黄鸿健

[{"body":{"content":"几天了？痒不痒？之前治疗过吗？有没有照片？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608443}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051785890},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051788711},{"body":{"content":"肛周囊肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051794736},{"body":{"content":"确诊了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051814466},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051820904},{"body":{"content":"方便的话发个图看看，以便区别其他疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051830384},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051861349},{"body":{"content":"红肿疼痛难忍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051887807},{"body":{"content":"像肛周脓肿了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051894209},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051899003},{"body":{"content":"去医院做手术吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051902184},{"body":{"content":"肛周脓肿一经确诊，应尽快行脓肿切开引流术，以免感染进一步扩散。根据脓肿的深浅和具体的位置，其采用的麻醉方式和手术操作步骤有所区别","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051905326},{"body":{"content":"别耽误了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051911861},{"body":{"content":"去公立医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917524},{"body":{"content":"基本里面已经化脓了摸起来就很软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051931464},{"body":{"content":"但有部分是比较硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051946409},{"body":{"content":"炎症浸润了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051966648},{"body":{"content":"就是那个样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052003353},{"body":{"content":"嗯 这个直接做引流手术就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052008393},{"body":{"content":"你哪里的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052009919},{"body":{"content":"**的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052015965},{"body":{"content":"和手术医生交流","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052041461},{"body":{"content":"好 之前全是硬块 最近是摸了些*****然后就变成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052076838},{"body":{"content":"只能手术别的办法都是骗人的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052085197},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052116657},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052120011}]

[{"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":1653050269114},{"body":{"content":"今天也是这种不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050299433},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300067},{"body":{"content":"请问您最后一次月经什么时候来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050300909},{"body":{"content":"5.5来的 5.11结束的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050468760},{"body":{"content":"平时月经多少天来一次呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050509610},{"body":{"content":"28天 一次来7天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050614814},{"body":{"content":"嗯嗯，现在疼痛的严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050633360},{"body":{"content":"不是特严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050671108},{"body":{"content":"就是坠得慌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050687816},{"body":{"content":"之前有出现过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689994},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708365},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716023},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050719782},{"body":{"content":"已婚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722444},{"body":{"content":"怀孕也是可能引起腹痛腰疼的，您目前有先排除怀孕的可能性吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734638},{"body":{"content":"因为来完事没几天 所以没考虑怀孕的可能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050756823},{"body":{"content":"嗯嗯，最好是排除一下怀孕，如果没有怀孕有可能是排卵痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811959},{"body":{"content":"白带有发黄吗/","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050820267},{"body":{"content":"刚完事几天 验孕棒能查出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050872107},{"body":{"content":"昨天有一点点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050884583},{"body":{"content":"可以的，如果是怀孕也可以测试出来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050889705},{"body":{"content":"您之前有盆腔炎病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050895158},{"body":{"content":"没有盆腔炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050931579},{"body":{"content":"好的，那可能是排卵痛，您可以局部热敷一下，注意保暖，可以再观察看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050959911},{"body":{"content":"好的，那还要考虑怀孕嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008294},{"body":{"content":"先测孕？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051020140},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051027167},{"body":{"content":"不一定怀孕，但是测试没有怀孕更放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051037356},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037470},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051040202},{"body":{"content":"不会有其他炎症吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051048400},{"body":{"content":"如果您腹痛、腰疼一直有不缓解，也有可能是有盆腔炎的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051107536},{"body":{"content":"这个是需要到线下医院让医生给您做触诊检查判断的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117975},{"body":{"content":"那观察几天没缓解需要去医院呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051179711},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051214935},{"body":{"content":"如果一直不缓解有加重就建议医院检查了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051232131},{"body":{"content":"两三天后不缓解去可以吗，还是四五天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051335040},{"body":{"content":"观察2-3天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051361757},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367274},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051398565},{"body":{"content":"注意休息、少熬夜；别吃生冷、刺激食物。睡前用温水泡泡脚，注意保暖；","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051585920},{"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":1653051587787},{"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"},"timestamp":1653051589549}]

[{"body":{"content":"说说你的情况怎么样包皮过长。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969488088}]

[{"body":{"content":"汤主任：请问一下**这几天摆头和挤眼的症状又多了些，怎么办呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877386796},{"body":{"content":"现在吃的***早晚各一颗，***早一粒半，晚二粒，**晚上一粒半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877494310},{"body":{"content":"有没有发生特殊情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880096737},{"body":{"content":"班上最要好的一个女同学前几天不跟她玩了，在学校时她很难过，我开导了她，这两天情绪蛮好了！就是症状缓解不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889003141},{"body":{"content":"先观察几天看看吧！应该和情绪波动有关，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652915277224}]

[{"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":1653051022825},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028487},{"body":{"content":"好像没有了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051072503},{"body":{"content":"请问这种情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051081014},{"body":{"content":"今年开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051101595},{"body":{"content":"是不是经常看看手机之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112506},{"body":{"content":"去年好像没有这么怕光吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051118944},{"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":1653051128668},{"body":{"content":"是有时候经常看手机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051141279},{"body":{"content":"女，23岁，本人用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051156649},{"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、备孕期、孕期、哺乳期、是否有过敏史）、如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051233158},{"body":{"content":"没有过敏史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433031},{"body":{"content":"但是不知道有没有怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051445098},{"body":{"content":"月经有推迟 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051458067},{"body":{"content":"我的经期还要过两三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051465732},{"body":{"content":"那建议您等月经过后再服用药物了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051531675},{"body":{"content":"是口服的药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051560566},{"body":{"content":"口服和外用都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051579224},{"body":{"content":"都建议等经期过后再用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589592},{"body":{"content":"可以用这个珍珠明目 滴眼液来缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051735955},{"body":{"content":"为了安全注意要在确定没有怀孕的情况下使用哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051759297},{"body":{"content":"如果怀孕滴这个是有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051793861},{"body":{"content":"这个不一定的，但为了安全怀孕期是不建议随便使用药物的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051824258},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051845752},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051887876},{"body":{"content":"生活和饮食注意：注意用眼保健，晚上早休息，注意消除引起症状的原因。多吃含****的食物，多吃含****的食物，如**、**、**等。**可以明目，也可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051892478},{"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天无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897184},{"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":1653051898803},{"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":1653052105079}]

[{"body":{"content":"这两天起了这些疹子，昨天还好，今天特别痒，周围还发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051768952},{"body":{"content":"这种情况考虑湿疹的可能比较大，您给宝宝用药了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051816336},{"body":{"content":"上周末吃了芒果完以后嘴周围有红疹子，周一开始早晨起来流鼻涕，怀疑是鼻炎，一直在吃***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835099},{"body":{"content":"今天还吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051846117},{"body":{"content":"但是还是痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051851649},{"body":{"content":"没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051860111},{"body":{"content":"没有外用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051876001},{"body":{"content":"这种情况可以配合外用药治疗，可以外用氧化锌软膏看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051893264},{"body":{"content":"上次跟您咨询过，他现在脸上起来还好，**就开始起一些皮肤色的疹子，时多时少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052013628},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052027329},{"body":{"content":"这些是毛周角化吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052039307},{"body":{"content":"红色的湿疹部位可以继续服用******，配合外用氧化锌软膏，脸颊侧面考虑是毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052040909}]

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

[{"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}]

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]