温弘

[{"body":{"content":"大概有十年了，我媳妇之前也是这种情况，后来就好了，我怀疑是被我媳妇传染的，我之前去过空军总医院看过，开的药抹了就好，过段时间不抹就犯了。我拍的照片是摸过药的，除了胳膊上，大腿外侧也有，也是左右对称的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879157601},{"body":{"content":"犯的时候会有皮屑，抹的药是***，抹几天就好一点，一个周不抹就长皮屑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879300873},{"body":{"content":"诊断的是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881660500},{"body":{"content":"不抹药时间长了，就会有皮屑，这种情况用什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882173091},{"body":{"content":"帮我推荐推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882489802}]

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，我是京东互联网医院神经内科主治医师齐灵铄。请稍等，我正在详细阅读您的病情描述。如有病情或者检查需要补充，您可继续上传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474578},{"body":{"content":"您好，能具体描述一下您的情况吗？或者上传一下报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489015},{"body":{"content":"医生你好，我二十六岁，女性，我经常感到喉咙异物感，然后去查了甲状腺功能，和甲状腺Ｂ超，结果是******* 4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965593562},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965631090},{"body":{"content":"您好，您是患者本人吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965692121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965710334},{"body":{"content":"除了超声您还做过其他检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965729403},{"body":{"content":"甲功九项","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965774646},{"body":{"content":"结果正常吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965789345},{"body":{"content":"请您帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965822677},{"body":{"content":"您的这种情况建议您及时线下公立三甲医院，耳鼻喉科就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882355},{"body":{"content":"部分医院可能在甲乳科，普外科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923067},{"body":{"content":"我需要穿刺吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966021897},{"body":{"content":"建议尽快检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966035438},{"body":{"content":"癌变的机率高不高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966058607},{"body":{"content":"目前不好确定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966074522},{"body":{"content":"您及时检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966082820},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966587351},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966590656},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966598492}]

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"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":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481183},{"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":1653051482788}]

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051116485},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120149},{"body":{"content":"你好，手指植皮手术需要用皮钉吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051205479},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051257964},{"body":{"content":"直接缝合，然后等拆线就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302239},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051371494},{"body":{"content":"好的，植皮手术后，偶尔可以吸一根烟吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433635},{"body":{"content":"加压包扎或者植皮打包，或者VSD都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439251},{"body":{"content":"禁止吸烟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051449122},{"body":{"content":"两三天吸一根也有影响吗，关键病房里有人吸烟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051582113},{"body":{"content":"不要吸烟，禁止吸烟，您明白吗？影响植皮部位血运","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633403},{"body":{"content":"好的，拆线过后，多长时间可以正常工作呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051816013},{"body":{"content":"根据恢复情况，一般还是得一个月以后吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051855557},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051896594},{"body":{"content":"哦哦，麻烦您了，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051896990},{"body":{"content":"您不必客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911569},{"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":1653051917422}]

[{"body":{"content":"一千块钱","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046396105},{"body":{"content":"多久能好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046414598},{"body":{"content":"要休息多少天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046451389},{"body":{"content":"一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046547501},{"body":{"content":"多谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046586817},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046609339}]

[{"body":{"content":"您好，我是主治医师安利娟，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219677},{"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":1653050222291},{"body":{"content":"您好，建议吃含糖量少的并且含有添加剂少的饼干。这个饼干可以吃，建议适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050462145}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964984201},{"body":{"content":"过敏了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965013685},{"body":{"content":"痒了吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965016363},{"body":{"content":"不是很痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965028672},{"body":{"content":"看着有点肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965046423},{"body":{"content":"冷敷冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965063319},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？是否在备孕哺乳期或怀孕中？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965065527},{"body":{"content":"可以抹点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965069167},{"body":{"content":"一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965071373},{"body":{"content":"结肠癌术后两年，治疗结束，现在不吃药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965167225},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181601},{"body":{"content":"***可以用吗？家里现在有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965223524},{"body":{"content":"可以，但是效果没有那个好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965248328},{"body":{"content":"好的，谢谢您！还要请教您，我这个过敏和吃东西有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965296852},{"body":{"content":"医生，请帮我开药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965339600},{"body":{"content":"外面药店买吧，很常见的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965390222},{"body":{"content":"好的，非常感谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965421948},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479930}]

