张琳

[{"body":{"content":"您好，我是上海宏康医院皮肤科室的李伟庭主治医生，我已经接诊到您的咨询，我正在看您的主诉，请您稍等，我马上解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965130291},{"body":{"content":"您这个症状有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965144671},{"body":{"content":"一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151174},{"body":{"content":"以前有类似发病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173086},{"body":{"content":"痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965179953},{"body":{"content":"痒，以前没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965246136},{"body":{"content":"手心还有一块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257446},{"body":{"content":"从照片上看像红丘疹过敏引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965266958},{"body":{"content":"根据上述情况我可以给您一些用药方面的建议。 为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965273549},{"body":{"content":"表皮变硬，痒，裂口","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965278140},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965286388},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290355},{"body":{"content":"建议一，要忌口鱼虾牛**和酒别吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298648},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306036},{"body":{"content":"二，外用*****或*****一天二次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965306381},{"body":{"content":"三，口服***********一天一粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314535},{"body":{"content":"先口服三天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330579},{"body":{"content":"治疗后应该会好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965339903},{"body":{"content":"手少接触肥皂和洗洁精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965360379},{"body":{"content":"切记，暂时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965370756},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965379544},{"body":{"content":"不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965388155},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965395523},{"body":{"content":"不严重吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965398064},{"body":{"content":"不严重的，放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965413218},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966822906},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967683576},{"body":{"content":"电子处方已开好，等药师审核通过了，可以点击购买了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967798518}]

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965819803},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965831017},{"body":{"content":"哺乳期可以吃******不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965847471},{"body":{"content":"人呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965882773},{"body":{"content":"是有这个药是吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965910565},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965938829},{"body":{"content":"您有什么症状表现呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940368},{"body":{"content":"肚子疼，拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978061},{"body":{"content":"这个是中药**药，可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966046918},{"body":{"content":"哺乳期可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966059422},{"body":{"content":"肚子痛厉害还是需要医院看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966080043},{"body":{"content":"需要停止哺乳么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966195557},{"body":{"content":"孩子多大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966219482},{"body":{"content":"还没满月呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966229372},{"body":{"content":"15天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966238405},{"body":{"content":"这个是中成药，一般没有什么问题。如果不放心需要到医院就诊，根据情况用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966294171},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966345989},{"body":{"content":"药里面是中药 **为主成分的，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966412309}]

女26岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师代维栋，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049643180},{"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":1653049655062},{"body":{"content":"这款产品不具有抗过敏的功能，只有营养保健的功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673777},{"body":{"content":"花粉过敏是可以口服的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049680460},{"body":{"content":"你好，心脏病，冠心病，心绞痛，糖尿病适合吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720664},{"body":{"content":"***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049736682},{"body":{"content":"可以是合适的产品，对高血压糖尿病心脏病没有影响。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"花粉过敏是什么引起的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049799994},{"body":{"content":"这个是个季节，过敏性疾病是非常常见的，尽量避免接触过敏原。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822738},{"body":{"content":"除了吃****外用呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049918848},{"body":{"content":"有些痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934216},{"body":{"content":"可以使用***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949057},{"body":{"content":"眼角痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049994899},{"body":{"content":"那你必须口服****，过敏性鼻炎，过敏性结膜炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050023280},{"body":{"content":"可以开药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050069265},{"body":{"content":"****请你专科就诊 去眼科耳鼻喉科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165530},{"body":{"content":"服药期间吃***一起吃没影响吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050174072},{"body":{"content":"*******或者*******。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050224861},{"body":{"content":"****也是可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050252411},{"body":{"content":"没有**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050260531},{"body":{"content":"没有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268328}]

女

2022.05.20

[{"body":{"content":"您好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145900},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050155471},{"body":{"content":"非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169129},{"body":{"content":"低血糖跑步会心脏疼吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050172782},{"body":{"content":"?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221224},{"body":{"content":"低血糖跑步与心脏疼痛没有必然的关系。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050222903},{"body":{"content":"您哪里不舒服吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050242074},{"body":{"content":"近期是否做过相关检查？请发给我看看！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309724},{"body":{"content":"没做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050372145},{"body":{"content":"之前一直都没事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050382100},{"body":{"content":"是不是最近有氧做多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403364},{"body":{"content":"请您描述一下心脏疼痛的特点。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050429076},{"body":{"content":"疼痛部位？疼痛诱因？每次疼痛持续时间？疼痛缓解方式？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550482},{"body":{"content":"咳嗽？咳痰？发热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831856},{"body":{"content":"您心脏疼痛，建议您去医院看看，做心脏彩超、心电图，化验肌钙蛋白**常规等，明确原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051734452},{"body":{"content":"欢迎您随时咨询！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748962},{"body":{"content":"祝您早日康复！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051876337},{"body":{"content":"与最近有氧做多了无关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051936307}]

