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":"您好，我是主治医师马跃青，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050875397},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906667},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914236},{"body":{"content":"5个月的婴儿吃啥样的**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920988},{"body":{"content":"五个月的话 只能吃400单位那款","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050922266},{"body":{"content":"请问是否有药物过敏史？肝肾功能是否正常？是否有其他疾病？近期在使用哪些其他药物？以便给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050923934},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050930107},{"body":{"content":"只有这种可以吃的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936526},{"body":{"content":"每天一粒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050939153},{"body":{"content":"对于婴儿是安全的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050944284},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944651},{"body":{"content":"好的 不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050947654},{"body":{"content":"6个月后需要换吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050977756},{"body":{"content":"不需要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050986429},{"body":{"content":"这款可以全年龄补充","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050990748},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050991115},{"body":{"content":"日常建议摄入量也是400的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050997231},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051003483},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051004865},{"body":{"content":"使用商品前请您仔细阅读商品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可使用该商品，如您在使用过程中出现任何不适或疑问，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117880},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任。后续如果您还有疑问，随时上线咨询，可以打开京东APP，点击“我的”，再点击“问医生”，在搜索栏中搜索 我的名字 即可找到我。祝您平安健康","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122250}]

女

2022.05.20

[{"body":{"content":"你好，现在是一个什么情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965739199},{"body":{"content":"做的什么治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965744708},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965746858},{"body":{"content":"医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965749671},{"body":{"content":"影像所见:垂体上下径为0.7cm，上缘膨隆，垂体信号欠均匀，于垂体左侧部隐约见一小结节状T1WI低信号影，大小约为0.2cmx0.2cm，\t垂体柄居中，动态增强扫描示正常垂体明显均\t匀强化，垂体内病灶呈低信号，并见逐渐及度强化现象。鞍底骨质未见异常，鞍旁及鞍上**结构未见异常。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965760367},{"body":{"content":"这个你看一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766710},{"body":{"content":"有什么不舒服没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965783320},{"body":{"content":"泌乳素高","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965803036},{"body":{"content":"月经紊乱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965827635},{"body":{"content":"那考虑还是跟这个垂体有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965830609},{"body":{"content":"是的 就是看报告结果 医生你觉得严重么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965896054},{"body":{"content":"我有点害怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965906315},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925272},{"body":{"content":"垂体瘤是常见的良性肿瘤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965940287},{"body":{"content":"是吃药治疗么还是如何","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965954897},{"body":{"content":"可以完全治愈的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965968697},{"body":{"content":"好的，那就放心许多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965978405},{"body":{"content":"可以先吃药看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979908},{"body":{"content":"不行再考虑手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990565},{"body":{"content":"好的，一般是吃什么药的呢?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966017295},{"body":{"content":"如果这种做手术 风险应该不会很大的吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966054039},{"body":{"content":"手术微创，风险不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966118253},{"body":{"content":"吃药，吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966128551},{"body":{"content":"好的 医生 这种去医院挂号的话，是挂神经外科还是内分泌科好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966261683},{"body":{"content":"内分泌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966372526},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966419031}]

女22岁

2022.05.20

[{"body":{"content":"红肿，肿的很大，摸起来里面很硬，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877814698},{"body":{"content":"嗯 这是虫咬皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878719269},{"body":{"content":"注意近期的饮食和接触物 避免海鲜坚果芒果饮食 注意避免接触动物植物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878721662},{"body":{"content":"孩子有无食物药物过敏史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878722642},{"body":{"content":"给您一些用药推荐","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878728007},{"body":{"content":"孩子非常的痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878730294},{"body":{"content":"好像没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878747459},{"body":{"content":"****口服抗过敏 一次7滴 一天两次 ***一天2次涂抹 **一天两-3次涂抹止痒抗炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878843228},{"body":{"content":"附近药店如果能买到先用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878858059},{"body":{"content":"肿的很大，是红肿，手机拍的颜色不一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878867632},{"body":{"content":"**不好买就网上购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878872708},{"body":{"content":"定期复查 免费随诊 后面可以扫描这个二维码找我复查开药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878881371},{"body":{"content":"用药3天找我复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878885160},{"body":{"content":"止痒药物可以用***替代","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878902628},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878927311},{"body":{"content":"对 口服的是这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879088081},{"body":{"content":"外用的您先用***和***吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879100908},{"body":{"content":"好的，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879112470},{"body":{"content":"小区东莞国药只有国产的**********，可以用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879803607},{"body":{"content":"嗯 可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879840420},{"body":{"content":"外用配合一起图","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879845166},{"body":{"content":"能买到**********也行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879853902},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880621441}]

男6岁

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":"考虑是毛周角化病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050231756},{"body":{"content":"又称毛发苔藓或毛发角化病，是一种慢性毛囊角化性皮肤病，有一定遗传倾向，好发于上臂外侧及大腿前侧，也可发生于面颊部和臀部。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050235923},{"body":{"content":"是的大腿上手臂 背部都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274350},{"body":{"content":"本病一般不需要治疗。症状明显或有治疗要求，可涂抹一些外用药物；可以涂抹尿素维E乳膏，一天1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284354},{"body":{"content":"平时多抹点保湿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326118},{"body":{"content":"是全身涂抹 还是 有的部位涂抹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050368562},{"body":{"content":"有鸡皮肤的地方涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404394},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458375}]

