刘继帅

[{"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":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280998},{"body":{"content":"孩子有不舒服么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288780},{"body":{"content":"昨天头晕，疼，吐了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050300593},{"body":{"content":"这个囊肿没有症状不不需要处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050307977},{"body":{"content":"吃了药，今天精神有所好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050313512},{"body":{"content":"这种严重吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050322514},{"body":{"content":"是什么原因引起的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343780},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050417102},{"body":{"content":"一般是先天性的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050422115},{"body":{"content":"看范围不大，应该不是这个囊肿引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050439891},{"body":{"content":"这种情况一般会不会长大呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497414},{"body":{"content":"这种吃药有效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563962},{"body":{"content":"定期复查，有长大的也有自己没的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573449},{"body":{"content":"不需要口服，没啥效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580570},{"body":{"content":"不长大的话。是不是就没啥影响呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050615656},{"body":{"content":"还有就是，这个囊肿引起的症状会头晕**，还有什么症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050663615},{"body":{"content":"如果持续增大，有症状就处理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698460},{"body":{"content":"手术治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701905},{"body":{"content":"主要是**头晕恶心呕吐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723533},{"body":{"content":"或者活动异常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050732315},{"body":{"content":"这种是微创吗？还是传统的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858500},{"body":{"content":"有微创","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050873787},{"body":{"content":"目前一年复查一次行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050933757},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051479520},{"body":{"content":"平时需要注意些什么呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051626785},{"body":{"content":"没啥特殊注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051658152}]

女9岁

2022.05.20

[{"body":{"content":"您好，我是内科医生，很高兴由我提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808638},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819558},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840997},{"body":{"content":"以上是我前几天的检查结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856231},{"body":{"content":"我这是不是乙肝了？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864936},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049956033},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049960711},{"body":{"content":"转氨酶很高，胆红素异常，乙肝两对半提示两种情况：1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974790},{"body":{"content":"目前转氨酶还高的，建议您要提高重视程度，建议住院输液治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049998887},{"body":{"content":"这是前几天的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116194},{"body":{"content":"建议要进一步完善肝胆彩超，肝炎分型等检查，还要查下乙肝DNA定量检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128581},{"body":{"content":"报告单我看到了，之前也是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137132},{"body":{"content":"我看下我做了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144502},{"body":{"content":"还有一些片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050245858},{"body":{"content":"从目前看，我这是不是乙肝？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050256649},{"body":{"content":"又做了一个加强ct明天出结果。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296122},{"body":{"content":"我就想知道目前我应该往哪个方向治疗。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311889},{"body":{"content":"我看了乙型肝炎表面抗体超了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335860},{"body":{"content":"我是突然这样的，不是长期，积极在看，但是，就是一堆检查，一天一个样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050360001},{"body":{"content":"需要查乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383844},{"body":{"content":"表面抗体这个升高不用太担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418817},{"body":{"content":"乙肝两对半目前就提示可能存在两种情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433181},{"body":{"content":"1、既往感染乙肝，具有免疫力；2、非典型感染恢复期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441603},{"body":{"content":"需要查下乙肝DNA检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050450125},{"body":{"content":"还需要查啥别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050459962},{"body":{"content":"从这个单子上看不到我是否得了乙肝对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050475784},{"body":{"content":"大小**啥的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050481360},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050533339},{"body":{"content":"那我现在去医院应该再整点啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607012},{"body":{"content":"哎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611643},{"body":{"content":"把您说的那个检测了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050620233},{"body":{"content":"还有啥其他的不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623987},{"body":{"content":"还有就是您说的这个是不是只有传染病医院能做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638144},{"body":{"content":"一般三甲医院都是可以查的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050736075},{"body":{"content":"其他的还可以查下肝炎分型，排除下是否有甲肝，丙肝等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763379},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801944},{"body":{"content":"我这目前是不是就是一定有肝炎？只是不知道分型。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829213},{"body":{"content":"并不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908770},{"body":{"content":"只能说目前肝功能损害","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050918361},{"body":{"content":"就吃了根黄瓜，然后整个人就完了，疼的不行了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050943471},{"body":{"content":"建议最好是医院能够住院治疗，因为目前的转氨酶还是很高的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051029227},{"body":{"content":"以为是胃，看了，没用，又看了胆，说是胆囊炎，然后说胰腺可能也一般，给打了***和******，就不疼了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051051231},{"body":{"content":"第二天又加了****，但是就感觉没有第一天好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051077607},{"body":{"content":"昨天又去了医院，医生看了甲胎蛋白结果出来了，高一倍，不敢给打针了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051102992},{"body":{"content":"目前吃*******和********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177351},{"body":{"content":"目前就是这样，明天去传染病医院去去加强ct.不知道接下来该怎么办。看了好几个医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051209280},{"body":{"content":"我建议您可以三甲医院挂专家号看下，一般这种水平的转氨酶都是需要住院治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251023},{"body":{"content":"不是说必须去传染病医院看对不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051291889},{"body":{"content":"三家医院专家号挂什么科。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051306587},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306664},{"body":{"content":"消化科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051322832},{"body":{"content":" 好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051340711},{"body":{"content":"不用谢，祝您身体健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051351305},{"body":{"content":"关诊时间临近，系统自动关诊，希望我的建议能够帮助到您，感谢您的信任。有问题您随时咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051537815},{"body":{"content":"实在抱歉，电子病历是系统自动识别的问题，您的肝功能是不正常的，这个您不用理会，建议还是三甲医院进一步就诊的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051611223},{"body":{"content":"实在抱歉，祝您及您的家人身体健康，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649856}]

