刘继帅

[{"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":1653050203310},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287015},{"body":{"content":"有啥不舒服表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050324196},{"body":{"content":"全面部拍个看看，好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050331184},{"body":{"content":"脸上偶尔会有个红疙瘩，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050380787},{"body":{"content":"平时就消下去，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392320},{"body":{"content":"额头这块，已经三四天了没有消下去，平时就透明白白的，哭闹就发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435444},{"body":{"content":"其他地方还有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050476159},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562271},{"body":{"content":"头上应该是热疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580330},{"body":{"content":"偶尔起来，偶尔消下去，没有额头这样的小点点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050604016},{"body":{"content":"热疹一般凉了会退","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622189},{"body":{"content":"额头这块三四天前起来的，现在也没消下去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050655568},{"body":{"content":"有湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712892},{"body":{"content":"买个*****稀释后擦洗看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723925},{"body":{"content":"平常清洁皮肤后多润肤保湿，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":1653050736516},{"body":{"content":"参考看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050741963},{"body":{"content":"一哭就红红的，不哭就好好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050743002},{"body":{"content":"热也会加剧湿疹表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761628},{"body":{"content":"这个可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050775221},{"body":{"content":"就是保湿做好 是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050783583},{"body":{"content":"可以试用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861686},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050992180}]

女29天

2022.05.20

[{"body":{"content":"一直在用****和***联合用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876253605},{"body":{"content":"你好，我是京东医生，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":1652878629808},{"body":{"content":"具体需要帮助您解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878631814},{"body":{"content":"这次请问需要开那个药哈？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878646889},{"body":{"content":"**** 二支","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878667609},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878677332},{"body":{"content":"您好，处方已开好，药师审核通过后就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878845912},{"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":1652878850894},{"body":{"content":"没有了谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879063117},{"body":{"content":"不客气哈！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，再见哈！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077548}]

男41岁

2022.05.20

[{"body":{"content":"孩子打呼噜？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965127149},{"body":{"content":"不打呼噜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965139907},{"body":{"content":"孩子就是去年冬天得了一次流感之后就特别严重了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965181301},{"body":{"content":"那为啥说他腺样体肥大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965199414},{"body":{"content":"想咨询您怎么用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965211624},{"body":{"content":"7岁的时候在医院检查过说是腺样体肥大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262836},{"body":{"content":"确定腺样体肥大？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965263119},{"body":{"content":"确定","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965276944},{"body":{"content":"都三年了！也不打呼噜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278418},{"body":{"content":"孩子的情况考虑鼻窦炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965289079},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965293058},{"body":{"content":"幼儿园的时候就是经常流鼻涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965320638},{"body":{"content":"买个洗鼻器冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965325370},{"body":{"content":"是****鼻腔喷雾器吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965358328},{"body":{"content":"****150ml加1支*******冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965358654},{"body":{"content":"不是你说的那种，没太大的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965378124},{"body":{"content":"最近早上老是卡痰","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965406864},{"body":{"content":"还有别的办法吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459594},{"body":{"content":"冲鼻子我看着挺受罪的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965481372},{"body":{"content":"只有这样的方法最直接","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965511041},{"body":{"content":"******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965528242},{"body":{"content":"****口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534772},{"body":{"content":"这两个药用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965552302},{"body":{"content":"家里有*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965570017},{"body":{"content":"换掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584526},{"body":{"content":"鼻炎宁颗粒有作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965610468},{"body":{"content":"****用多大含量的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965664902},{"body":{"content":"用来用去， 最后还是我说的方法最好，副作用最小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965671523},{"body":{"content":"鼻腔冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965678333},{"body":{"content":"我婆婆用过鼻腔冲洗器","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736998},{"body":{"content":"用鼻腔冲洗器加上****在口服****是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965826663},{"body":{"content":"****一天用几次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965861141},{"body":{"content":"我说的配方冲洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965891204},{"body":{"content":"其他药机不用吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965901587},{"body":{"content":"冲洗一个月吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965940778},{"body":{"content":"广冲洗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954987},{"body":{"content":"冲洗半个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965977987},{"body":{"content":"一天一次吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966008299},{"body":{"content":"冲洗是一天一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966022736},{"body":{"content":"前五天一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966054459},{"body":{"content":"您的意思是冲洗了就不用****了是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966059410},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966067818},{"body":{"content":"还用口服****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966129360},{"body":{"content":"不用啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966143691},{"body":{"content":"好的，谢谢医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966158884}]

男10岁

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965456027},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541197},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965563356},{"body":{"content":"用过什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965809289},{"body":{"content":"**，皮炎***，***，好多外用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965880434},{"body":{"content":"这个可以去医院打局部封闭","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903151},{"body":{"content":"找的乡村医师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965911078},{"body":{"content":"挂皮肤专家号是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965945393},{"body":{"content":"**有推荐的湿疹专科医生么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965979614},{"body":{"content":"是的，湘雅医学院附属医院在**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966020590},{"body":{"content":"就是看皮肤科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966055761},{"body":{"content":"是在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966097002},{"body":{"content":"这类皮肤病，治疗周期会很长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966144707},{"body":{"content":"这个医院全国有名，可以去这里看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966151181},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966155470},{"body":{"content":"慢性皮疹治疗是很麻烦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966174109},{"body":{"content":"好的，谢谢解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966216740},{"body":{"content":"可以挂断了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966226945},{"body":{"content":"嗯嗯好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966232303}]

