刘继帅

[{"body":{"content":"哪水肿？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817242},{"body":{"content":"脸和脚","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965887007},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965900449},{"body":{"content":"从来没查过","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965906301},{"body":{"content":"多大岁数？有高血压糖尿病这些基础病没","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965923452},{"body":{"content":"心脏病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965925601},{"body":{"content":"一个星期了，没有检查，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965967980},{"body":{"content":"多大岁数","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965979969},{"body":{"content":"水肿的原因有很多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965989764},{"body":{"content":"心脏原因，肾脏原因，肝脏原因，甲状腺原因等等","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966022738}]

女20岁

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的顾炜医生，您的咨询问题已收到，接下来我需要再了解一下您现在的整体情况，以便给您合理专业的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272121},{"body":{"content":"之前说是肾结石，然后去医院排出来了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050303453},{"body":{"content":"您能看出来，这是属于什么肾结石么？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050320713},{"body":{"content":"这个是今天复查的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050390424},{"body":{"content":"已经排出来了。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051743583},{"body":{"content":"这个是今天复查的。。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051754394},{"body":{"content":"是什么意思呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051760278},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052002327}]

女40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":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050877588},{"body":{"content":"从刚开始到现在，这种情况大概有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879188},{"body":{"content":"局部有无瘙痒或疼痛不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890804},{"body":{"content":"有一点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905091},{"body":{"content":"有三四个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918927},{"body":{"content":"目前局部皮肤是没有破损渗液的对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920688},{"body":{"content":"现在没破，之前抓烂长好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952407},{"body":{"content":"身上其他部位还有这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955556},{"body":{"content":"目前局部是有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962691},{"body":{"content":"身上有小红点，不知道是不是，也就是腿上有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995607},{"body":{"content":"还没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004001},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047549},{"body":{"content":"目前您这种情况考虑瘢痕瘙痒的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068484},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074117},{"body":{"content":"上述情况有没有呢，这边给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051075773},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092445},{"body":{"content":"目前可以使用*****，局部外涂 早晚各一次，缓解瘙痒不适，局部长好以后，如果想去除局部瘢痕，可以先局部外用****** 每天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112828},{"body":{"content":"药物治疗效果不佳的情况下可以选择线下皮肤科做激光祛疤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051127516},{"body":{"content":"感觉这不像是疤啊，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165444},{"body":{"content":"之前这个部位受过外伤吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051183861},{"body":{"content":"看有说的说是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051195556},{"body":{"content":"如果有抓破过，局部还是有伤口情况，既往之前这个部位考虑是皮炎或湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231653},{"body":{"content":"没有，就以为是蚊子咬的，抓了几次烂了又好，就成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051248554},{"body":{"content":"目前主要是缓解局部瘙痒症状，同时用药缓解这种色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051254862},{"body":{"content":"那您当时这种还是考虑是蚊虫叮咬导致的，本身是小问题，但是由于抓破了，进一步加重，变成现在的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280760},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051319913},{"body":{"content":"建议后续规律使用药物对症观察1周，做好局部皮肤的清洁及保湿**，避免接触刺激性物品，清淡饮食，避免熬夜劳累，不适皮肤科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051338255},{"body":{"content":"治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051343489},{"body":{"content":"那到底是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051365528},{"body":{"content":"湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051374355},{"body":{"content":"考虑是局部蚊虫叮咬后导致的皮炎，您搔抓刺激以后局部皮肤破损引起的局部炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389623},{"body":{"content":"留下了色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393298},{"body":{"content":"暂时不考虑湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482018},{"body":{"content":"皮炎的话用什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510641},{"body":{"content":"目前上述给您建议的药物都是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520480},{"body":{"content":"您可以使用1周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527809},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679840},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704594},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706604}]

男25岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0364，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051423697},{"body":{"content":"请问您说的是这个药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444286},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051449557},{"body":{"content":"头顶稀疏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051464988},{"body":{"content":"请问还有别的什么症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051473125},{"body":{"content":"长期使用能长出头发吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051477117},{"body":{"content":"有红点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051484095},{"body":{"content":"有时头皮痒 小头屑","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505430},{"body":{"content":"这个***是可以治疗脂溢性 皮炎，对**的话效果可能不太好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051506412},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516049},{"body":{"content":"主要是可以缓解脱发的症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518563},{"body":{"content":"那**有什么药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051533711},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？是为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558583},{"body":{"content":"为了您的用药安全，我们需要了解您的既往病史和过敏史，请您先回复以下问题：是否有食物/药物过敏史或慢性疾病史，肝肾功能是否正常，若有以上情况请如实告知，如果没有，可回复“无","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051840001},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051862938},{"body":{"content":"男 27岁 是本人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051882466},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051907876},{"body":{"content":"**可以用****来治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051924032},{"body":{"content":"局部外用：每次1ml（****50mg，约7喷），涂于头部患处，从患处的中心开始涂抹，并用手按摩3-5分钟，不管患处的大小如何，均使用该剂量。每天的总量不得超过2ml。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030504},{"body":{"content":"一般几个疗程","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052041173},{"body":{"content":"这个一般要使用时间长点的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052060317},{"body":{"content":"一般使用三个月左右开始长头发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052069455},{"body":{"content":"建议您先使用这一瓶看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052098118},{"body":{"content":"行 等我们这解封快递开始了就买一瓶试下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052134819},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052148036},{"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4周无效果或病情加重，请及时咨询医师或立即线下就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052154285},{"body":{"content":"注意清淡饮食，忌食辛辣，油腻食物，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052162185},{"body":{"content":"您好，您看还有其他问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052163954},{"body":{"content":"没有了 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052200401},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653052204120},{"body":{"content":"不客气，用我的专业帮到您我非常高兴!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052207186},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052208650}]

