刘继帅

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194213},{"body":{"content":"您好，我是主治医师高瑞雪，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196402},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309669},{"body":{"content":"1、（男性）为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备育期？\n2、（女性）为了您的用药安全，请问您是否有药物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？是否在备孕期、妊娠期或哺乳期？\n3、（婴幼儿，儿童，青少年）为了用药安全，是否有药物及食物过敏史？肝肾功能是否正常？是否有其他疾病史?是否正在服用药品？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345828},{"body":{"content":"使用补钙吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050360000},{"body":{"content":"这个是高钙全脂奶粉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390514},{"body":{"content":"有补钙补充营养作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404939}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965115388},{"body":{"content":"胆总管下段肿瘤需要手术，还是保守治疗，已经有黄疸症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192284},{"body":{"content":"身体条件允许情况下 手术是第一选择","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965242082},{"body":{"content":"？能看到吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966811640},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966851195},{"body":{"content":"能告知，胆总管下段肿瘤比较好的医院是哪里？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969309302},{"body":{"content":"你在哪个城市","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969338548},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652971360472},{"body":{"content":"那去上海东方肝胆医院吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000668058},{"body":{"content":"你做的检查结果发来给我看下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001057760},{"body":{"content":"这个属于中期还是晚期扩散？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001165906},{"body":{"content":"看到了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001169378},{"body":{"content":"这个病本身恶性程度比较高 但是目前没看到转移的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001191946},{"body":{"content":"应该还有手术机会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001200270},{"body":{"content":"手听说有一个药****是不是可以用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001291325},{"body":{"content":"这是化疗药物 不能治本","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001366555},{"body":{"content":"要手术切除才最好啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001375558},{"body":{"content":"*，手术第一选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001460362},{"body":{"content":"能手术的情况下肯定先选择手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001525761},{"body":{"content":"疫情期间**也不方便去 省内的话就去省立医院和安医附院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653001775219},{"body":{"content":"好的，谢谢。?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653001836863}]

