刘继帅

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050378282},{"body":{"content":"您好，颈椎病平时应该注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408672},{"body":{"content":"怎么锻炼呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426915},{"body":{"content":"颈椎不好，时不时会引起**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444940},{"body":{"content":"你这个情况有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050546018},{"body":{"content":"有四五年了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050595805},{"body":{"content":"如果是颈椎引起的话，注意平时的生活习惯，注意患处保暖，可以做颈椎保健操","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634914},{"body":{"content":"颈椎操怎么做啊？有参考的视频之类的么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050674657},{"body":{"content":"有的 网上有很多的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050687842}]

男30岁

2022.05.20

[{"body":{"content":"您好。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878499020},{"body":{"content":"请说一下具体病史，如发病时间和部位，症状，有无诱因，家族史，既往史，医院化验结果，诊断， 治疗方案，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878849286},{"body":{"content":"后背，腋下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878865859},{"body":{"content":"化验单刚才发的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878879511},{"body":{"content":"两大块儿，手上之前走过烧伤，感觉开始有小点点的白。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878948430},{"body":{"content":"后背腋下照片发给我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879003392},{"body":{"content":"好的马上拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879058500},{"body":{"content":"后背","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879094766},{"body":{"content":"您看是***吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879129486},{"body":{"content":"腋下跟这个类似，然后就是手上很早年烧伤过，看着像是开始有小白点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879251520},{"body":{"content":"有没有预防再在别处长的药或打针之类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880142114},{"body":{"content":"是***！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882524411},{"body":{"content":"预防发展就是用**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882553166},{"body":{"content":"吃药片或打针都行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882574311},{"body":{"content":"能直接给开药？还是要到医院？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884765850},{"body":{"content":"您推荐吃药还是打针好？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652884795330},{"body":{"content":"**哪能瞎开啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884929788},{"body":{"content":"必须去医院面诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884943531},{"body":{"content":"如果开点外用药膏还可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884963618},{"body":{"content":"吃药麻烦但是可以精确控制**的剂量，打针方便（一月一针）但不能精确控制剂量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885046821},{"body":{"content":"打扰下，打针一般需要几针，一个月到一次医院是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652968746320},{"body":{"content":"一两针就好了，一个月到一次医院","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653002754293}]