女

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，我是皮肤科副主任医师刘立红医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050806963},{"body":{"content":"请问医生在吗?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050903303},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050913454},{"body":{"content":"方便上传清晰的患处图片吗？以便更好地为您分析病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050917115},{"body":{"content":"发际线吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050928378},{"body":{"content":"对的，或者发量比较稀疏的部位","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945827},{"body":{"content":"您看我都快秃了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050986862},{"body":{"content":"主要是前面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051007730},{"body":{"content":"收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008188},{"body":{"content":"您家里有遗传的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051011148},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051016910},{"body":{"content":"根据您的图片及描述考虑是脂溢性脱发","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036030},{"body":{"content":"我爷爷是秃顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037530},{"body":{"content":"那是遗传问题可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070591},{"body":{"content":"目前考虑是脂溢性脱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051072776},{"body":{"content":"遗传基因是改变不了的，但是可以用药控制和缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051084087},{"body":{"content":"应该怎么治疗啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051117557},{"body":{"content":"根据您的情况可以给您用药建议，为用药安全，请问您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？ 如没有，可以直接回复“否”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131286},{"body":{"content":"否","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137625},{"body":{"content":"建议您口服*****，外用******治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199561},{"body":{"content":"平时的***可以换成*****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051254933},{"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。建议您定期复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267574},{"body":{"content":"稍后可以给您推荐一种***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280416},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051354247},{"body":{"content":"谢谢医生！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359453},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376322},{"body":{"content":"可以给您开具处方方便您线上购药，如果需要稍后可以直接点击处方单预约购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051380747},{"body":{"content":"上面给您开具了处方单，您往上翻看一下，如果需要可以点击处方单按照提示线上预约购买。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051445699},{"body":{"content":"******是是非处方药，您可以自己购买","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051457350},{"body":{"content":"建议您避免辛辣刺激油腻饮食，均衡饮食，多吃高蛋白的食物，蔬菜和水果，适当锻炼身体，避免头皮长时间暴露在阳光下，避免熬夜，焦虑，精神紧张等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051569208},{"body":{"content":"请问您还有其他问题需要咨询吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051744111},{"body":{"content":"如果您没有其他问题，我将结束问诊，希望我的建议能够帮助到您。请您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，欢迎您有问题随时上线咨询。祝您及家人身体健康。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051832312}]