男77岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878751835},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878757655},{"body":{"content":"您出现这些症状有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878777002},{"body":{"content":"胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878788382},{"body":{"content":"有没有做过什么检查 用过什么药物治疗过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878793740},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878803316},{"body":{"content":"检查和治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878824793},{"body":{"content":"吃了***和","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878902511},{"body":{"content":"****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878935338},{"body":{"content":"症状有没有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878950872},{"body":{"content":"头两天还行，可能昨天晚上吃了西瓜，今天觉得更不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878996604},{"body":{"content":"大便什么的都正常，也不拉肚子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879111150},{"body":{"content":"就是觉得胃胀，打嗝，冒酸水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879163995},{"body":{"content":"您现在的症状与胃食管反流病比较符合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879176323},{"body":{"content":"也不排除存在幽门螺杆菌感染可能 如果有可能最好可以先做个呼气试验看看有没有幽门螺杆菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879226217},{"body":{"content":"那能开点中药回来熬吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879313227},{"body":{"content":"也不胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879361188},{"body":{"content":"像您这种反酸比较厉害的 中药不太能解决问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879395349},{"body":{"content":"抑酸方面西药更有优势 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879463216},{"body":{"content":"反酸不厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879466808},{"body":{"content":"以胃胀为主是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879487322},{"body":{"content":"主要是胃胀，打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879494210},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498226},{"body":{"content":"今天才有一点反酸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879514619},{"body":{"content":"主要还是胃胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879555114},{"body":{"content":"您是希望自己熬中药 还是用现成的中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879560324},{"body":{"content":"现成的中成药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879707325},{"body":{"content":"明白了 您拍一张舌苔图给我看一下哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879775212},{"body":{"content":"您稍等片刻 我这就给您处方建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880064892},{"body":{"content":"好的，不急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880128078},{"body":{"content":" 平时不要吃的太饱 晚餐不要吃稀的 不要喝汤 流质半流质更容易反流 平时不要喝茶、咖啡、碳酸饮料 不能抽烟 会导致食管下括约肌的松弛 更易反流 不要吃红薯 糯米食等淀粉含量高的食物 容易产酸 还包括一些甜品 平时不要穿紧身的衣物 严重反流时床头需要抬高15-20°","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454202},{"body":{"content":"您没有药物过敏史和特殊禁忌症吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880491500},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880499041},{"body":{"content":"不在备孕期妊娠期哺乳期吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880513147},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880520229},{"body":{"content":"处方已开具 另外生活方面需要注意的事项已经发给您了 请按照上面的做 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880592796},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632462},{"body":{"content":"不客气的 祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880650916},{"body":{"content":"能再帮我开一份自己熬的中药处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880724824},{"body":{"content":"万一服药后症状缓解不明显 您停用****14天后需要去医院查个呼气试验 看看有么有幽门螺杆菌感染 或者做个胃镜 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880727121},{"body":{"content":"中药只有**剂 就是我按照处方开好每个成分的**剂 您回去自己放一起冲服 没有传统的那种中药饮片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880835746},{"body":{"content":"您看可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880854866},{"body":{"content":"比丸好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880862883},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880901761},{"body":{"content":"冲剂好些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880913990},{"body":{"content":"谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880919406},{"body":{"content":" 丸剂起效慢 发挥作用持久 **剂作用快一点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880931254},{"body":{"content":"那就麻烦帮我开冲剂，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881446891},{"body":{"content":"已经开过了 中药开方没有西药那么快 要一个个点击","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881489337},{"body":{"content":"没事，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881575533},{"body":{"content":"您在吃*****时就不要再吃这个**剂了 两个分开服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881711375},{"body":{"content":"有些成分有重合 功效也差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881732581},{"body":{"content":"只喝冲剂，不吃那个*****，可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881778008},{"body":{"content":"可以的 您可以把冲剂吃完再吃***** *****效果挺好的 我平时在门诊经常开给嗳气 呃逆的患者用 患者反馈过来的信息效果都不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881875821},{"body":{"content":"您要是在不愿意用丸剂 我就把前面那个处方的*****撤回来了 要么开了也浪费了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881941121},{"body":{"content":"实在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881947172},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881970031},{"body":{"content":"好的 是撤回来吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881988422},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882003978},{"body":{"content":"我考虑一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882012304},{"body":{"content":"这个是小丸还是大丸？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882050781},{"body":{"content":"小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882068549},{"body":{"content":"就是一包里有好多小丸子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882089668},{"body":{"content":"怎么驳回了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882177331},{"body":{"content":"我刚又确认一下是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882270931},{"body":{"content":"是小丸","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882281601},{"body":{"content":"既然这个不错，先试试这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882370713},{"body":{"content":"对胃胀效果好吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882384944},{"body":{"content":"平台上出售*****的药房太多 不同厂家生产的有所区别 我刚特意点进去查了一下我开的这个是不是小丸 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882414140},{"body":{"content":"是的 对于脾胃虚弱引起的腹胀效果还是不错的 对嗳气也有明显效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882447873},{"body":{"content":"那好，我试试","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882462404},{"body":{"content":"马上下单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882471237},{"body":{"content":"您平时不适合吃生冷食物 舌苔白腻厚 脾胃虚弱 还有湿偏重 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882576232},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882587008},{"body":{"content":"等下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882594502},{"body":{"content":"要21才拿到药，我能去药房买吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882625758},{"body":{"content":"今天是18号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882641731},{"body":{"content":"可以的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882644513},{"body":{"content":"您可以按照处方建议去购药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882662317},{"body":{"content":"药有没有指定厂家","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882678275},{"body":{"content":"麻烦帮我看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882684987},{"body":{"content":"*****买****的或者***的都可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882715882},{"body":{"content":"****随便哪个厂家 没有太大差异","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882745562},{"body":{"content":"*******制药的也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882768672},{"body":{"content":"这几个都是大厂 药材质量有保证","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882785288},{"body":{"content":"好的，谢谢！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882801245},{"body":{"content":"不客气的啦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882818882},{"body":{"content":"我已经5星好评了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882972123},{"body":{"content":"谢谢您的好评","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882992756}]

女43岁

2022.05.20

[{"body":{"content":"药吃了一个多月，咋感觉没效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652967270903},{"body":{"content":"目前主要是什么重要，和前面相比怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652968917330},{"body":{"content":"感觉还是射精快，中途疲软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969326209},{"body":{"content":"硬度不够","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652969348009},{"body":{"content":"尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白有哪些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969497527},{"body":{"content":"尿不尽，无力分叉 痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653018804405},{"body":{"content":"这是前列腺炎的症状，有检查治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653018827420},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051447993},{"body":{"content":"有尿频尿急尿不尽或者尿痛尿无力尿分叉尿滴白吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499893}]

男25岁

2022.05.20

[{"body":{"content":"冷敷抬高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049760432},{"body":{"content":"必须下地活动，避免长时间走路","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049765719},{"body":{"content":"先冷敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049771413},{"body":{"content":"嗯好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049814288},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049829195},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049839550},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049841186},{"body":{"content":"48小时后热敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049851954},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049863238},{"body":{"content":"不用客气，有问题就给我留言。也感谢您的咨询，如果您对我的服务满意，请帮忙评价一下满意请打五星，您的鼓励对我很重要。谢谢您对我工作的支持和鼓励。祝您健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069083}]

女37岁

2022.05.20

[{"body":{"content":"疼不疼啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049637956},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049650135},{"body":{"content":"按着也不疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738144},{"body":{"content":"几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741272},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049744356},{"body":{"content":"其他地方有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049745087},{"body":{"content":"至少一个星期了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761158},{"body":{"content":"鼻子上之前长了个疖子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049785365},{"body":{"content":"对 我看着这个也像","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049824160},{"body":{"content":"不过之前也没疼过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049832675},{"body":{"content":"但是这个一点都不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049839455},{"body":{"content":"他自己都没发现","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049866205},{"body":{"content":"目前我看着也怀疑疖肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049909261},{"body":{"content":"您可以用点**消毒几天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049918273},{"body":{"content":"没破","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049983185},{"body":{"content":"用**消毒几天 或者外用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084158}]

