刘继帅

[{"body":{"content":"您好，感谢信任，接到您的问题，我先根据您提供的情况仔细分析一下，然后给您答复。我这条内容您不用回复，请稍等几分钟，我会详细解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879268155},{"body":{"content":"他现在在做靶免治疗，这边医生说肿瘤控制的还可以，就是肝硬化有点严重。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879324502},{"body":{"content":"你好，看结果，肝功能异常，与肝硬化，肝癌，以及肝癌靶免治疗都有关系，目前具体用的那几个药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879402729},{"body":{"content":"\n他现在吃 *******，*****，当***，*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879443546},{"body":{"content":"嗯，靶免治疗用的什么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879536304},{"body":{"content":"而且靶免治疗多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879664881},{"body":{"content":"用的*****联合*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879722424},{"body":{"content":"嗯，目前看肝功能指标，黄疸转氨酶都比较高，靶免治疗需要注意风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879795185},{"body":{"content":"21天一次用了5次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879798590},{"body":{"content":"嗯嗯，因为靶免治疗也有肝损害风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879817120},{"body":{"content":"那您能给一个治疗建议，治疗方案吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879889341},{"body":{"content":"一般我们的患者靶免治疗期间如果肝功能指标持续升高，就要先暂停一次，加强***物治疗，等肝功能改善，尤其是胆红素水平最好降低到40以下再恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879957265},{"body":{"content":"谢谢医生 那现在有没有用药建议。他吃的药需不需要换。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880150636},{"body":{"content":"如果乙肝病毒DNA阴性，*****就不用换，***物也可以先维持目前几个，观察一周左右复查肝功能看变化，再决定下一步方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880220951},{"body":{"content":"那等一周后肝功能结果出来了我再联系你吧医生。他之前吃**，后来换的这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880358250},{"body":{"content":"可以，方案是否有效，关键看复查结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880385869},{"body":{"content":"那就先维持治疗，靶免停一停吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880445830},{"body":{"content":"对的，治疗安全第一，其次是效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880477356},{"body":{"content":"他现在还会偶尔发烧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880587846},{"body":{"content":"如果没有明确细菌感染，发烧考虑肿瘤有关，可以对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880636479},{"body":{"content":"这边医生考虑是腹水引起的腹膜炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880672486},{"body":{"content":"那就要用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880684305},{"body":{"content":"嗯 输着***，到时候看看效果吧。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880706907},{"body":{"content":"嗯嗯一般至少3-5天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880725506},{"body":{"content":"好 等结果出来我再联系您吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881425055},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881434381}]

