刘继帅

[{"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":1653050310380},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050313559},{"body":{"content":"一般都是就近安排发货，京东在全国各地都有仓储库","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379428}]

女

2022.05.20

[{"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":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879070773},{"body":{"content":"一直持续的气短 呼吸困难 干呕 **","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879110703},{"body":{"content":"可以说得更具体，比如发生的时间？有多久了？和以前有区别吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879160653},{"body":{"content":"一直有 隔半小时就会有一会 然后又停一会 再继续 有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879204774},{"body":{"content":"以前没那么频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879215110},{"body":{"content":"现在每天都会","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879220435},{"body":{"content":"睡眠情况或者食欲如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879306001},{"body":{"content":"没什么食欲 睡眠一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879352948},{"body":{"content":"想吃东西 但是吃不进 吃两口就不想吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879371233},{"body":{"content":"还有时候全身无力 用不上力气要不然就是很想用力抓着东西","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879423679},{"body":{"content":"目前是高三阶段？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879660388},{"body":{"content":"对的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879710079},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881191975},{"body":{"content":"医生？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881260404},{"body":{"content":"依据京东健康服务要求，首次开药，需要提供既往病历和处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652884182789},{"body":{"content":"我们团队正在参加全国科普视频大赛，投票通道见二维码。我们是56号作品，共有四个视频，请全部点赞。一个视频链接请点一个赞（多点无效）。截止时间是7月3日24：00。感谢您的支持 。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656039263361},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656846356210},{"body":{"content":"围绕青少年问题，我们团队制作了科普视频，正在参加全国科普大赛复赛，截止时间是7月3日24时https://pro.m.jd.com/mall/******/4********************9******/index.html欢迎您点赞支持（一个视频点一个赞，多点无效）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1656847802846}]

女19岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生汪娟，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051184027},{"body":{"content":"收到，请稍等，我正在详细阅读您的报告单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051195833},{"body":{"content":"您****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051204359},{"body":{"content":"看到了您上面的检查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051241766},{"body":{"content":"**还可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247510},{"body":{"content":"您目前有阴道出血或腹痛吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051255574},{"body":{"content":"左下腹偶尔有一点点隐隐痛的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051280873},{"body":{"content":"平时月经规律吗？多少天来一次？最后一次月经哪天来的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280943},{"body":{"content":"平时月经不规律，有时候差不多两个月才来一次，最后一次来月经是上个月的4号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051322830},{"body":{"content":"嗯，那目前停经有46天，但从超声看应该没有这么长时间，考虑近期受孕的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051383789},{"body":{"content":"从超声看目前36天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051443109},{"body":{"content":"请问医生，那早期有什么注意的事项吗，我这是第一胎，不知道有什么该要注意的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051457791},{"body":{"content":"**吃上了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473869},{"body":{"content":"吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051483976},{"body":{"content":"昨天检查怀孕了之后就开始吃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051495963},{"body":{"content":"嗯嗯。继续用上，如无用药禁忌，后续保持生活作息规律，心情愉悦，饮食清淡，劳逸结合，保持大便顺畅，暂禁性生活，勿提重物，定期产检。如有阴道出血或腹痛需要及时线下医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551343},{"body":{"content":"好的，那饮食上有什么注意的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051586190},{"body":{"content":"辛辣刺激的及冰冻的食物不要吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630005},{"body":{"content":"别的可以适量都吃点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051641548},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051667325},{"body":{"content":"不客气，请问还有什么可以帮助到您的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051690420},{"body":{"content":"没有了，谢谢医生，麻烦医生了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051706356},{"body":{"content":"好的，希望我的建议能够帮助到您，祝您生活愉快，孕期顺利，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051791115}]

女24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049992457},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050011441},{"body":{"content":"多长时间了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050048420},{"body":{"content":"6.7年了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050071197},{"body":{"content":"都开始脱发","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075635},{"body":{"content":"不长头发了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050080197},{"body":{"content":"看照片考虑脂溢性r皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102616},{"body":{"content":"脂溢性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106844},{"body":{"content":"我没有红斑一类的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154293},{"body":{"content":"也不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157163},{"body":{"content":"我基本头发一天就油了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050168217},{"body":{"content":"可以用****洗头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050195805},{"body":{"content":"少吃辛辣，少熬夜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202479},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255027},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050261761}]