男64岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872675},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050881855},{"body":{"content":"请问您是线下正规医院确诊银屑病了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909724},{"body":{"content":"还没去正规医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952535},{"body":{"content":"您这种情况具体多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964340},{"body":{"content":"有12个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050979696},{"body":{"content":"皮疹都出现在哪些部位？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017396},{"body":{"content":"脚眼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051034877},{"body":{"content":"除了您上传的这个部位，其他部位有类似的情况吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065350},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087211},{"body":{"content":"两只脚对称出现的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051121857},{"body":{"content":"就一个脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143997},{"body":{"content":"白色的鳞屑是一直都有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051180016},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051227443},{"body":{"content":"您的情况不能排除是银屑病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051245218},{"body":{"content":"请问您有治疗过吗？具体用过什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051248450},{"body":{"content":"外用的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051286448},{"body":{"content":"为了避免重复用药，您记得药名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051301650},{"body":{"content":"现在想用这个药，但要处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375030},{"body":{"content":"为了用药安全，请问您有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392628},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051462816},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473666},{"body":{"content":"**********是对症的，可以使用，稍等给您开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051481613},{"body":{"content":"好好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051492740},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526668},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051599253},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051607094},{"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建议的药品，如在用药过程中出现不适，请您及时上线咨询或去医院就诊。建议定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615901},{"body":{"content":"建议您尽量避免感冒，避免外伤，平时避免搔抓，避免热水烫洗，以免刺激加重病情，饮食清淡，忌辛辣刺激食物，避免饮酒，避免熬夜，多吃蔬菜和水果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051647879},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051827225},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051992932}]

男70岁

2022.05.20

[{"body":{"content":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045633847},{"body":{"content":"确诊了什么病的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653046093492},{"body":{"content":"骨穿报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048721849},{"body":{"content":"血小板减少，血小板23","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048750085},{"body":{"content":"吃什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048800412},{"body":{"content":"白细胞**红蛋白都正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048810692},{"body":{"content":"没有吃药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048920341},{"body":{"content":"这个需要怎么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048948738},{"body":{"content":"结合骨穿结果，他们诊断什么病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048960537},{"body":{"content":"医生说是血小板再生障碍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653048968545},{"body":{"content":"再生障碍性贫血！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048982217},{"body":{"content":"可以吃****的药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049069254},{"body":{"content":"像****，****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049079400},{"body":{"content":"你提供的信息实在有限","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049109512},{"body":{"content":"如果诊断再生障碍性贫血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049120893},{"body":{"content":"如果考虑免疫性血小板减少症，可以吃**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049509354},{"body":{"content":"也可以用*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049520523},{"body":{"content":"当然，现在有23，可以考虑反复吃****的药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049539422},{"body":{"content":"**治疗后对身体有没有啥影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049568799},{"body":{"content":"副作用不少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049583073},{"body":{"content":"有啥副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049608260},{"body":{"content":"长期吃可能引起高血压，糖尿病，骨质疏松，感染增多等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049651611},{"body":{"content":"四年前治疗过，应该也是用的***，升上去了，一段时间又降下去了。也吃过****，一直都保持在三十以上，一年多没吃完就降到二十多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725655},{"body":{"content":"如果是这样，干脆就别理它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049757682},{"body":{"content":"有20以上，相对安全","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049770708},{"body":{"content":"如果不考虑经济问题，可以吃****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049782385},{"body":{"content":"一个月可能八千块左右吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049792829},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049892088},{"body":{"content":"确实有点贵","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049900409},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904480},{"body":{"content":"或者间断吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049910403},{"body":{"content":"控制费用的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915871},{"body":{"content":"尝试一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049997767}]

女75岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050217047},{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050218322},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050221674},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050238773},{"body":{"content":"主要不适症状是什么呢？肛门口肿胀疼痛？还是出血呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050257646},{"body":{"content":"吃过***等药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050261443},{"body":{"content":"主要是便秘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050276183},{"body":{"content":"大便 几天一次？干硬么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050290694},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050296230},{"body":{"content":"三天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050298064},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050302823},{"body":{"content":"是否有腹痛腹胀？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309695},{"body":{"content":"有时是硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050327198},{"body":{"content":"没有腹痛腹胀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355582},{"body":{"content":"好的，您有什么需要咨询了解的问题呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050363809},{"body":{"content":"这种药搭配***吃，是否可以改善便秘？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050429797},{"body":{"content":"******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050477523},{"body":{"content":"可以的，这个药物 是减少肠道对**的吸收 达到软化大便的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050542512},{"body":{"content":"配合***口服 效果更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050547769},{"body":{"content":"******可以搭着吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571807},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607864},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050621192},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662642},{"body":{"content":"关诊时间临近，后续您如果还有需要咨询的问题可以通过京东APP搜索“张泽医生”找到我，欢迎您咨询，我看到后**时回复您。希望我的建议能够帮助到您，感谢您的信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。京东健康，祝您健康，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051870719}]

男85岁

2022.05.20

[{"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，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