男54岁

2022.05.20

[{"body":{"content":"您好，我是妇产科医生王轩，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049644789},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049646501},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049649414},{"body":{"content":"您方便发一下照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049655406},{"body":{"content":"稍等","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049673723},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049678540},{"body":{"content":"发现多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049949564},{"body":{"content":"硬的软的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049955278},{"body":{"content":"有快一年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018888},{"body":{"content":"软的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022320},{"body":{"content":"之前下去过一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030153},{"body":{"content":"然后又起来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050035261},{"body":{"content":"现在有什么不舒服的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045516},{"body":{"content":"现在是经期，老上厕所纸摩擦的有点痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050072546},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076062},{"body":{"content":"不是经期的时候没有感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050085953},{"body":{"content":"好的，您没有来月经前有外阴痒吗？白带量多、颜色改变、有异味等情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050095781},{"body":{"content":"有时候有点味道 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050116542},{"body":{"content":"偶尔会有青黄色的白带","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130544},{"body":{"content":"别的没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050136539},{"body":{"content":"您这个部位有做过手术史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050148091},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050157598},{"body":{"content":"您的白带情况考虑是有炎症的，但是这个疙瘩从照片看考虑是软疣，需要到皮肤科咨询","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050194187},{"body":{"content":"我可以先给您一些炎症的建议，您这个疙瘩的情况可以到皮肤科咨询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050209724},{"body":{"content":"看看皮肤科医生给您什么处理意见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217140},{"body":{"content":"这好尴尬","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237284},{"body":{"content":"没关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050259471},{"body":{"content":" 一定要去皮肤科问一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050278876},{"body":{"content":"嗯嗯，需要问一下的，不像炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292828},{"body":{"content":"好的吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301849},{"body":{"content":"那需要先给您炎症的建议吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050309578},{"body":{"content":"应该是到皮肤科得建议吧. ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050329799},{"body":{"content":"我需要重新购买一下？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339694},{"body":{"content":"这个阴道炎症是属于我们妇科的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050344227},{"body":{"content":"我先给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050350547},{"body":{"content":"请问您有性生活史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351173},{"body":{"content":"有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355213},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050364304},{"body":{"content":" 有些阴道炎哈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050365985},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369210},{"body":{"content":" 好吧 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050458301},{"body":{"content":" 用什么处理？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050465904},{"body":{"content":" 稍微问下，卫生巾和棉条哪一个比较好？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495293},{"body":{"content":"以上禁忌症有吗？、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050523339},{"body":{"content":"卫生巾或者卫生棉都可以的，您月经期间勤换，每天清洗外阴，换洗内裤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543519},{"body":{"content":"请问您有药物过敏史，肝肾功能异常及其他慢性病史、血栓、乳腺病史吗？是否孕期、哺乳期、备孕期？以便我给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050545272},{"body":{"content":" 没有 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050559235},{"body":{"content":"等您月经干净三天，您可以使用**********放置阴道，每天睡前放1粒，用6天；同时配合洁尔阴洗液，10ml稀释*****后清洗外阴，早晚清洗外阴；使用一周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050574992},{"body":{"content":"点击链接可以直接购买的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593681},{"body":{"content":"治疗期间不要同房，不要饮食辛辣刺激的食物和甜食，多喝水，减少熬夜，适当运动提高免疫力","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594672},{"body":{"content":"红斑狼疮可以正常用吗？ ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050695828},{"body":{"content":"外用药一般影响不大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709874},{"body":{"content":" 好的 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050806378},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823841},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、孕妇及哺乳期妇女用药部分，如无禁忌可使用，用药过程中如有不适，或用药症状不缓解可上线咨询或线下就诊。注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050824826},{"body":{"content":"阴道炎跟卫生、饮食、作息，身体体抗力下降有关系，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828517},{"body":{"content":"建议您饮食宜清淡，忌辛辣刺激、甜的食物，多喝水，多吃水果蔬菜，减少熬夜，治疗期间不建议同房，每日清水清洗外阴（不要洗阴道里面），内裤穿棉质、宽松内裤，可以减少阴道炎复发。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050829584},{"body":{"content":"再给您一些生活建议可以参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836413},{"body":{"content":"好的。谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905124},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050912633},{"body":{"content":"您后续如果还有需要咨询的问题，可以在京东APP搜索“京东医生王轩”，就可以找到我。欢迎您随时留言咨询，我看到后**时回复您。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050978863},{"body":{"content":"关闭问诊时间临近，希望我的建议能够帮助到您，感谢您的信任，如果您没有其他问题咨询，一会儿就结束问诊了，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051235076}]

女24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045289778},{"body":{"content":"都有什么症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045296201},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045297914},{"body":{"content":"都有什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045333005},{"body":{"content":"抑郁症的症状：情绪低落，兴趣减退，精力下降，自卑，自杀，反应迟钝，不爱吃饭，不睡觉或者睡眠多！ 这些症状有几点？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045336609},{"body":{"content":"除了那个睡眠多和反应迟钝其他都有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045399616},{"body":{"content":"通过您的介绍，您这个情况很可能是焦虑抑郁情绪了！建议去精神专科医院【医生面诊】检查一下，网上不能确诊，给您对症开点药物治疗一下，联合心理治疗效果更好！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045411373},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653045425177},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653045566531}]

男16岁

2022.05.20

[{"body":{"content":"方便拍张照片吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965456027},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965541197},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965563356},{"body":{"content":"用过什么药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965809289},{"body":{"content":"**，皮炎***，***，好多外用过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965880434},{"body":{"content":"这个可以去医院打局部封闭","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965903151},{"body":{"content":"找的乡村医师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965911078},{"body":{"content":"挂皮肤专家号是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965945393},{"body":{"content":"**有推荐的湿疹专科医生么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965979614},{"body":{"content":"是的，湘雅医学院附属医院在**吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966020590},{"body":{"content":"就是看皮肤科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966055761},{"body":{"content":"是在**","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966097002},{"body":{"content":"这类皮肤病，治疗周期会很长吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966144707},{"body":{"content":"这个医院全国有名，可以去这里看。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966151181},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966155470},{"body":{"content":"慢性皮疹治疗是很麻烦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966174109},{"body":{"content":"好的，谢谢解答","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966216740},{"body":{"content":"可以挂断了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966226945},{"body":{"content":"嗯嗯好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966232303}]