男25岁

2022.05.20

[{"body":{"content":"现在睡着了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049663249},{"body":{"content":"摸着可以抹平的那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049697752},{"body":{"content":"那可以总","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049718740},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049720064},{"body":{"content":"用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049721144},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808641},{"body":{"content":"躺着好点，做起来就凸起来明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049853106},{"body":{"content":"嗯，符合脐疝。可以用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049872614},{"body":{"content":"这个有规格吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891620},{"body":{"content":"这个就需要咨询客服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049904914},{"body":{"content":"一般用多久能好呀长平点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049911246},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954647},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984305}]

女

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":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049644789},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049646501},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049649414},{"body":{"content":"您方便发一下照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655406},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673723},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049678540},{"body":{"content":"发现多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949564},{"body":{"content":"硬的软的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955278},{"body":{"content":"有快一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018888},{"body":{"content":"软的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022320},{"body":{"content":"之前下去过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030153},{"body":{"content":"然后又起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050035261},{"body":{"content":"现在有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045516},{"body":{"content":"现在是经期，老上厕所纸摩擦的有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072546},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076062},{"body":{"content":"不是经期的时候没有感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085953},{"body":{"content":"好的，您没有来月经前有外阴痒吗？白带量多、颜色改变、有异味等情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095781},{"body":{"content":"有时候有点味道 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116542},{"body":{"content":"偶尔会有青黄色的白带","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130544},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136539},{"body":{"content":"您这个部位有做过手术史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148091},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157598},{"body":{"content":"您的白带情况考虑是有炎症的，但是这个疙瘩从照片看考虑是软疣，需要到皮肤科咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194187},{"body":{"content":"我可以先给您一些炎症的建议，您这个疙瘩的情况可以到皮肤科咨询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209724},{"body":{"content":"看看皮肤科医生给您什么处理意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217140},{"body":{"content":"这好尴尬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237284},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259471},{"body":{"content":" 一定要去皮肤科问一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278876},{"body":{"content":"嗯嗯，需要问一下的，不像炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292828},{"body":{"content":"好的吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301849},{"body":{"content":"那需要先给您炎症的建议吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309578},{"body":{"content":"应该是到皮肤科得建议吧. ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329799},{"body":{"content":"我需要重新购买一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339694},{"body":{"content":"这个阴道炎症是属于我们妇科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344227},{"body":{"content":"我先给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350547},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351173},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355213},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050364304},{"body":{"content":" 有些阴道炎哈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365985},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369210},{"body":{"content":" 好吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458301},{"body":{"content":" 用什么处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050465904},{"body":{"content":" 稍微问下，卫生巾和棉条哪一个比较好？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495293},{"body":{"content":"以上禁忌症有吗？、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523339},{"body":{"content":"卫生巾或者卫生棉都可以的，您月经期间勤换，每天清洗外阴，换洗内裤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543519},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545272},{"body":{"content":" 没有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559235},{"body":{"content":"等您月经干净三天，您可以使用**********放置阴道，每天睡前放1粒，用6天；同时配合洁尔阴洗液，10ml稀释*****后清洗外阴，早晚清洗外阴；使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050574992},{"body":{"content":"点击链接可以直接购买的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593681},{"body":{"content":"治疗期间不要同房，不要饮食辛辣刺激的食物和甜食，多喝水，减少熬夜，适当运动提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594672},{"body":{"content":"红斑狼疮可以正常用吗？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695828},{"body":{"content":"外用药一般影响不大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709874},{"body":{"content":" 好的 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806378},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823841},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050824826},{"body":{"content":"阴道炎跟卫生、饮食、作息，身体体抗力下降有关系，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828517},{"body":{"content":"建议您饮食宜清淡，忌辛辣刺激、甜的食物，多喝水，多吃水果蔬菜，减少熬夜，治疗期间不建议同房，每日清水清洗外阴（不要洗阴道里面），内裤穿棉质、宽松内裤，可以减少阴道炎复发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829584},{"body":{"content":"再给您一些生活建议可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836413},{"body":{"content":"好的。谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905124},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912633},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978863},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235076}]

女24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、儿童生长发育相关问题的需要，京东平台为您准备了儿科专家一对一服务及专属福利","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049631016},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634260},{"body":{"content":"纯棉的宽松一点，好穿脱的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049679842},{"body":{"content":"您好！6个月宝宝刚做完心脏手术适合穿什么衣服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049695744},{"body":{"content":"\n要注意保暖吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049722892},{"body":{"content":"注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049738286},{"body":{"content":"不能穿太凉快是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049739838},{"body":{"content":"注意**啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049758577},{"body":{"content":"长袖长裤比较合适","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777870},{"body":{"content":"看室内温度。增减衣物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049815786},{"body":{"content":"合理增减衣物，避免引起感冒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049900120},{"body":{"content":"很高兴为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913000},{"body":{"content":"如有疑问，可以再次追加哈！要是没有问题，欢迎您在右上角表扬医生按钮给我点个“满意”的好评！您的满意是对我的支持和鼓励！祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049928153}]

女

2022.05.20