男25岁

2022.05.20

[{"body":{"content":"您好!\n我是卢主任，非常感谢您的信任，很高兴由我为您提供医疗咨询服务。正在详细阅读您的病情描述，为进一步分析希望您再仔细描述一下下列情况。\n\n1.目前主要怎么不舒服，症状出现多久了？\n2.还有局部其他症状出现吗？\n3.是否有医院检查或治疗过？有用过什么药物？\n4.为了给您更准确的诊断，如果方便最好拍个局部照片看一下（平台对您的病史，照片保密，请您放心）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878798050},{"body":{"content":"就是今天发现屁股眼上长了肉疙瘩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879510257},{"body":{"content":"不知道多久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879525725},{"body":{"content":"然后这阵子大便干结，拉不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879550705},{"body":{"content":"根据您的症状及提供病史情况，初步考虑便秘引起“痔疮”，我可以给您一些用药方面的建议。为了您的用药安全，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？您是否处于生理期、备孕期、孕期或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652885176551},{"body":{"content":"没有药物过敏，近期有过玫瑰糠疹，还没有完全好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652886482438},{"body":{"content":"肛周瘙痒容易反复发作，与个人生活习惯和体质有关。治疗在于三分治七分养，在发作期可以用药物控制瘙痒症状，缓解期要注意保养，保持肛门透气，避免经常潮湿，减少复发，提高生活质量。\n建议\n1、饮食:注意清淡饮食，多吃蔬菜水果、粗粮等纤维素含量高的食物，不要吃**等辛辣刺激食物，多喝水，保持大便软通畅，避免便秘或者腹泻。避免接触过敏源，刺激物。\n2、排便:大便以后避免用力摩擦及用带有香味的纸巾**擦屁股，避免过度清洁及有刺激性的洗剂应用，最好凉水冲洗后柔纸蘸干，（可以配合睡前*****半片泡5000ml坐浴10分钟，每天1～2次，坐浴水温不宜太高，太高会更痒）。注意肛周卫生，勤换内衣内裤，保持肛周透气。\n3、避免局部搔抓，注意局部保湿，可考虑局部尿素乳膏外涂保护皮肤屏障避免感染。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964459953}]

女35岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049850568},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049853742},{"body":{"content":"近日期生产的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049859313}]

女

2022.05.20

[{"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":"你好，现在有什么症状吗？能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965540168},{"body":{"content":"我是皮肤一直泛红脸上有疙瘩白白的挤出来是水洗完脸会脱皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965626211},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965672376},{"body":{"content":"疙疙瘩瘩的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965854114},{"body":{"content":"有什么感觉吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965886442},{"body":{"content":"就是戴口罩的时候会觉得热热的平常偶尔会有蚊子包一两个这样痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965971555},{"body":{"content":"根据您症状情况，考虑是皮炎，就是过敏性了，引起的原因很多的，可能与接触东西有关系的，还有各种物理性因素如日光，动物的皮毛，**，化妆品，以及精神紧张都可以导致本病。有时不好找确切原因的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965986339},{"body":{"content":"可以这样治疗的，口服*****（晚饭后），一天一次一片，外用******，一天两次，同时需要忌口，腥，辛辣，牛**等刺激性食物尽量不要吃。不要用护肤品了。经过治疗会**恢复的。没有大问题的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990722},{"body":{"content":"我皮肤泛红有好久了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966035350},{"body":{"content":"偶尔还有蚊子包痒痒的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966056102},{"body":{"content":"只是这两天特别严重会长白头一样的痘痘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966099864},{"body":{"content":"按上面我给你的方法注意和治疗就可以的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966116486},{"body":{"content":"******没有**很安全的。可以长期使用来修复的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966131447}]

女29岁

2022.05.20

[{"body":{"content":"您好，我是京东的多荣医生，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965081371},{"body":{"content":"住院有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965084443}]

女78岁

2022.05.20