男64岁

2022.05.20

[{"body":{"content":"你好，青岛大学附属医院有足踝外科，一般是放在四肢骨骨科里面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965632045},{"body":{"content":"怎么了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965636345},{"body":{"content":"有什么需要帮忙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965640440},{"body":{"content":"能帮忙看个核磁吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965686642},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965698605},{"body":{"content":"把片子和检查结果一起发过来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965714552},{"body":{"content":"你这个有积液，有点韧带损伤，但是没有出现断裂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965816702},{"body":{"content":"这个可以先考虑保守治疗，保守治疗期间定期复查，如果好转就继续治疗，如果病情加重就要考虑做修复术","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874173},{"body":{"content":"损伤是撕裂吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965874345},{"body":{"content":"是的，撕裂伤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965882823},{"body":{"content":"保守了六个月有效果，但是左右脚踝不一样大了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965916595},{"body":{"content":"没有断裂吗？只是撕裂了多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965933533},{"body":{"content":"能前后左右各个方向活动吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965948657},{"body":{"content":"图片来看没有完全的断裂，","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965965617},{"body":{"content":"可以，没啥问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965965705},{"body":{"content":"这个肯定会不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965974399},{"body":{"content":"受过伤的就是受过伤的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965983511},{"body":{"content":"和原装货肯定不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965990394},{"body":{"content":"怎么继续恢复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966005785},{"body":{"content":"只要它功能正常的就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966011113},{"body":{"content":"需要吃点药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966015761},{"body":{"content":"爆发没以前高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966025893},{"body":{"content":"平时适当功能锻炼，可以喷的******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966030207},{"body":{"content":"揉一揉，功能锻炼就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966041351},{"body":{"content":"需不需要稳定性力量训练","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966077633},{"body":{"content":"大约还需要多久能恢复到之前","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966127854},{"body":{"content":"这个受伤的前三年都会不舒服，后期会**好起来，但是很难恢复到和之前一模一样，只能比较接近之前的状态","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966247888},{"body":{"content":"前三年吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966320823},{"body":{"content":"我不会残疾吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966328783},{"body":{"content":"不会残疾的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966369602},{"body":{"content":"你是骨关节医生吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966398895},{"body":{"content":"我是全科医生，之前做骨科医生，现在做外科医生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966442436},{"body":{"content":"你的情况大概就是这样的。如果你想指定莫个人去看，可以直接指定的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966478144},{"body":{"content":"好的，我这个脚踝问题大不大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966589514},{"body":{"content":"只能说目前还好，加强功能锻炼就可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966638161},{"body":{"content":"好的 谢谢你医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966686744},{"body":{"content":"不用谢，祝早日康复，身体健康，万事如意。如果后面有什么问题可以随时找我，你可以关注一下，或者指定我为你的私人医生，方便以后健康咨询。亲，等下系统会自动发一个评价界面过来，记得给一个免费的五星好评哦，非常感谢您的支持！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966735133},{"body":{"content":"医生，您帮我看下距骨有撕脱吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652979612769},{"body":{"content":"韧带有损伤，骨头没有看到明显得断裂之类的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652997594683}]

男25岁

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20岁

2022.05.20

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

女21岁

2022.05.20

[{"body":{"content":"感谢您体验京东育婴师育儿咨询服务，如果您有儿童常备药、儿童生长发育、科学备孕相关问题的需要，京东平台为您准备了儿科、妇产科专家一对一服务及专属福利”","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050227834},{"body":{"content":"您好，我是京东健康互联网医院专业育儿师。很高兴为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050230753},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050232219},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050260973},{"body":{"content":"孩子被蚊子叮了，要不周围肿了，这个药膏能用眼部周围吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050293431},{"body":{"content":"可以薄薄的涂一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050319447},{"body":{"content":"有没有清凉的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050345085},{"body":{"content":"有没有成分表发一张看看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050355273},{"body":{"content":"稍等一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050367411},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050399303},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050450949},{"body":{"content":"不客气?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050460352}]

女

2022.05.20

[{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374667},{"body":{"content":"长出来有半个月了，半个月前也有痘，没有这么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051396812},{"body":{"content":"摸着会痛，挤破会出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423732},{"body":{"content":"我上面电子处方里给你开了一瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，是我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456718},{"body":{"content":"这种药要多久见效？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051479047},{"body":{"content":"只是普通的痤疮吗？为什么我的痘痘一直复发呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505785},{"body":{"content":"生活中要少吃油，少吃辣少吃糖，因为痤疮不喜欢这些饮食，另外不要熬夜，这个也很重要，这些都会影响痤疮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528699},{"body":{"content":"你就坚持外用我给你开的中药**就可以好，加上生活中注意就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547045},{"body":{"content":"我这边小医院给我开******和****，可以和中药水一起用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051588335},{"body":{"content":"有这个中药**，那两种都不需要了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642576},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652436},{"body":{"content":"不客气，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669255}]

男23岁

2022.05.20

[{"body":{"content":"根据描述肠炎可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050372493},{"body":{"content":"你可以试试****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050385705},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050487318},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491133},{"body":{"content":"别吃辛辣刺激食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146399},{"body":{"content":"使用两天如果不减轻的话，建议线下到医院就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051228890},{"body":{"content":"给您开具了【处方/用药建议】可以直接点击下单配送到家，具体用法用量使用方法可点击链接查看，用药前请您仔细阅读药品说明书中禁忌，注意事项，如无禁忌可使用为您开具的药品，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":1653051233079}]

男24岁

2022.05.20