女48岁

2022.05.20

[{"body":{"content":"晚上好！非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879147513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879152563},{"body":{"content":"下班了吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879166548},{"body":{"content":"请您详细的描述一下您的症状好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879168947},{"body":{"content":"我就是用手多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879211670},{"body":{"content":"现在勃起不来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220381},{"body":{"content":"嗯，有没有腰膝酸软，头晕乏力，失眠多梦的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879238056},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879247460},{"body":{"content":"晚上有时候会失眠","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879256521},{"body":{"content":"嗯，您平时怕冷还是怕热？有没有手脚冰凉，遗精盗汗的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879265281},{"body":{"content":"有时候睡得很晚 醒的很早","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879272830},{"body":{"content":"偶尔会有 盗汗倒不是很严重 以前吃六味地黄丸 盗汗就差不多治好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879307122},{"body":{"content":"嗯，平时怕冷的多还是怕热的多了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879326917},{"body":{"content":"都还好吧 没太注意过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879365953},{"body":{"content":"有没有尿频，尿急，尿痛，尿不尽，尿分叉，尿等待，小腹不适，阴囊潮湿，腰酸腰痛的情况？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879388682},{"body":{"content":"阴囊潮湿偶尔会有 ，腰酸腰痛也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879440027},{"body":{"content":"**症状没有是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879458868},{"body":{"content":"尿频，尿急，尿不尽，尿分叉，尿等待，小腹不适 用手完了以后偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879473340},{"body":{"content":"记忆力没以前好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487687},{"body":{"content":"别的就没了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879492313},{"body":{"content":"平时这个有频繁的手淫习惯对吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879510247},{"body":{"content":"对啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879540611},{"body":{"content":"嗯，首先建议要坚决戒除手淫的坏习惯，这个坏习惯对身体是影响非常大的，一定要戒除!!! 不要看刺激的图片或视频，一旦有这个想法，赶快要转移注意力，否则以后影响身心.会越来越严重，却记","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879584043},{"body":{"content":"现在一有感觉就想用手 可是勃起不来 就算*** 也不赢 不到两分钟一会就软","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879597261},{"body":{"content":"我会**戒掉的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879607045},{"body":{"content":"因为长时间的手淫会导致阴茎海绵体严重受损，严重的影响身体健康！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660909},{"body":{"content":"平时有没有喝酒，吃辛辣刺激性的东西，憋尿，久坐，熬夜等不良习惯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879673578},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879673790},{"body":{"content":"这些都有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879685629},{"body":{"content":"建议您在饮食上尽量清淡、避免烟酒、少食辛辣食物、规律饮食、保持心情舒畅。规律作息时间，不要熬夜。平时可以适量进行体育锻炼，增加自身免","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879696318},{"body":{"content":"现在开始戒酒了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879696354},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706848},{"body":{"content":"根据你所描述的症状，您这是肾阴阳两虚和平时生活的不良习惯导致勃起功能障碍的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879751922},{"body":{"content":"能治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879775159},{"body":{"content":"放心吧，可以治疗康复的。针对你的情况，结合我多年的临床经验，建议你这种情况采用*西药结合治疗。达到标本兼治的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879794233},{"body":{"content":"这个是不是也是阳痿了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879795554},{"body":{"content":"能从地方药店买到吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879813300},{"body":{"content":"药的话我这里帮你开处方，然后通过京东互联网医院帮你安排邮寄治疗就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879866192},{"body":{"content":"现在快递很慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879900598},{"body":{"content":"而且我现在还在***这边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879918821},{"body":{"content":"根据你描述的情况，您这个情况建议服用，*****，****，****，来起到一个最佳的改善和恢复的治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879920286},{"body":{"content":"建议配合治疗，因为线下不一定有咱们的药，也方便你后期复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879961003},{"body":{"content":"****。。。 不是**啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879963629},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880000794},{"body":{"content":"****是助你勃起功能障碍的药，还有两位是中药稳固治疗，才能起到最佳的效果，好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880042474},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880060044},{"body":{"content":"嗯，要帮你开处方治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880067732},{"body":{"content":"这个?多久见效啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880069694},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880072834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880087549},{"body":{"content":"服用一个疗程10天左右的药，就基本改善恢复，达到满意稳定的情况后，就可以考虑停药了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880139642},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153223},{"body":{"content":"根据您的症状情况为了您的用药安全，请问您是否有药物过敏史，肝肾功能异常或其他病史吗？是否在备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880158926},{"body":{"content":"没有过敏的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880175073},{"body":{"content":"就是在备孕。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880182876},{"body":{"content":"嗯，建议您这个情况先调理好身体，然后再备孕，否则会影响你的备孕情况好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880217959},{"body":{"content":"我觉得备孕期间吃 ****。。。 不是特别好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880229865},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880236277},{"body":{"content":"好的您稍等，我这就帮你开处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880251120},{"body":{"content":"*****，****，**** 这三种药还吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880262411},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880425821},{"body":{"content":"是的，一起服用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880453942},{"body":{"content":"处方帮你开好了，你点击购买就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880484406},{"body":{"content":"购买成功后给我说一声，我把我个人二维码发给您，方便日后复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880507724},{"body":{"content":"就这三种吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880545121},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880553712},{"body":{"content":"哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880569580},{"body":{"content":"购买成功了给我说一声，我帮你留一个复诊名额","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880599177},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880632039},{"body":{"content":"这些能吃多长时间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880722143},{"body":{"content":"这是一个疗程7天左右的用药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880742043},{"body":{"content":"先服用一个疗程的用药看看，达到稳定和满意的情况后，就可以考虑停药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880936977},{"body":{"content":"你购买成功了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880975062},{"body":{"content":"你好，你点击购买成功了吗？您这个情况不能再往后拖了，你现在还年轻，及时调理的话还是比较好康复的，不要拖到后期严重了，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882002040},{"body":{"content":"早上好！昨天帮你开的处方审核通过了，你点击购买成功了吗？然后我好帮你做健康档案登记，留复诊名额。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652920093505},{"body":{"content":"主要是怕快递。。。 寄来的慢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652921979918},{"body":{"content":"放心好了！现在帮你安排邮寄，大概三天左右您就能收到了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922011086},{"body":{"content":"那么长时间都过来了，咱们也不差这两三天对吧！建议配合治疗，才能得到改善和恢复好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922056071},{"body":{"content":"这是我作为医生，给你的建议，你自己考虑吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922097382},{"body":{"content":"你现在还年轻，及时调理的话，那么还是比较好康复的，不要拖到后期严重了在治疗，那么就不好治疗了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922176197},{"body":{"content":"帮你开的药都是根据你的身体情况，来搭配取到最佳改善和恢复治疗的药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922592811},{"body":{"content":"线下不一定有咱们的药，而且方便你复诊好吧！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652922617832}]

