刘继帅

[{"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":"大概有十年了，我媳妇之前也是这种情况，后来就好了，我怀疑是被我媳妇传染的，我之前去过空军总医院看过，开的药抹了就好，过段时间不抹就犯了。我拍的照片是摸过药的，除了胳膊上，大腿外侧也有，也是左右对称的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879157601},{"body":{"content":"犯的时候会有皮屑，抹的药是***，抹几天就好一点，一个周不抹就长皮屑了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879300873},{"body":{"content":"诊断的是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881660500},{"body":{"content":"不抹药时间长了，就会有皮屑，这种情况用什么药？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882173091},{"body":{"content":"帮我推荐推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882489802}]

男43岁

2022.05.20

[{"body":{"content":"您好，我是京东儿科医生宁冬梅，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965058300},{"body":{"content":"宝宝是母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965067614},{"body":{"content":"是的医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965073776},{"body":{"content":"一天大便几次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081290},{"body":{"content":"这种情况多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965088010},{"body":{"content":"昨天开始的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965096379},{"body":{"content":"这两天平均四五次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965104188},{"body":{"content":"中午看的时候是水样便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965114124},{"body":{"content":"晚上给他换的时候发现看着比较严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965130955},{"body":{"content":"有可能是消化不良","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965140859},{"body":{"content":"晚上看着好像胃粘液**出来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965169445},{"body":{"content":"那需要吃什么改善呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965178527},{"body":{"content":"吃上***调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255193},{"body":{"content":"好的谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965274914},{"body":{"content":"不客气，祝宝宝健康快乐成长，有事联系，很高兴为您提供服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330290},{"body":{"content":"非常感谢您的咨询，请在对话结束以后对我的服务做出评价，祝您生活愉快。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965335013}]

男4个月13天

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049671056},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049683371},{"body":{"content":"不可以喂奶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049692432},{"body":{"content":"有传染性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049695215},{"body":{"content":"但是他不吃奶粉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049725839},{"body":{"content":"他可以跟我一起睡吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049754937},{"body":{"content":"不可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049775192},{"body":{"content":"容易得水痘","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049780172},{"body":{"content":"建议不要一个房间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049786284}]

女32岁

2022.05.20

[{"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":1653049822923},{"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":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"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，请您及时上线咨询或去医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049739065},{"body":{"content":"血常规问题不大，别担心。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049768254},{"body":{"content":"孩子发烧呢，考虑就是病毒感染或疫苗接种的原因，暂时可观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049777869},{"body":{"content":"已经发烧5天，前几天发烧到38.5，吃了***就退了，但从昨天开始(第六天）开始低烧（37.5左右），吃了***，小**温度还不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050171031},{"body":{"content":"那么拍胸片了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050200942},{"body":{"content":"有可能是幼儿急疹啊，所以可以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210605},{"body":{"content":"宝宝精神还不错，稍有闹腾","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050212554},{"body":{"content":"总之再观察一天吧，应该快退烧了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050258762},{"body":{"content":"这个没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280316},{"body":{"content":"幼儿急疹不是三四天就下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286517},{"body":{"content":"有可能是幼儿急疹啊，所以再观察一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050293607},{"body":{"content":"我们这烧7天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050314400},{"body":{"content":"一般是反复发烧3~5天，如果发烧7天了，那么要排除是不是有川崎病的可能性，检查一下心脏彩超，做血培养支原体抗体等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341066},{"body":{"content":"这没问题呀","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050480572},{"body":{"content":"住院了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050497642},{"body":{"content":"那为啥一直发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050507290},{"body":{"content":"没有，我们精神挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525589},{"body":{"content":"一般就是病毒感染，你再检查一下支原体和****。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050527024},{"body":{"content":"如果孩子现在体温逐渐下降不太高的话那么也可以先观察","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050539171},{"body":{"content":"那小**还要吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050588272},{"body":{"content":"有体温的话可以吃。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602750},{"body":{"content":"可是吃了体温也不降","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643784},{"body":{"content":"这个不好说了，因为没有找到具体原因，但是体温也逐渐下降了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050701450},{"body":{"content":"具体什么原因导致了发烧，还不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050711315},{"body":{"content":"还是再观察一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051180402},{"body":{"content":"因为体温也逐渐下降了，而且精神状态挺好的，可以暂时观察。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051204209}]

女8个月8天

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":"您好，我是主治医师王现磊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135579},{"body":{"content":"您好，我是京东互联网医院王医生，很高兴为您提供线上咨询服务，请问您有什么问题需要咨询？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156855},{"body":{"content":"建议选择****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170585}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655968},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673944},{"body":{"content":"家里老人，身上一到夏天就痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690746},{"body":{"content":"其他季节没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049704566},{"body":{"content":"这次几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736451},{"body":{"content":"有一个月左右了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049759393},{"body":{"content":"和季节有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784806},{"body":{"content":"过敏导致的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049790056},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049790428},{"body":{"content":"可以口服*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049808166},{"body":{"content":"过敏？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049811885},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849017},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857953},{"body":{"content":"平时应该注意什么啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049878705},{"body":{"content":"没有什么注意的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890619},{"body":{"content":"有没有外用的药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049929274},{"body":{"content":"可以用*******兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049967391},{"body":{"content":"好，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987578},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050009781},{"body":{"content":"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?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050025628},{"body":{"content":"肝肾功能正常，只有皮肤痒的历史。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081103},{"body":{"content":"开了两盒，可以兑水洗澡","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050137337},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050156673},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182245}]

男80岁

2022.05.20

[{"body":{"content":"您好，我是普内科医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051196896},{"body":{"content":"大夫您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051208813},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051213462},{"body":{"content":"之前用过是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051216312},{"body":{"content":"请问您既往有药物过敏，肝肾损害及其他疾病史么？用**药物有不良反应么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218656},{"body":{"content":"我想让你给开处方单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233883},{"body":{"content":"嗯 之前用过 没有不良反应是吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241946},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051250102},{"body":{"content":"好的 需要1盒么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051260034},{"body":{"content":"我想来一个***的*********","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269744},{"body":{"content":"嗯 需要一盒么 给您开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051277520},{"body":{"content":"很多个盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288583},{"body":{"content":"最多能开几盒？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051297526},{"body":{"content":"6盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051312454},{"body":{"content":"那就给开六盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051327524},{"body":{"content":"好的，用药前请仔细阅读药品说明书中禁忌，过敏史及注意事项，如无禁忌且不在********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":1653051340381},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353623},{"body":{"content":"给您开了处方 您点击上方处方单 点击：“查看详情”——“预约药品”，就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355755},{"body":{"content":"好的呢，这个药能长期使用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400417},{"body":{"content":"有什么副作用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051416684},{"body":{"content":"可以 但是改善便秘需要综合治疗，建议摄入足够的**，要适量的运动（可以促进肠胃蠕动），改善饮食结构（如增加****如韭菜和芹菜，以及多摄入一些未加工的豆类，全谷物，多吃粗粮、蔬菜、水果等，还可以适当吃些酸奶，粗茶淡饭）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051422483},{"body":{"content":"副作用就是腹泻 腹痛 肠功能紊乱等问题 其他没什么大的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051441025},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051450867},{"body":{"content":"也有过敏的可能 但是您之前吃过没有问题的话 一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051454611},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051463409},{"body":{"content":"嗯 好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051466690},{"body":{"content":"您后续有什么问题，可以再点我咨询，谢谢您的支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051941652}]

女42岁

2022.05.20