以吃*****改善","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049931191},{"body":{"content":"平时吃的要不要注意呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049948977},{"body":{"content":"要少吃生冷油腻的食物，多吃一些生鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049976253},{"body":{"content":"要少吃生冷油腻的食物，多吃一些新鲜蔬菜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049985077},{"body":{"content":"饭量是不是要不要控制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050005144},{"body":{"content":"可以少量多餐，但是不能一次吃得太饱。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050040859},{"body":{"content":"好 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050134156},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050140455},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149265}]

女

2022.05.20

[{"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":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653047863538},{"body":{"content":"结婚几年没孩子 怀过一次 没胎心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047905267},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047915960},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047921312},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047969892},{"body":{"content":"做过相关检查吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048257411}]

女32岁

2022.05.20