赵春春

[{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051615850},{"body":{"content":"平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051697026},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051846319},{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，\n平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051872003},{"body":{"content":"啊，我以为你刚才的问题问完了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051878869},{"body":{"content":"加强锻炼，帮助不大，是这样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901525},{"body":{"content":"剩这最后一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051901906},{"body":{"content":"这个线，最后应该是被吸收掉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913594},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051913808},{"body":{"content":"那吃***和*****还有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051934406},{"body":{"content":"有的不吸收，可能和体质弱有关，在观察一下，可能会**吸收，如果最后实在吸收不了，就有可能成囊肿，也就是正常的人体组织把线头包裹起来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051965820}]

男27岁

2022.05.20

[{"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":1653050310380},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313559},{"body":{"content":"一般都是就近安排发货，京东在全国各地都有仓储库","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379428}]

女

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965394921},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482448},{"body":{"content":"有两年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965546615},{"body":{"content":"反反复复的起吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965573635},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965582762},{"body":{"content":"建议您能查个单纯疱疹病毒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965606191},{"body":{"content":"在哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965622278},{"body":{"content":"得去医院查，抽血或者取水泡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965656132},{"body":{"content":"你们医院在哪里呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965670736},{"body":{"content":"我是**的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965763597},{"body":{"content":"什么跟什么啊，我是咨询本地医院，怎么你是**的？？？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965839049},{"body":{"content":"这个是系统自动分的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965857571}]

男50岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878987744},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878999596},{"body":{"content":"医生劳烦您 按照之前的量 帮开一下 处方吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879016958},{"body":{"content":"好的好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098866},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879273106},{"body":{"content":"给您开完了，您看看，对不对？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879499099},{"body":{"content":"对的哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961784227},{"body":{"content":"谢谢啦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652961786370},{"body":{"content":"不谢不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652961897521}]

男56岁

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336462},{"body":{"content":"根据图片考虑是荨麻疹，这个和过敏有关，但是具体什么过敏不好说，这个起的快落的快，消退后不留痕迹，可以口服抗过敏药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050358266},{"body":{"content":"生完孩子半年后就有快1年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050362539},{"body":{"content":"每天晚上吃完晚饭2小时左右?️","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050379844},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说，可以到医院查一个过敏源找找原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395658},{"body":{"content":"过几个小时就好了，有时候手臂上，有时候腿部，有时候肚子上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050423950},{"body":{"content":"手臂和腿上还对称","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446474},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050458411},{"body":{"content":"不管它能自行消退吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466236},{"body":{"content":"过几个 小时就没了好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050484689},{"body":{"content":"不管他就好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050493579},{"body":{"content":"这个能治愈吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050545695},{"body":{"content":"最好查查过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545984},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050552568},{"body":{"content":"那个不好治愈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566512},{"body":{"content":"也可以吃吃中药调理调理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050573000},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626605},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050668849},{"body":{"content":"不要恢心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050678260},{"body":{"content":"好多人生完孩子之后体质改变会起这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685137},{"body":{"content":"**时间长了也会好很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050688808}]

女34岁

2022.05.20

[{"body":{"content":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

男26岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是京东中医科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050087531},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050098350},{"body":{"content":"抗体阳性，提示幽门螺旋杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103688},{"body":{"content":"幽门螺杆菌感染的症状主要是反酸、烧心以及胃痛、口臭。幽门螺杆菌感染能够引起慢性胃炎。主要临床表现有：上腹部不适、隐痛，有时发生嗳气、反酸、恶心、呕吐的症状，病程较为缓慢，但是容易反复发作。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050111063},{"body":{"content":"我母亲幽门螺杆菌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111958},{"body":{"content":"恩恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117356},{"body":{"content":"之前药物治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050123871},{"body":{"content":"目前治疗是四联治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050366397},{"body":{"content":"疗程为2周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369845},{"body":{"content":"这些症状目前还没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050578532},{"body":{"content":"到检查显示幽门螺杆菌超","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595386},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607365},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史吗？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050614170},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050732835},{"body":{"content":"有中度脂肪肝，无其他病症","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050769374},{"body":{"content":"稍等，为您开方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050843572},{"body":{"content":"*****，一次500mg，一日2次，饭后服用；******，一次1000mg，一日2次，饭后服用； ********，一次20mg，一日2次，饭前服用；*******，一次0.6g，一日2次，饭前服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240919},{"body":{"content":"幽门螺旋杆菌感染 注意事项：\r①注意休息，保持良好情绪，规律作息。\r②三餐定时，饮食清淡易消化，进食要细嚼慢咽，避免过饱，忌烟酒、适当饮水，避免食用生冷、辛辣、油腻的食物。保持口腔健康（勤漱口、刷牙）。\r③幽门螺旋杆菌主要经过消化道传播（主要是共用餐具进餐），建议和您长期一起共用餐具的人进行碳13或碳14呼气试验检查，以便同时治疗，治疗时建议分餐，并做好餐具消毒。\r④幽门螺旋杆菌治疗疗程为2周，建议您治疗疗程结束后停药1月后复查碳13或碳14呼气试验。服药过程中可能会出现黑便（大部分是药物所致），若无症状加重情况，比如：乏力、头晕、胃痛等，建议您观察；反之，建议线上问诊或医院就诊。⑤ 如有不适，及时线上问诊或线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051251488},{"body":{"content":"用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用我为您开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380153},{"body":{"content":"您好，请问还有**问题需要咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383024}]

男60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":1653049777045},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049787966},{"body":{"content":"什么时候发生的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808161},{"body":{"content":"前天磕的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811656},{"body":{"content":"之前老人喷的****、**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840682},{"body":{"content":"碘伏消毒消毒，一天三次，再用点***********涂一涂促进表皮生长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852694},{"body":{"content":"**+**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874198},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049883447},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897666},{"body":{"content":"不用谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049920524}]

男13岁

2022.05.20

[{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374667},{"body":{"content":"长出来有半个月了，半个月前也有痘，没有这么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051396812},{"body":{"content":"摸着会痛，挤破会出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423732},{"body":{"content":"我上面电子处方里给你开了一瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，是我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456718},{"body":{"content":"这种药要多久见效？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051479047},{"body":{"content":"只是普通的痤疮吗？为什么我的痘痘一直复发呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505785},{"body":{"content":"生活中要少吃油，少吃辣少吃糖，因为痤疮不喜欢这些饮食，另外不要熬夜，这个也很重要，这些都会影响痤疮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528699},{"body":{"content":"你就坚持外用我给你开的中药**就可以好，加上生活中注意就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547045},{"body":{"content":"我这边小医院给我开******和****，可以和中药水一起用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051588335},{"body":{"content":"有这个中药**，那两种都不需要了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642576},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652436},{"body":{"content":"不客气，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669255}]

男23岁

2022.05.20