刘继帅

[{"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":"您好，我是主治医师邵珠琳，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050380451},{"body":{"content":"请问需要什么帮助?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050391967},{"body":{"content":"家里54岁老人，心肌缺血，想要营养心肌用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050426501},{"body":{"content":"您有推荐么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050432918},{"body":{"content":"有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050441768},{"body":{"content":"患者有什么症状?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050872020}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834447},{"body":{"content":"请问你有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049857453},{"body":{"content":"就是大便次数比较少，然后有的时候胃痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049897005},{"body":{"content":"多长时间大便一次？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049926422},{"body":{"content":"除了胃疼有没有胃胀反酸烧心，食欲怎么样？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049943351},{"body":{"content":"大便次数少，便量很少 食欲正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049982342},{"body":{"content":"一星期能排便一次吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020788},{"body":{"content":"排便费劲儿吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028326},{"body":{"content":"你刚才发了点检查报告吧，你重新发一下我看一下，我现在看不到。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080145},{"body":{"content":"我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110247},{"body":{"content":"回肠这块的病变看病理，结果确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170144},{"body":{"content":"其他方面问题不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050177520},{"body":{"content":"回肠这块怎么看？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287545},{"body":{"content":"我看已经取了活检了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050375976},{"body":{"content":"取下来的组织会到显微镜下去看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050384764},{"body":{"content":"应该是没啥大毛病吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091907},{"body":{"content":"如果活检没事儿，就没什么大事儿。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359168}]

女21岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0493，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051044928},{"body":{"content":"什么部位有这种情况呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049461},{"body":{"content":"额头上","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051066774},{"body":{"content":"稍等，我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074368},{"body":{"content":"最初是外伤引起的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051092791},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、是否有过敏史），如果没有则回复“无”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051134400},{"body":{"content":"小时候摔跤磕到的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051135783},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051139399},{"body":{"content":"请问针对您的症状，最近是否使用过药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051152894},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165871},{"body":{"content":"好的，稍等帮您推荐一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051174343},{"body":{"content":"您可以参考一下这个产品，对您说的情况比较合适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240844},{"body":{"content":"***，一天两次，外用看看的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252801},{"body":{"content":"建议您平时少吃油腻、刺激性食物，近期不吃鱼虾蟹等发物，不要挤压患处，以免继发感染，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291611},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051297447},{"body":{"content":"要用多久才会有效果呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051373191},{"body":{"content":"一般一个月是一个疗程的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051394504},{"body":{"content":"可以先用一个疗程，看一下改善的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051403430},{"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":1653051481183},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482788}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049634724},{"body":{"content":"不建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049638360},{"body":{"content":"是有副作用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049658370},{"body":{"content":"孩子额头痤疮严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049667108},{"body":{"content":"18岁以上建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049672476},{"body":{"content":"对肝肾功能影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049687787},{"body":{"content":"还有别的口服药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049714717},{"body":{"content":"11岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732352},{"body":{"content":"孩子太小不建议口服","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049773091},{"body":{"content":"能用什么药物？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049801671},{"body":{"content":"如果不重可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049860563},{"body":{"content":"额头严重 有的冒出白色东西 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049895364},{"body":{"content":"不用用手扣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908748},{"body":{"content":"可以外用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049913438}]

女9岁

2022.05.20

[{"body":{"content":"您好，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049840658},{"body":{"content":"小孩子喉咙发炎导致的发烧吃的这些药，现在不发烧了，喉咙还有点发烧，还有点痰鸣音，现在还可以用吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049954185},{"body":{"content":"喉咙还有点发炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977631},{"body":{"content":"孩子精神状态怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049988661},{"body":{"content":"体温最高多少度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994068},{"body":{"content":"精神状态很好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049997600},{"body":{"content":"**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003369},{"body":{"content":"现在不发烧了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050016378},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027307},{"body":{"content":"精神好就问题不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050036685},{"body":{"content":"吃了那些药之后不发烧了就是痰鸣音还有点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050046392},{"body":{"content":"如果仅仅喉咙不舒服可以继续喷那个喉咙的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075275},{"body":{"content":"那他喉咙还有点呵呵的声音","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050146703},{"body":{"content":"有咳嗽吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050166705},{"body":{"content":"有时候有点咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050177469},{"body":{"content":"精神好就继续用药观察下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050208666},{"body":{"content":"现在就是没有药了，想开单买药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050240229},{"body":{"content":"给您开了前面两个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050376977},{"body":{"content":"其他两种我觉得可以不用了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394692},{"body":{"content":"咳嗽那他咳嗽这个问题有没有药可以用的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050529722},{"body":{"content":"可以吃点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559864},{"body":{"content":"或者继续给您开*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050599529},{"body":{"content":"6个月7天的宝宝可以用*****吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050611346},{"body":{"content":"量是多少？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050619526},{"body":{"content":"哪一种药好就开哪一种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650982},{"body":{"content":"如果之前吃了*****就继续吃这个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050678943},{"body":{"content":"那就继续吃*****吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050701858},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050729540},{"body":{"content":"需要开吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735154},{"body":{"content":"开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050740509},{"body":{"content":"之前的吃完了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050757539},{"body":{"content":"明天还有一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050778295},{"body":{"content":"给您开好了，您核对下！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806996},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050858296},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050882984}]