男25岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024099804},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024104129},{"body":{"content":"小便时尿道刺痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024112817},{"body":{"content":"出现这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024114158},{"body":{"content":"今天刚开始","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024122025},{"body":{"content":"有没有尿道口分泌物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024144463},{"body":{"content":"总是湿湿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024163882},{"body":{"content":"近期有没有性生活?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024167058},{"body":{"content":"两周前有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024227477},{"body":{"content":"还有没有其他不适症状?\n","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024236416},{"body":{"content":"最近没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024238591},{"body":{"content":"没有其他不适症状","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024251457},{"body":{"content":"考虑是泌尿道感染了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024254284},{"body":{"content":"建议到线下医院检查一下尿常规，泌尿系B超","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024264686},{"body":{"content":"可以药物治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024320680},{"body":{"content":"暂时没有时间去医院?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024337282},{"body":{"content":"最好是先检查明确，再用药治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024338245},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024345481},{"body":{"content":"有没有药物过敏史?肝肾功能是否正常？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024345918},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024351506},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024358687},{"body":{"content":"是实名注册的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024366037},{"body":{"content":"不知道","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024372576},{"body":{"content":"不是实名，不能开具处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024375918},{"body":{"content":"***，是你的真实姓名吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024411125},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024417368},{"body":{"content":"治疗期间不要同房，不要喝酒，饮食忌辛辣刺激性食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024538645},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653024557618},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653024574659}]

男20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":1653047863538},{"body":{"content":"结婚几年没孩子 怀过一次 没胎心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047905267},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047915960},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047921312},{"body":{"content":"后来**过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653047969892},{"body":{"content":"做过相关检查吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653048257411}]

女32岁

2022.05.20

[{"body":{"content":"您好， 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":1653049906600},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921163},{"body":{"content":"最好喝***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049929073},{"body":{"content":"***吸收好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049934220},{"body":{"content":"如果没有药物过敏和不良反应可以按说明书使用，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051672333}]

女1岁

2022.05.20

[{"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":1653049657759},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725112},{"body":{"content":"您能帮我看看过敏源结果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743731},{"body":{"content":"总IGE浓度高是怎么回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049761513},{"body":{"content":"发下结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049769640},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049819142},{"body":{"content":"平时有什么过敏吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049826542},{"body":{"content":"前阵子去检查哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049899416},{"body":{"content":"IgE多与过敏性的反应有关，总IgE升高最常见于过敏体质的人，或者有过敏性疾病的患者。另外，寄生虫感染引起的变态免疫反应，也会引起总IgE升高，部分的血液系统疾病例如部分的骨髓瘤，还有霍奇金淋巴瘤等疾病，也可能会出现总IgE的升高。真菌感染、病毒感染或者结核病等少部分特异性的感染性疾病，患者也可能会出现总IgE的升高，与免疫功能相关的疾病包括类风湿性关节炎、格林-巴利综合征或者高IgE综合征、肾病综合征等疾病都有可能会出现总IgE的升高。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935421},{"body":{"content":"血常规还有****检查都显示是过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049944973},{"body":{"content":"建议进一步检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951764},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050021673},{"body":{"content":"不客气，建议进一步检查。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050103691}]

