刘继帅

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049608565},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049618622},{"body":{"content":"十分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049636727},{"body":{"content":"我看足背软组织有肿胀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049641079},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049669291},{"body":{"content":"目前建议24小时之内可以进行冰敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049705102},{"body":{"content":"24小时之内再行热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721933},{"body":{"content":"同时可以使用云南白药气雾剂进行涂擦改善循环，**止痛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749060},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049768337},{"body":{"content":"不客气啦，冰敷时候冰袋要用毛巾包裹，不然会冻伤的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822121},{"body":{"content":"好的，谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049882113},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890519}]

女37岁

2022.05.20

[{"body":{"content":"几点磕的，有恶心呕吐等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879280990},{"body":{"content":"刚刚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879290159},{"body":{"content":"目前看没有不良反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879301171},{"body":{"content":"脑门那么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879303640},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879317512},{"body":{"content":"目前没有做任何治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879338232},{"body":{"content":"前额的额骨是最硬的骨头之一，一般磕到前额不会伤到骨头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879344832},{"body":{"content":"怕弄严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347941},{"body":{"content":"但孩子头面部组织疏松","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879361751},{"body":{"content":"所以磕碰后容易出包或者青紫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879377947},{"body":{"content":"建议观察3天，期间如果出现呕吐、昏迷、抽搐等症状则需要去医院做头部Ct","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879410238},{"body":{"content":"今明两天局部可以冷敷，后天起热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879424584},{"body":{"content":"该吃吃该玩玩，这方面不用特别注意。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879442303},{"body":{"content":"冷敷？用***可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556542},{"body":{"content":"不一样 建议用毛巾裹冰块","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879592462},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879599390}]

女4岁

2022.05.20

[{"body":{"content":"你好，我是朱医生，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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965801798},{"body":{"content":"下肢出现红色硬币大小斑块，这种引起的原因比较多，比如真菌感染过敏，建议可以拍个图片给我看一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652972364296}]

男60岁

2022.05.20

[{"body":{"content":"您好，感谢您体验京东育儿师咨询服务，我您有新生儿或儿童必备药品，或有关儿童生长发育相关问题的，需要京东平台为您准备，儿科专家及一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284274},{"body":{"content":"您好，在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292403},{"body":{"content":"多大的孩子适用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050296393},{"body":{"content":"宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308122},{"body":{"content":"1个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325278},{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427503},{"body":{"content":"适用6至12岁的宝宝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050471620},{"body":{"content":"这么小不要乱吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513996},{"body":{"content":"宝宝不爱吃奶吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546407},{"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，祝宝宝健康快乐成长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051703533},{"body":{"content":"您还有其他问题吗，咨询结束前，我一直都在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051711325},{"body":{"content":"感谢您的支持，您的评价对我非常重要，麻烦您给个好评，谢谢！！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051716064}]

女

2022.05.20

[{"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}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018710983},{"body":{"content":"抱歉，平台最新规定，必须有原来当地医院纸质处方，才能开药！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018758185},{"body":{"content":"贺医生最近有反复医院医生把我***加量了但是医生开的量不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018778069},{"body":{"content":"纸质处方在医院就诊药诊单可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018821521},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019125134},{"body":{"content":"您可以去当地的医院下次就诊时，留着病例，处方（必须有姓名，诊断，医院，用药情况）。这样下次就可以网上买药了，京东软件，搜索 {***} 就可以找到我了！价格便宜！感谢配合！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653019133190},{"body":{"content":"这个可以吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653021670247},{"body":{"content":"这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021729356},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653021731887}]

女33岁

2022.05.20

[{"body":{"content":"请问有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049990642},{"body":{"content":"喘不上气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049999803},{"body":{"content":"以前在煤矿工作4.5年","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050020517},{"body":{"content":"要注意尘肺病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028086},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050034131},{"body":{"content":"现在用什么药物治疗呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096189},{"body":{"content":"一直是口吸的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123908},{"body":{"content":"药品名称是什么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180673},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050201502},{"body":{"content":"就是什么**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230708},{"body":{"content":"****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261965},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050266533},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050267286},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327226},{"body":{"content":"要开****吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050342758},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347366},{"body":{"content":"请问有没有食物或者药物过敏史？有没有什么基础疾病？是否怀孕或者在哺乳期？肝功能，肾功能等是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050357383},{"body":{"content":"没有过敏史，只是有肺气肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396511}]

男57岁

2022.05.20

[{"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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965259994},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965264379},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271609},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280343},{"body":{"content":"怀孕了下面流绿色液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965322873},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359745},{"body":{"content":"有痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965367530},{"body":{"content":"什么感染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965369501},{"body":{"content":"有异味吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375083},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965381082},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965389773},{"body":{"content":"滴虫感染。可有绿色白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403316},{"body":{"content":"建议检查一下白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965416655}]

女22岁

2022.05.20

[{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707191},{"body":{"content":"您好，我是皮肤科医师曾强，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712676},{"body":{"content":"图片比较模糊，请问方便重新拍摄一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722476},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728821},{"body":{"content":"好的，您这种黑斑前身是受过外伤或者得过皮炎湿疹类疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826399},{"body":{"content":"现在黑斑是平的还是凸起的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831436},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050834620},{"body":{"content":"平的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838675},{"body":{"content":"这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050875325},{"body":{"content":"黑斑的范围有没有持续扩大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881564},{"body":{"content":"大约有3年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906112},{"body":{"content":"一年比一年大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922878},{"body":{"content":"表面有没有皮屑呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933231},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937954},{"body":{"content":"结合您的描述考虑 色素沉着可能 较大，一般会在外伤或者皮肤疾病之后出现，但没有相关诱因，可以线下医院皮肤科做个皮肤镜明确下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017917},{"body":{"content":"如果不方便就诊，我先给您一些外用药物建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022838},{"body":{"content":"好的你给开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051052985},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051063738},{"body":{"content":"我给您治疗建议，为用药安全，请问有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067551},{"body":{"content":"我吃了9天的中药也没用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074541},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051094292},{"body":{"content":"可以选择******每日均匀外涂三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110008},{"body":{"content":"这个要几周时间才能看到淡化效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118240},{"body":{"content":"请稍等一会儿，我给您开个处方单发送到对话框。可以按照提示流程直接购买，不用上传处方单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128127},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051140041},{"body":{"content":"这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175208},{"body":{"content":"您平时要注意防晒，多吃富含****的水果和蔬菜，有利于印记淡化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234089},{"body":{"content":"处方单已经开具过来了，您可以向上翻看一下直接点击绿色小框购药。您看看收到了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051239095},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288615},{"body":{"content":"建议定期三周复诊。 使用前请仔细阅读说明书，如无禁忌可使用。如您使用过程中出现不适或效果不佳，请及时停用药物并就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355727},{"body":{"content":"如果有皮肤科相关问题可以打开京东APP，在搜索栏中搜索“皮肤科医生曾强”即可找我复诊。祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051356697}]

男28岁

2022.05.20