男22岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634724},{"body":{"content":"不建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049638360},{"body":{"content":"是有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658370},{"body":{"content":"孩子额头痤疮严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049667108},{"body":{"content":"18岁以上建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672476},{"body":{"content":"对肝肾功能影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687787},{"body":{"content":"还有别的口服药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049714717},{"body":{"content":"11岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732352},{"body":{"content":"孩子太小不建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049773091},{"body":{"content":"能用什么药物？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801671},{"body":{"content":"如果不重可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860563},{"body":{"content":"额头严重 有的冒出白色东西 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895364},{"body":{"content":"不用用手扣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908748},{"body":{"content":"可以外用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913438}]

女9岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965422297},{"body":{"content":"医生好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965435796},{"body":{"content":"现在身体来月经，脚底站不住","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965452777},{"body":{"content":"腰疼的厉害，以前没那么严重，现在每次来月经都得请假休息两天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965506112},{"body":{"content":"建议检查彩超看看是否有子宫腺肌症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550908},{"body":{"content":"就是比较明显不舒服，是不是年龄大容易这样，而且坐时间长了腿容易浮肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965565970},{"body":{"content":"体检的时候说有一个特别小得肌瘤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965594613},{"body":{"content":"好嘞谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965648174},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965752169}]

女39岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050043105},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044263},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046433},{"body":{"content":"可以给5个月宝宝使用4个月以上240毫升的奶瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143459}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050485229},{"body":{"content":"医生，您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499277},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050513887},{"body":{"content":"您现在主要是什么症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050519863},{"body":{"content":"怀孕初期除了***还要补充什么****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534162},{"body":{"content":"没有什么症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050543046},{"body":{"content":"吃的哪种**呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050550784},{"body":{"content":"就是*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050591957},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615926},{"body":{"content":"有无药物过敏史呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618351},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050633065},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645232},{"body":{"content":"我听说还要补充维生素D是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654205},{"body":{"content":"可以用***代替***服用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698303},{"body":{"content":"可以服用***补充备孕期和孕期补充**和***的\n\n【用法用量】\n口服。一次 1 片，一日 1 次，与早餐同时服用；如存在晨起恶心现象，可在中午或者晚上服用。\n\n请您查看药品说明书中的注意事项，本品不推荐儿童使用。使用后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间因为含铁, 本药可改变粪便的颜色使之变黑, 这无临床意义。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050786922},{"body":{"content":"平时多吃水果蔬菜加强营养","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050798084},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050929077},{"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！\n\n\n\n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":1653051834539}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965712672},{"body":{"content":"请问您现在怀孕多少周了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965717615},{"body":{"content":"你好。我昨天刚怀孕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965722788},{"body":{"content":"血糖正常吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965724173},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965730350},{"body":{"content":"平时的血糖正常，刚刚怀孕可以喝奶茶，但是注意适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746451},{"body":{"content":"我上班累了。我就去买*****喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965768212},{"body":{"content":"孕期不建议喝浓茶、饮料等，但是如果偶尔一次比较少量的也是可以的，注意适量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815420}]

女32岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049896183},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897919},{"body":{"content":"看见照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915012},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921373},{"body":{"content":"蛮久了，几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049946443},{"body":{"content":"这个包考虑是皮脂腺囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049977310},{"body":{"content":"腺管堵塞（灰尘 感染等）引起内容物无法排出形成","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984292},{"body":{"content":"怎么医治啊？会越长越大不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003147},{"body":{"content":"这个需要去医院耳鼻喉科 门诊 切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007187},{"body":{"content":"有可能增大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013237},{"body":{"content":"必须切除吗？不会自愈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028687},{"body":{"content":"有可能自愈 如果平时没有什么影响 可以先观察 如果有增大 及时线下医院耳鼻喉科切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065389},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093232},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110630},{"body":{"content":"不要频繁的触摸刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117054},{"body":{"content":"要外涂药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132402},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154825},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182171},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236280},{"body":{"content":"如果病情没有缓解或者出现加重的情况，建议您及时线下公立医院就诊，以免延误病情。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051707250}]

男28岁

2022.05.20