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049755331},{"body":{"content":"您好，今天刚刚做的检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049766323},{"body":{"content":"昨天的检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049772927},{"body":{"content":"这个结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049774188},{"body":{"content":"您月经推迟几天了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049779666},{"body":{"content":"末次月经4.14号开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783326},{"body":{"content":"好的，您是有生育要求的是吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049801808},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049805615},{"body":{"content":"好的，目前有腹痛出血吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049813459},{"body":{"content":"腰有些酸痛，偶有腹痛，躺一会儿就能好，没有出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049833174},{"body":{"content":"好的，那可以再复查看看的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049838371},{"body":{"content":"早孕一般血hcg隔天翻倍一般考虑胚胎发育良好、宫内孕的几率高，一般血hcg大于3500可以查超声，是否宫内孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852937},{"body":{"content":"应该是怀孕吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049865021},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049867699},{"body":{"content":"结果提示是怀孕了的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872491},{"body":{"content":"我的症状不是宫外孕的典型症状吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895146},{"body":{"content":"因为是二胎，比较担心炎症会导致宫外孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924550},{"body":{"content":"宫内孕以及宫外孕的区分只能是做B超宫内看到孕囊，根据症状没有办法区分","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930518},{"body":{"content":"理解您的心情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049936372},{"body":{"content":"B超6周去做合理吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959240},{"body":{"content":"太早怕什么都看不到，太晚怕宫外孕危险","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984333},{"body":{"content":"也可以的，主要是看血HCG的情况，血HCG大于*****般可以做B超看到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049987461},{"body":{"content":"好的，那我明白了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050049669},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050056730},{"body":{"content":"有吃**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050228063},{"body":{"content":"昨天开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050252387},{"body":{"content":"好的，整个孕期都是可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277266},{"body":{"content":"不是吃到三个月就行吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300988},{"body":{"content":"整个孕期可以一直吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050315836},{"body":{"content":"您吃的是单纯的**还是*****呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333453},{"body":{"content":"哦哦，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335431},{"body":{"content":"单纯的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050341137},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357369},{"body":{"content":"以上情况有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050361380},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050369750},{"body":{"content":"您可以吃********，含有**和孕期建议补充的多种***，一天一粒，可以吃到宝宝出生的，就不需要再吃单纯的**了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050421634},{"body":{"content":"可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050425281},{"body":{"content":"好的，我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050442751},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050449940},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450678},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452889},{"body":{"content":"好的，谢谢哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050473180},{"body":{"content":"拜拜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477944},{"body":{"content":"早孕建议您多休息，减少活动，注意保暖，避免碰冷水，适当加强营养如瘦肉、鱼、蛋、奶、水果蔬菜等，避免刺激乳房，前三个月禁止性生活及盆浴；定期医院检查，如有腹痛、阴道出血等情况随时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483522},{"body":{"content":"不客气的，给您一些孕期的建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491700},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timest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[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180271},{"body":{"content":"这个***是短效***了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195756},{"body":{"content":"*****，请推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051197301},{"body":{"content":"有没有什么副作用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051230520},{"body":{"content":"药物都是有副作用的了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248240},{"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？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251775},{"body":{"content":"32岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051403805},{"body":{"content":"是本人，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051410463},{"body":{"content":"女","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416623},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051418716},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051427984},{"body":{"content":"好的，请稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051543107},{"body":{"content":"可以用这个***来**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051632510},{"body":{"content":"于月经的当天算起，第5天午饭后服药一次，间隔20天服第二次，或月经第5天及第10天各服1片，以后均以第二次服药日期，每月服1片，一般在服药后6～12天有撤退性出血。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051674046},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833325},{"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，若用药无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051990374},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051994920},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，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":1653051996272}]

[{"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}]