刘继帅

[{"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":1653050245171},{"body":{"content":"可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248473},{"body":{"content":"买回来需要放冰箱把，出生20天的宝宝应该怎么服用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275202},{"body":{"content":"一次三分之一代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050276165},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050279621},{"body":{"content":"储存条件\n常温密闭干燥避光处保存","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293996},{"body":{"content":"不需要放到冰箱的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050299638},{"body":{"content":"好的，需要吃多久？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319034},{"body":{"content":"如果胀气没有减退，可以一直吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329441},{"body":{"content":"建议一疗程 一周","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345297},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356943},{"body":{"content":"不客气 这是我应该做的！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383204},{"body":{"content":"小于40度水冲服 奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050390933},{"body":{"content":"温馨提示：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、不良反应等内容，严格按照说明书或药师指导的用法用量使用、若用药7天无效果或病情加重，请及时咨询医生/药师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649921},{"body":{"content":"请问您是否还有其他医药问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051651298},{"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，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051652465}]

女

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":1653051708497},{"body":{"content":"开处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051711206},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051723523},{"body":{"content":"糖尿病使用医院医生建议使用的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726966},{"body":{"content":"您是否对药物有不良反应或者过敏？您之前是否查过肝肾功能，是否有异常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051730006},{"body":{"content":"*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051738046},{"body":{"content":"一直在用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741813},{"body":{"content":"现在疫情去不了医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751939},{"body":{"content":"您需要几只呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051833983},{"body":{"content":"2只300的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051850101},{"body":{"content":"处方中的剂量您忽略，建议按医院医生医嘱使用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051925422},{"body":{"content":"用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用药品。如在用药过程中出现不适，请及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051933846},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051966164},{"body":{"content":"日常勤监测血糖，定期复查糖化血红蛋白浓度检查，医院内分泌专科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052020012},{"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":1653052142994}]

男34岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097450},{"body":{"content":"你好，淡盐水鼻滴真的幼儿能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050124282},{"body":{"content":"我上次不小心流了一滴进嘴里，超级咸","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050161918},{"body":{"content":"您好，这款适用于28天以上宝宝呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166970},{"body":{"content":"口鼻相通","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169362},{"body":{"content":"幼儿不是不能吃盐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180982},{"body":{"content":"您好，请问宝宝多大了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202800},{"body":{"content":"三个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050209399},{"body":{"content":"出月开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219663},{"body":{"content":"在想真的能用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227013},{"body":{"content":"您好，参考详情页是可以用的哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050298016},{"body":{"content":"您好，主张宝宝在一岁以后才可以吃盐哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376097},{"body":{"content":"您好，在一岁以内也并不是完全要禁忌食盐，只是在一岁以内已经添加辅食，很多的调味品中已含有少量的盐，而此类盐的含量已足够宝宝食用，所以可以少量的在一岁以后逐渐添加。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050437980},{"body":{"content":"请问您是否还有其他问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050442803},{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童生长发育方面的相关问题，欢迎您随时联系我！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050466211}]

女

2022.05.20

[{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028806},{"body":{"content":"三四天吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050037099},{"body":{"content":"摸着大拇指那里是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045554},{"body":{"content":"基本不会疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046861},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050059117},{"body":{"content":"肿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050064921},{"body":{"content":"按着是软的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050097454},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050103758},{"body":{"content":"刚刚还破了出黄水了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050121104},{"body":{"content":"如果按着是软的 里面有脓的话可能就得去医院切开治疗了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050145966},{"body":{"content":"有脓吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158513},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171989},{"body":{"content":"吃过***吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232238},{"body":{"content":"***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236670},{"body":{"content":"没吃过***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050264375},{"body":{"content":"这是什么情况？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288801},{"body":{"content":"是甲沟炎吗还是别的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298741},{"body":{"content":"这样 我建议您吃几天*** 外用*** 如果持续不好转 建议您去医院切开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050310990},{"body":{"content":"看着怀疑甲沟炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321946},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050388141},{"body":{"content":"用**消毒有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404046},{"body":{"content":"不要用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050416351},{"body":{"content":"**可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050577071},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050646669}]

男28岁

2022.05.20

[{"body":{"content":"说说你的情况怎么样包皮过长。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969488088}]