女54岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018330872}]

男17岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"请问有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049600850},{"body":{"content":"京东大药房买****需要处方，咱们这能出吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049647655},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049665447},{"body":{"content":"几盒呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049667859},{"body":{"content":"一个月的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049683366},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049740088}]

男40岁

2022.05.20

[{"body":{"content":"在吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049763804},{"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":1653049794992},{"body":{"content":"结节性痘痘该用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049826947},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049903224},{"body":{"content":"这个可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049922330}]

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":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":"您好，我是李威医生，来自中国医科大学附属盛京医院妇科，副教授，副主任医师\n\n非常高兴为您提供咨询服务\n\n我正在看您的简要病例，请稍等…","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049858927},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876228},{"body":{"content":"生孩子之前月经周期规律吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049892179},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895411},{"body":{"content":"目前孩子几个月？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049906706},{"body":{"content":"7个多月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049914516},{"body":{"content":"正常产，还是剖宫产？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918840},{"body":{"content":"生孩子之前勉强规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049927802},{"body":{"content":"剖","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049939794},{"body":{"content":"晚上睡眠如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943246},{"body":{"content":"体重较孕前增加多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049969312},{"body":{"content":"不怎么好，我自己带孩子睡，还会夜醒两次左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974568},{"body":{"content":"目前110斤，孕前98斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986656},{"body":{"content":"身高多少？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023119},{"body":{"content":"163厘米","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042826},{"body":{"content":"保持当前体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050086751},{"body":{"content":"看看这篇科普文章","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096887},{"body":{"content":"不减肥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098563},{"body":{"content":"163的身高，100-110","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117805},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050120705},{"body":{"content":"好吧，那这下巴十来个痘痘要怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050147063},{"body":{"content":"您的月经没有恢复一是产后，二是作息不规律","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050160325},{"body":{"content":"都可能影响月经复潮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177266},{"body":{"content":"孩子太小睡觉没办法保证","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050183670},{"body":{"content":"不知您孕前脸上愿意起痘痘吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232814},{"body":{"content":"会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291482},{"body":{"content":"可能是多囊卵巢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050447824},{"body":{"content":"目前您已经断奶了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460943},{"body":{"content":"可以到当地医院妇科门诊看看，做一个盆腔彩超，看看内膜厚度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476330},{"body":{"content":"如果内膜达到一定厚度的话，可以用药来月经","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497051},{"body":{"content":"从来月经第一天可以口服***，每天一片，连续口服三个月，也许脸上的痘痘就好了，同时调整月经，**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542248},{"body":{"content":"***是短效***，比较严重的并发症是增加血栓形成风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050581178},{"body":{"content":"但一般发生于有家族史，肥胖，高血压，糖尿病，高龄（＞35岁），吸烟的女性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624647},{"body":{"content":"明晨买个验孕棒排除一下怀孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646620},{"body":{"content":"然后去医院做盆腔彩超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657014},{"body":{"content":"嗯嗯好哒谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050808245},{"body":{"content":"不客气！ 希望我的建议能够帮助到您，非常感谢您的信任！请您对我的服务作出评价，祝您生活愉快啦！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845733}]

女28岁

2022.05.20