男21岁

2022.05.20

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057489},{"body":{"content":"我先了解下您的具体情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050067959},{"body":{"content":"局部触摸质硬还是质软","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075715},{"body":{"content":"摸起来有点硬的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094520},{"body":{"content":"有破溃吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050132344},{"body":{"content":"之前是否有外伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136068},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050138718},{"body":{"content":"之前经常佩戴耳机","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153966},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188310},{"body":{"content":"长出来之后就一直没佩戴过任何耳机，一直是保持外露的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193806},{"body":{"content":"最近有感冒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050196645},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050200078},{"body":{"content":"之前有过这个症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050202789},{"body":{"content":"之前出现过长包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050219930},{"body":{"content":"但是比这次轻的多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227519},{"body":{"content":"三天左右就自然消退了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236406},{"body":{"content":"这次已经持续四天了也没有消退的迹象","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259007},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050280424},{"body":{"content":"有分泌物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050291780},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050310436},{"body":{"content":"就一个包","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050315079},{"body":{"content":"根据您的描述，考虑 外耳道疖肿 的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050330234},{"body":{"content":"您之前有使用药物治疗改善吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050332048},{"body":{"content":"之前试着涂过两次红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050356158},{"body":{"content":"但貌似没什么效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050364271},{"body":{"content":"就再没涂","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050370278},{"body":{"content":"可以对症治疗改善看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050423478},{"body":{"content":"为用药安全，请问您是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，是否处于特殊时期不能用药，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050426032},{"body":{"content":"没有用药禁忌","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050452528},{"body":{"content":"最近没吃任何药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461647},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050598586},{"body":{"content":"一般建议， 1、在饮食方面要清淡的饮食， 2、多休息，平时避免熬夜和太疲劳的情况， 3、注意不要长时间带耳机 洗澡以及洗头避免耳部进水，4、不要长期挖耳，挖耳时要轻柔","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603304},{"body":{"content":"针对你的呢症状建议先使用点*****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618594},{"body":{"content":"一天2次使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050640463},{"body":{"content":"使用3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645882},{"body":{"content":"用药期间注意是否有破溃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653539},{"body":{"content":"如果破溃之后*****暂停","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050664091},{"body":{"content":"使用***********一天2次使用治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050680700},{"body":{"content":"也可以直接交替使用，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050691579},{"body":{"content":"间隔1小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050695412},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050718771},{"body":{"content":"这个病容易复发吗医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757011},{"body":{"content":"一般考虑和个人体质，外界环境，生活方式习惯，情绪压力等等都有影响的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857225},{"body":{"content":"医生这个**可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050863475},{"body":{"content":"之后可以注意点","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867613},{"body":{"content":"避免长期戴耳机等刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050880235},{"body":{"content":"*****是帮助排脓治疗疖肿的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900222},{"body":{"content":"考虑更对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050911082},{"body":{"content":"那这个可以涂吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952122},{"body":{"content":"上述药物有一点**的功效","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051003718},{"body":{"content":"如果您想要使用试试","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009616},{"body":{"content":"可以使用看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051012722},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014960},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051043095},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118032},{"body":{"content":"使用之后可以上线复诊咨询我，给您看看具体的用药效果，是否调整用药或停药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051122599},{"body":{"content":"好的，我会先用我自己的**尝试一下，如果无效我就会换到您推荐的那一款，后续有什么问题我会再来咨询您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051210164},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051246285},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247144},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250511},{"body":{"content":"再没有了，谢谢您嘞","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320953},{"body":{"content":"您客气了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051334279},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051337362},{"body":{"content":"再见","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051358116},{"body":{"content":"因线上咨询条件有限，且疾病具有相对复杂及发展变化的特点，如果使用药物治疗一疗程效果不佳 或 出现 其他不适 、甚至加重的情况，请您及时再次上线咨询或线下医院就诊 防止延误病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051450250}]

男21岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042721704},{"body":{"content":"买什么药物？几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042731070},{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042731945},{"body":{"content":"\n焦虑，失眠，麻烦开两盒*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042755191},{"body":{"content":"您是患者什么人？病情稳定吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042760414},{"body":{"content":"1)有过青光眼病史吗？\n2)\t服用过****、****吗？\n3)\t目前正在自伤、自杀等消极冲动行为吗？\n 这些有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042761992},{"body":{"content":"本人\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042772918},{"body":{"content":"没有\n","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653042786507},{"body":{"content":"聊天记录里找绿色处方单链接，直接付款！成功后，在家等着收货就行了！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653042800998}]

女48岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965090839},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965095161},{"body":{"content":"这十天左右每天体重都在长","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965109541},{"body":{"content":"一天0.2斤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965141269},{"body":{"content":"0.3","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965147404},{"body":{"content":"是不是要来月经之前","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965159377},{"body":{"content":"会这样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965162795},{"body":{"content":"有没有慢性病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965188604},{"body":{"content":"就是这次月经走之后体重一直往上升","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965201841},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965206174},{"body":{"content":"这怎么回事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965385971},{"body":{"content":"这个不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965406757},{"body":{"content":"您身高体重是多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965417496},{"body":{"content":"最近有没有运动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430818},{"body":{"content":"164","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965441827},{"body":{"content":"56.8","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965447566},{"body":{"content":"您这个体重很好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965460616},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965464913},{"body":{"content":"这个月没来月经之前体重是五十五点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965483952},{"body":{"content":"三斤以内波动是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515531},{"body":{"content":"然后自从月经结束每天都在增加","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965522747},{"body":{"content":"有没有用药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965522874},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965540104},{"body":{"content":"适当运动一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965549494},{"body":{"content":"就是用了一个涂抹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550464},{"body":{"content":"什么**","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965556337},{"body":{"content":"就是腿上有个红点然后用的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965571799},{"body":{"content":"也不知道什么名字","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965601134},{"body":{"content":"也不知道这几天是排卵期期的事","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965690742},{"body":{"content":"排卵期应该不会增加体重","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965782714},{"body":{"content":"适当运动一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965845908},{"body":{"content":"适当控制一下饮食","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965854784},{"body":{"content":"再看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965858483},{"body":{"content":"药物也有可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862955},{"body":{"content":"我都是一直在减肥期间","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966001499},{"body":{"content":"所以说才奇怪","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966008433},{"body":{"content":"为什么天天涨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966013554},{"body":{"content":"您体重偏瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966044275},{"body":{"content":"不要追求过于瘦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966056156},{"body":{"content":"太瘦也不好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966063592},{"body":{"content":"一般早上称体重都是在55点起吧但是这十天左右每天都是56.3左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966229049},{"body":{"content":"然后就一直不掉称","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966245589},{"body":{"content":"三斤以内是正常的波动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966353051},{"body":{"content":"观察就行了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966358374},{"body":{"content":"不用担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966361742}]

女19岁

2022.05.20