男39岁

2022.05.20

[{"body":{"content":"您好，我是全科医生李宛霖，非常高兴由我为您提供咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050621543},{"body":{"content":"李医生介绍：12年毕业于西南医科大学临床医学,从业十年，一次性通过内科主治、全科主治。擅长社区常见病包括：心血管、内分泌、呼吸科、消化道疾病，婴幼儿喂养，以及皮肤科、妇科、男科、五官科常见疾病的诊治。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050622675},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050634683},{"body":{"content":"我想买几盒***。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658990},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050667592},{"body":{"content":"癫痫多长时间检查一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718689},{"body":{"content":"原来在**检查了，疫情期间有一年多没给孩子检查啦。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740611},{"body":{"content":"开六盒吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050765129},{"body":{"content":"一般是3-6个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050770163},{"body":{"content":"那我们这个不会有什么问题吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788143},{"body":{"content":"如果没有发作，一般说明药物控制可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807940},{"body":{"content":"平常挺好的，今天有点儿发热，发作了一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050844752},{"body":{"content":"不知道是药量不高，还是发热引起的。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858705},{"body":{"content":"如果发作了，必须线下复诊调药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050859554},{"body":{"content":"嗯嗯，好的，明天去化验一下。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050882482},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050898192},{"body":{"content":"我这边先给您开2盒吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050907057},{"body":{"content":"请问是否有其他基础疾病，在用药，是否有肝肾功异常，药物过敏？（例行询问用药禁忌）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050914408},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920395},{"body":{"content":"我们孩子大了两盒吃不了几天。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050920766},{"body":{"content":"现在吃的多大计量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933035},{"body":{"content":"一颗半","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947625},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050957928},{"body":{"content":"尽量给您多开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050961028},{"body":{"content":"这些用药禁忌都没有对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050967303},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981148},{"body":{"content":"这可以了吗？我怎么下单呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066309},{"body":{"content":"处方已经审核通过，您可以直接点击处方购买\n在上面，有个绿色的小卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092784},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051108775},{"body":{"content":"您直接点击我给您开的处方，付款就可以，就是那个绿色的卡片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110722},{"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开具的药品，如您在用药过程中出现不适，比如：皮疹、皮肤瘙痒、发热等不适，请您及时停药并线上咨询或去医院就诊。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112681},{"body":{"content":"生活建议：保持良好情绪睡眠，适当运动，避免情绪激动，避免强光强声刺激，避免长期辛辣食物刺激，线下神经内科就诊，规律药物治疗，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051417814},{"body":{"content":"后续如果还需开药，可以直接找我，我这边有您之前的问诊记录，开药会比较方便快捷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051712080},{"body":{"content":"如果没有其他问题，我这边就给您关诊了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051753486},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任，祝您工作生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051755197}]

男16岁

2022.05.20

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

男31岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965709870},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965836945},{"body":{"content":"报告发来看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965846084},{"body":{"content":"中年妇女乳腺炎消炎了但是有硬块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965877554},{"body":{"content":"发现多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965950555},{"body":{"content":"十多天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965967458},{"body":{"content":"皮肤有无红肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986329},{"body":{"content":"发烧吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965991751},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965994056},{"body":{"content":"不发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966000435},{"body":{"content":"可以查乳腺彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966013917},{"body":{"content":"查了，是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966052179},{"body":{"content":"有没有化脓","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966069103},{"body":{"content":"有化脓","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966091809},{"body":{"content":"需要手术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966100279},{"body":{"content":"不手术，可以痊愈吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966216388},{"body":{"content":"不能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966233257},{"body":{"content":"会危机生命吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966251564},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966259241},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966289268},{"body":{"content":"别客气，亲。要是没问题，欢迎您给我一个“满意”评价（评价按钮在页面右上角，问题关闭后页面下面也可评价）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966296754}]

女52岁

2022.05.20