男2岁6个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050397365},{"body":{"content":"医生你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050404400},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404539},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050407189},{"body":{"content":"就是晚上发现这里长了好多小红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435851},{"body":{"content":"我今天这个地方背了比较重的东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050464651},{"body":{"content":"就这块附近长了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474395},{"body":{"content":"医生怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050479707},{"body":{"content":"看照片考虑毛周角化症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050482558},{"body":{"content":"这是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050483109},{"body":{"content":"这个可以不用管它","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491327},{"body":{"content":"它会自己消掉吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549905},{"body":{"content":"一般不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050556356},{"body":{"content":"好多，好丑的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556559},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559324},{"body":{"content":"那怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562020},{"body":{"content":"就一直长成那样了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050571722},{"body":{"content":"可以试试外用中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572972},{"body":{"content":"用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050580495},{"body":{"content":"可以外用*******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598936},{"body":{"content":"这病严重的吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050610179},{"body":{"content":"不严重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618999},{"body":{"content":"咋感觉拿点重的东西就会有这病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050627274},{"body":{"content":"我的手也有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050639146},{"body":{"content":"但是少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050643136},{"body":{"content":"偶尔会发现一颗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050650050},{"body":{"content":"也可以观察一段时间","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653800},{"body":{"content":"现在是一大片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050657317},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050660107},{"body":{"content":"一般不用理它是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050668916},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050679303},{"body":{"content":"这病会遗传吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050681228},{"body":{"content":"有遗传","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050693663},{"body":{"content":"如果母亲有这病，小孩会有吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695174},{"body":{"content":"不一定","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050710700},{"body":{"content":"医生，拿药怎么用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720426},{"body":{"content":"那药怎么用？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728221},{"body":{"content":"一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050731943},{"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?是否正在服用药品？是否在备孕期、妊娠期或哺乳期","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050735571},{"body":{"content":"直接涂就好了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050737947},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050750092},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761979},{"body":{"content":"直接外用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050766182},{"body":{"content":"好的，我已经下单了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050865137},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050869704},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050940905}]

女26岁

2022.05.20

[{"body":{"content":"帮忙开个处方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878661387},{"body":{"content":"您好，我是马医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878663188},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878664652},{"body":{"content":"你是本人咨询吗？以往有过线下就诊经历吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878665977},{"body":{"content":"您好，请问您之前在线下医院就诊过吗？目前的药物是您本人在服用吗？具体的诊断是什么？有带有患者名字的诊断记录/病历/处方单/检查单等就诊资料吗？请发给我看一下，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878671786},{"body":{"content":"是的，精神分裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878713706},{"body":{"content":"因为精神科药品的特殊性，平台咨询不能代替线下就诊，所以我们只能给要过线下就诊经历诊断明确的病情稳定的开具处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878726455},{"body":{"content":"不可开方情况：\n１.　用药指导不可以\n２.　门诊缴费凭证不可以\n３.　互联网平台处方凭证不可以\n 4. 取药单不可以\n 5. 发票单不可以\n 6. 非精神心理科提供的凭证不可以！（神经内科规范处方除外）\n以上均缺乏专业认证！！！！！！！\n\n可开方情况（满足一种即可)：\n特别说明：以下可开方情况的专业认证与本次问诊的患者姓名、诊断、药品名称三者必须全部一致，否则不可开方！！！！！！！\n\n１．门诊病历（可无盖章，必须有医生签名）\n２.　住院病历（必须有医院公章）\n３.　出院小结（纸质手写必须有医院公章，电子版可无公章）\n４.　诊断证明（必须有医院公章）\n５.　处方单（必须有医生签名）\n 6· 线下实体医院自有互联网医院处方单（必须有医生签名）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879085715}]

女37岁

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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965259994},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965264379},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271609},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280343},{"body":{"content":"怀孕了下面流绿色液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965322873},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359745},{"body":{"content":"有痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965367530},{"body":{"content":"什么感染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965369501},{"body":{"content":"有异味吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375083},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965381082},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965389773},{"body":{"content":"滴虫感染。可有绿色白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403316},{"body":{"content":"建议检查一下白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965416655}]

女22岁

2022.05.20