男31岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965109029},{"body":{"content":"这个部位有点像腮腺了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965150878},{"body":{"content":"有没有去检查过呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965154568},{"body":{"content":"医生说是*肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965463156},{"body":{"content":"有没有进行相关治疗用药呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965533279},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965706407},{"body":{"content":"建议还是去普外科看一下行相关手术治疗，因为你这个会影响美观。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965734220},{"body":{"content":"我想去****去做手术，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965820133},{"body":{"content":"可以的，****的医院也比较好，省里面也方便。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965841709},{"body":{"content":"因为我前边做了_次手术输血不兴感然了爱滋病请问有医院给治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965959546},{"body":{"content":"咋不回话了，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966116408},{"body":{"content":"这个你要提前跟医生说好了，你有这个病。手术应该是没问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966198219},{"body":{"content":"乌鲁木齐医科大学笫_附属医院吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966700991},{"body":{"content":"就是乌鲁木齐医科大学第一附属医院吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966740934},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966846083},{"body":{"content":"好的谢谢你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966961969},{"body":{"content":"客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966985029}]

女45岁

2022.05.20

[{"body":{"content":"您好，我是京东互联网医院医生，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。\n什么情况？是否有其他疾病？\n近期有没有什么用药史，\n或药物过敏史？\n请说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049619137},{"body":{"content":"有湿疹病史？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049668185},{"body":{"content":"有啊，脖子上之前有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049684996},{"body":{"content":"身上也有过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049700101},{"body":{"content":"近期周围环境热？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049734183},{"body":{"content":"汗多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049737123},{"body":{"content":"就是有次小孩跟我们大人盖一个被子，捂热了，第二身上就有湿疹，用氧化锌软膏后就好了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049770848},{"body":{"content":"不热啊，20几度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049793038},{"body":{"content":"看身上都蜕皮了，是干燥吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843536},{"body":{"content":"这也是湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049852919},{"body":{"content":"噢噢，那怎么办，针对于这种，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049875682},{"body":{"content":"买个儿肤康搽剂稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049880098},{"body":{"content":"要每天洗澡吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049884813},{"body":{"content":"之前用过炉甘石洗剂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049893730},{"body":{"content":"洗后多润肤保湿，建议用**或****或******或***宝贝，********等每天涂至少2次以上","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049899073},{"body":{"content":"别用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904383},{"body":{"content":"没用了就用过一两次次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049924488},{"body":{"content":"还是保湿 是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049964679},{"body":{"content":"必要时*****+***1：1等量均匀混合后涂，一天2次，用5-7天，好转后皮疹消退***一天一次或隔天用，尝试**减停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028481},{"body":{"content":"还是热了之后，出现的这些症状吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050187446},{"body":{"content":"热会加剧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050218450}]

男4个月19天

2022.05.20

[{"body":{"content":"你好，从你反映的情况看，你有自伤自残的行为。但不知道你有没有明显的焦虑，抑郁情绪？睡眠怎么样？你的行为是在缓解你的压力吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879363667},{"body":{"content":"我有很明显的焦虑也很容易情绪崩溃 然后我会通过扇自己巴掌来缓解压力","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473891},{"body":{"content":"如果你从来没有去医院就诊过，建议你首次就诊去医院精神心理科就诊，根据你的具体情况，选择做一些心理测验，进一步明确有无焦虑抑郁情绪。明确诊断后才能确定下一步的治疗方案。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879527396},{"body":{"content":"好那我明天去医院看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550176},{"body":{"content":"好的，应该去医院面诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584892},{"body":{"content":"那医生有没有办法可以让我睡着我最近在高考我已经两天没有睡觉了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879674298},{"body":{"content":"睡眠不是用心理治疗就能解决问题，可以用一些促进睡眠的药物（非**类的）这些药物只能在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882258938},{"body":{"content":"我已经告诉你了，促进睡眠的药物要在医院开。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652955042542}]

女21岁

2022.05.20

[{"body":{"content":"感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965468324},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476175},{"body":{"content":"以前也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499994},{"body":{"content":"是睡觉感觉呼吸累","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965553940},{"body":{"content":"这次多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555643},{"body":{"content":"睡觉打呼噜吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965566242},{"body":{"content":"油腻的吃了就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585895},{"body":{"content":"有时有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965597895},{"body":{"content":"平时右上腹部疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965629866},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659238},{"body":{"content":"那就是感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965677765},{"body":{"content":"可以吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965684753},{"body":{"content":"就是口水特别浓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965698892},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965718412},{"body":{"content":"考虑感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965720925},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965757581}]

男43岁

2022.05.20