刘继帅

[{"body":{"content":"您好！这里是京东医生皮肤科，很高兴可以为您解答问题，请稍等，我正在阅读你的咨询描述。咨询患者较多，希望你可以在收到我的消息之后，和我说一句话，方便我找到你的聊天页面。非常感谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965465842},{"body":{"content":"除了痒，皮肤表面有什么变化？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965470962},{"body":{"content":"胳膊上长了小疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965551497},{"body":{"content":"请提供图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965577411},{"body":{"content":"这种情况出现多久了，只有胳膊上痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965686392},{"body":{"content":"就昨天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965726365},{"body":{"content":"只有胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965741471},{"body":{"content":"之前有没有受过暴晒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965759091},{"body":{"content":"没有呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965765884},{"body":{"content":"目前的情况考虑是过敏性皮炎，但是没有办法帮你判断具体诱因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965777213},{"body":{"content":"汗湿刺激，摩擦刺激，日光刺激等都有可能导致。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965787881},{"body":{"content":"尤其是洗完澡之后比较痒，其他时间不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965848516},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965853875},{"body":{"content":"目前的情况考虑是过敏性皮炎，但是没有办法帮你判断具体诱因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965860095}]

女20岁

2022.05.20

[{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652877849046},{"body":{"content":"医生 第一张图是最开始检查去年九月份 然后再第二张 然后再第三张今年健康体检","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878322966},{"body":{"content":"麻烦您帮忙看下谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878331067},{"body":{"content":"都考虑良性的，而且都不大，建议每隔3-6个月定期复查就行了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878972395},{"body":{"content":"从第一张到第三张的情况 是越来越好还是越来越差呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879095954},{"body":{"content":"怎么右边的偶尔一次按着会痛 也有硬块 还有点点热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879556356},{"body":{"content":"我看都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880454167},{"body":{"content":"会痛的话能不能用这款用电加热的粗盐袋热敷胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880455514},{"body":{"content":"结节一般不会引起疼痛的，疼痛一般都是乳腺增生引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880483544},{"body":{"content":"痛的不厉害不要紧，建议您可以调整好生活节奏，保持心情舒畅，清淡饮食，忌辛辣，并坚持体育锻炼，就会有所缓解的。如您痛的很厉害，影响平时工作生活了，可以吃点散瘀**的中成药，比如***、****，*****、******，******。遇到月经量多的时候可暂时停药，月经结束后再服药。局部疼痛厉害也可以尝试局部热敷或者乳腺增生贴。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880527490},{"body":{"content":"乳腺囊肿呢 会不会痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880528300},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880542495},{"body":{"content":"这款乳腺贴痛的时候用可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880571110},{"body":{"content":"可以试试的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880579340},{"body":{"content":"这些药平时调理吃可以么 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880619845},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880632977},{"body":{"content":"中成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880641392},{"body":{"content":"会痛的话能不能用这款用电加热的粗盐袋热敷胸部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880679098},{"body":{"content":"温敷","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880686910},{"body":{"content":"热敷容易烫伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880695006},{"body":{"content":"37-40摄氏度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880703853},{"body":{"content":"好的 谢谢 我吃的那些药如果坚持吃两个月 会不会对身体有副作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880719299},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880726899},{"body":{"content":"这种一般没啥副作用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880747652},{"body":{"content":"那我不痛了也坚持吃对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880786719},{"body":{"content":"还有那个*** 我平时煮水喝可以么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880860113},{"body":{"content":"我比较担心 因为这个暂时也不敢怀二胎 怕怀***会变 而且像我这样 医生建议我以后再生小孩的话要不要母乳喂养 母乳会不会让我的情况变差","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881067437},{"body":{"content":"您有空再解答 感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881077783},{"body":{"content":"***可以喝的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881203484},{"body":{"content":"吃个1-2个月差不多了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881215322},{"body":{"content":"母乳喂养可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881227288},{"body":{"content":"这个可以喝么 还有喜欢用******泡脚适合不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882853260},{"body":{"content":"拔罐 能么 还有虾 ** 螃蟹能不能吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882987649},{"body":{"content":"都可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652886200560},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889549714},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889553794},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652889561754},{"body":{"content":"医生 我能不能用土伏 *** ***这三款一起煮水喝 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653025935185},{"body":{"content":"***平时能不能喝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653025967109},{"body":{"content":"晚上睡觉一边鼻子不太通气 估计是有点点鼻炎 不懂喝这些对乳腺 鼻炎好不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653026221768},{"body":{"content":"希望您能抽出点您宝贵的时间为我解答下 祝您生活愉快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653026325689},{"body":{"content":"姑娘，我是西医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028196269},{"body":{"content":"不是很懂中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028204555},{"body":{"content":"***和***我知道可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028227725},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028245242},{"body":{"content":"没事?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653028262979},{"body":{"content":"医生，请您帮我开具检验单","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028451234},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653028453172},{"body":{"content":"开啥药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653030604564},{"body":{"content":"请问我的情况不用吃药么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046472161},{"body":{"content":"总是比较担心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653046481773}]