男18岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050420699},{"body":{"content":"宝宝最近有受凉、淋雨、吹风、去过疫区的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050428642},{"body":{"content":"大人之前感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491432},{"body":{"content":"估计有点传染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050497292},{"body":{"content":"好的，宝宝目前是什么喂养方式呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050529781},{"body":{"content":"母乳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534519},{"body":{"content":"宝宝有呼吸不畅，喘憋，喉鸣、声音嘶哑、口吐泡泡等症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050582782},{"body":{"content":"嗓子呼呼的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050605443},{"body":{"content":"查了血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050612089},{"body":{"content":"好的，那宝宝目前有发烧吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657466},{"body":{"content":"宝宝目前的精神状态及尿量如何，食欲如何，大便的情况如何呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663103},{"body":{"content":"不发烧，精神没问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668174},{"body":{"content":"有一周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050672494},{"body":{"content":"好的，宝宝还有其他不舒服的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050689373},{"body":{"content":"线下医院给宝宝开具什么药物了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698133},{"body":{"content":"麻烦看看查**果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050749965},{"body":{"content":"要不要吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755183},{"body":{"content":"好的，线下医院给宝宝什么建议了么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050854732},{"body":{"content":"宝宝有对什么过敏及肝肾功能异常的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050856855},{"body":{"content":"根据您的描述，考虑宝宝呼吸道感染的可能性大的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051103358},{"body":{"content":"宝宝目前的血常规提示宝宝病毒感染的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051111605},{"body":{"content":"目前宝宝比较小，宝宝没有呼吸不畅，喘憋，是可以先暂时不给宝宝口服药物的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051133241},{"body":{"content":"自己会好吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165535},{"body":{"content":"**属于***吧，病毒感染不用抗生素吧。我觉得三个月太小了，不太敢用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051207356},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240130},{"body":{"content":"目前宝宝情况不严重，是可以给宝宝外用***的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051253474},{"body":{"content":"***是什么，这么小能贴吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051342910},{"body":{"content":"这个一般宝宝没有皮肤破损及过敏，是可以给宝宝使用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366531},{"body":{"content":"您点击我给您的健康指导，都是非处方的，就可以直接点击购买的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383931},{"body":{"content":"除了这个，还能干嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457188},{"body":{"content":"需要**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463386},{"body":{"content":"目前宝宝没有其他不适，暂时不需要给宝宝其他处理的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490024},{"body":{"content":"宝宝没有药物过敏，是可以给宝宝**的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051501453},{"body":{"content":"**只用****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051532171},{"body":{"content":"病毒，需要用*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051565295},{"body":{"content":"宝宝没有药物过敏，是可以给宝宝使用****的，一次半支，一天2次，搭配****的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642432},{"body":{"content":"目前宝宝暂时不需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051649641},{"body":{"content":"一次**多久呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051741038},{"body":{"content":"一般雾化5到10分钟左右就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051776628},{"body":{"content":"我自己买过**，给大宝用的，应该也能用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051810978},{"body":{"content":"一般宝宝没有药物过敏，一般是可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051861013},{"body":{"content":"这个可以代替****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052005416},{"body":{"content":"这个一般多用于宝宝喘息的情况的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052012380},{"body":{"content":"那还是用****是吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052080268},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052106124},{"body":{"content":"宝宝比较小，病情变化快，发现宝宝病情加重或者精神状态及尿量差，食欲差，建议您带宝宝线下医院及时就诊，以免贻误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052112262},{"body":{"content":"用药后当前症状如果不缓解或者加重，建议线上复诊或者线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052113971},{"body":{"content":"祝宝宝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052115371},{"body":{"content":"天气多变，您给宝宝注意**，避免着凉，正常养护就可以的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052116077},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052116384},{"body":{"content":"您好，关诊时间临近，希望我的建议能够帮助到您，感谢您的信任。欢迎您再次咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052118902},{"body":{"content":"如果您对我的服务满意，可以点击问诊界面 右上角 “表扬医生”，给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052121374},{"body":{"content":"用几天呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052121667},{"body":{"content":"后续有问题，您在京东APP上直接搜索我的名字“京东医生麻建辉”就可以找到我的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052122350},{"body":{"content":"这个是因人而异的，一般是可以给宝宝使用1周左右的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052140233},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052148396},{"body":{"content":"祝您晚安。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148454},{"body":{"content":"祝宝宝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052151934},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052153690},{"body":{"content":"如果宝宝出现呼吸困难，喘憋的情况，建议您及时带宝宝线下医院就诊的，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052153721},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052157706},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052158829},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162543}]

女2岁3个月

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"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":1653050268932},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272232},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050370812},{"body":{"content":"不知道是几段您可以选选","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050388629},{"body":{"content":"您看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050507983}]

女

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

[{"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