女32岁

2022.05.20

[{"body":{"content":"用过**，药店也买过湿疹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878936880},{"body":{"content":"你好，从图片条件来看，考虑面部皮炎。与过敏、皮肤屏障功能受损有关。可以外擦0.03%******，每天一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879230600},{"body":{"content":"小硬包的症状和皮炎能对应的上是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879266431},{"body":{"content":"这个药**店有卖么，平时需要注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879289517},{"body":{"content":"和天气冷热有关么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879305911},{"body":{"content":"对的上。大的药店有卖。和冷热有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879598098},{"body":{"content":"生活规律，睡眠充足，调节饮食，多吃蔬菜水果，限制多脂及多糖食物，忌饮酒及辛辣刺激性食物，避免过度精神紧张！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879600223},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880231720},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881138221}]

女34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414453},{"body":{"content":"这里是京东医生平台","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965881387}]

男58岁

2022.05.20

[{"body":{"content":"这种情况考虑耵聍","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965181744},{"body":{"content":"没有不适症状的话，不用担心的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194189},{"body":{"content":"耵聍腺分泌物脱水氧化形成的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298433},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965302362},{"body":{"content":"是这样的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965303335},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965312330},{"body":{"content":"不客气！希望我的建议可以帮助到您！非常感谢您的信任！请对话结束后对我的服务做出评价！祝您早日康复！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965317998}]

女17岁

2022.05.20

[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了，有受伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候，坐姿不好，就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了，没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生，经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗，平躺放松后是否有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈，会有一点点疼，有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到，您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼，转圈，就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话，会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边，没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的，根据您所描述的情况，初步考虑肌筋膜炎，久坐、姿势不良，肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病，对症治疗，理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"请问您有无某些药物过敏史，无肝肾功能异常、无消化道溃疡的病史，（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼，不是骨头，类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息，参考使用*******，一次2片，一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次，每次30分钟，改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ，提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋，温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的，我给您开个电子处方，参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"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。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科检查就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"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":1653051392007},{"body":{"content":"关闭问诊时间临近，如果没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任。请在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463713}]

男21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","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965428700},{"body":{"content":"请问这个情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965435066},{"body":{"content":"以前做过什么检查吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965451686},{"body":{"content":"有半年了吧，没有检查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965519521},{"body":{"content":"好像是一次开夜车，那天有大雾，一直很紧张的开车回家，之后疼痛，开始还以为是累的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965604625},{"body":{"content":"现在一直没好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965623417},{"body":{"content":"怀疑是膝关节骨关节炎，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965662901},{"body":{"content":"要注意以下措施以减缓病情的发展： 1.患者要注意保暖，不要让患处接触凉风； 2.这种情况建议适度休息，控制日常活动量，平时避免机械性损伤，避免爬很陡的楼梯，少走上下坡路；避免长距离行走、久站、攀爬、登高、弹跳、跑步及球类等剧烈运动。 4. 酌情局部理疗、热敷，局部外用*********等，口服***或*******，口服***保护关节软骨！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965676081},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965762389},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965769097},{"body":{"content":"您****，要是想确定是不是膝关节骨关节炎，需要做什么检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966405789},{"body":{"content":"您可以拍片或者做核磁检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966434937},{"body":{"content":"拍片子能看出来吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966531666},{"body":{"content":"是不是必须需要核磁检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966588065},{"body":{"content":"拍片看**关节间隙，当然比如核磁检查好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966748181},{"body":{"content":"不如","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966761112},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966917759},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967085569}]

男40岁

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050080929},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084032},{"body":{"content":"有什么可以帮助的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050165402},{"body":{"content":"您好 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061508}]

女

2022.05.20

[{"body":{"content":"您好，我是呼吸科医生黎泽树，非常高兴由我为您提供医疗咨询服务。\n亲，由于疫情影响，需要明确：1、你是不是疫区的，2、你是否有新冠肺炎接触史，\n 如果有这方面的，请明确回答，谢谢\n另外，请珍惜时间，没有回话，我将不做提问，请理解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049756720},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049789514},{"body":{"content":"不在疫区 没有接触过新冠肺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049836315},{"body":{"content":"还有其他不舒服吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049837846},{"body":{"content":"就是鼻塞可能有一点点发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861260},{"body":{"content":"鼻涕有点黄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049904516},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049908508},{"body":{"content":"十大症状：发热、干咳、乏力、咽痛、嗅（味）觉减退、鼻塞、流涕、结膜炎、肌痛和腹泻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915177},{"body":{"content":"这里面有吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921519},{"body":{"content":"腹泻 鼻塞 流涕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951100},{"body":{"content":"腹泻几天了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049973681},{"body":{"content":"不算腹泻 只是上厕所有点频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050013552},{"body":{"content":"一天几次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047319},{"body":{"content":"三到4次吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062478},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050083599},{"body":{"content":"既往有药物过敏及药物不良反应，肝肾功能损害异常及其他慢性病史吗？近期在使用哪些其他药物？是否在孕期，备孕期，哺乳期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088919},{"body":{"content":"没有 5天前打了二价","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116766},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050129394},{"body":{"content":"那个没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050135573},{"body":{"content":"稍等开处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144834},{"body":{"content":"吞口水可能一点不太舒服 前晚吃了烧烤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050170800},{"body":{"content":"亲开了处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182135},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050216647},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050240219}]

女24岁

2022.05.20