刘继帅

[{"body":{"content":"[**]1（男性患者）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？是否在备育期？\n[**]2（女性患者）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":1652965180882},{"body":{"content":"您好，眼睛什么症状？请详细描述一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965184346},{"body":{"content":"症状多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965189121},{"body":{"content":"去医院检查过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965194004},{"body":{"content":"前几天孩子一只眼红，过几天没有好转，另一只也有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965227554},{"body":{"content":"有分泌物吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965245360},{"body":{"content":"是红血丝吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965251793},{"body":{"content":"没有去，想明天去医院做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965252392},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965256716},{"body":{"content":"还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965260157},{"body":{"content":"没有分泌物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965262071},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965265728},{"body":{"content":"结膜炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271333},{"body":{"content":"使用******和","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965276430},{"body":{"content":"毛巾冷水拧干冷敷缓解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965281298},{"body":{"content":"这个影响因素有什么原因呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306363},{"body":{"content":"嗯考虑是过敏或者是细菌感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965328743},{"body":{"content":"要经常给孩子洗手，注意手部眼部的卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965337209},{"body":{"content":"如果特别痒过敏的话，就使用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965353688},{"body":{"content":"没有血块，只是白眼球发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965354463},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359458},{"body":{"content":"痒吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965364987},{"body":{"content":"会不会跟颅内压高有关","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965373132},{"body":{"content":"不只是红血丝吗？孩子还有其他症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965387326},{"body":{"content":"还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965391869},{"body":{"content":"没见孩子有什么其他异常反应","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965394051},{"body":{"content":"他还有其他疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965401791},{"body":{"content":"没有其他疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965404999},{"body":{"content":"眼睛有红血丝，属于挺正常的一件","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965407177},{"body":{"content":"眼睛红血丝一般结膜炎过敏都会有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965414168},{"body":{"content":"吃饭睡觉没有任何影响","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965418122},{"body":{"content":"嗯，那没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965425267},{"body":{"content":"考虑是结膜炎，经常给孩子洗手","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965430913},{"body":{"content":"有半个月了，不见好转","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965438809},{"body":{"content":"毛巾冷敷缓解红血丝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965439391},{"body":{"content":"给孩子使用什么药物进行治疗了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965446341},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457374},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965462818},{"body":{"content":"给孩子摸*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965475391},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965482005},{"body":{"content":"涂抹*****没有见效果吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965487563},{"body":{"content":"痒不痒？如果特别痒的话，考虑是过敏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492697},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965499895},{"body":{"content":"恩","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965503912},{"body":{"content":"不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965504860},{"body":{"content":"使用点***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965508413},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517874},{"body":{"content":"感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528186},{"body":{"content":"治疗期间，注意用眼卫生，避免劳累，避免过度使用电子产品，多吃新鲜的水果和蔬菜，忌辛辣刺激的食物，情况没有改善时，建议及时就医。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965529312},{"body":{"content":"不客气祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965534613},{"body":{"content":"祝早日康复，健康幸福，感谢支持请为我的服务作出完整全面评价，十分感谢您的支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965537723},{"body":{"content":"嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965550704},{"body":{"content":"感谢支持","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965558449}]

女2岁

2022.05.20

[{"body":{"content":"？？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707191},{"body":{"content":"您好，我是皮肤科医师曾强，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712676},{"body":{"content":"图片比较模糊，请问方便重新拍摄一下吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050722476},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050728821},{"body":{"content":"好的，您这种黑斑前身是受过外伤或者得过皮炎湿疹类疾病吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050826399},{"body":{"content":"现在黑斑是平的还是凸起的呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050831436},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050834620},{"body":{"content":"平的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838675},{"body":{"content":"这种情况有多久了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050875325},{"body":{"content":"黑斑的范围有没有持续扩大呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050881564},{"body":{"content":"大约有3年左右","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050906112},{"body":{"content":"一年比一年大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050922878},{"body":{"content":"表面有没有皮屑呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050933231},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050937954},{"body":{"content":"结合您的描述考虑 色素沉着可能 较大，一般会在外伤或者皮肤疾病之后出现，但没有相关诱因，可以线下医院皮肤科做个皮肤镜明确下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051017917},{"body":{"content":"如果不方便就诊，我先给您一些外用药物建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051022838},{"body":{"content":"好的你给开点药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051052985},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051063738},{"body":{"content":"我给您治疗建议，为用药安全，请问有药物过敏史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067551},{"body":{"content":"我吃了9天的中药也没用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051074541},{"body":{"content":"没有过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051094292},{"body":{"content":"可以选择******每日均匀外涂三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110008},{"body":{"content":"这个要几周时间才能看到淡化效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051118240},{"body":{"content":"请稍等一会儿，我给您开个处方单发送到对话框。可以按照提示流程直接购买，不用上传处方单。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051128127},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051140041},{"body":{"content":"这些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051175208},{"body":{"content":"您平时要注意防晒，多吃富含****的水果和蔬菜，有利于印记淡化","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234089},{"body":{"content":"处方单已经开具过来了，您可以向上翻看一下直接点击绿色小框购药。您看看收到了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051239095},{"body":{"content":"收到了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051288615},{"body":{"content":"建议定期三周复诊。 使用前请仔细阅读说明书，如无禁忌可使用。如您使用过程中出现不适或效果不佳，请及时停用药物并就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051355727},{"body":{"content":"如果有皮肤科相关问题可以打开京东APP，在搜索栏中搜索“皮肤科医生曾强”即可找我复诊。祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051356697}]

男28岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154990},{"body":{"content":"痘印一般分为红印和黑印，都需要做激光治疗才有效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050188134},{"body":{"content":"用药膏什么的不管用嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050201752},{"body":{"content":"不管用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050217377},{"body":{"content":"脸部发红怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241348},{"body":{"content":"鼻翼两侧有红血丝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258708},{"body":{"content":"可以做光子嫩肤祛红模式或者镭射激光祛红模式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050273867},{"body":{"content":"emmmm封校出不去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304517},{"body":{"content":"除了医美呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050321851},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050325919},{"body":{"content":"药物和物理治疗基本没效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050341439},{"body":{"content":"那皮囊炎留下的黑痘印也只能医美？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050386459},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050752546},{"body":{"content":"嗯，这是黑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050776367},{"body":{"content":"要要祛黑色素沉着的激光","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792333},{"body":{"content":"关节处黑可以怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050830442},{"body":{"content":"脸上起闭口要涂什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051079669},{"body":{"content":"hello","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051137549},{"body":{"content":"关节处黑要避免摩擦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170646},{"body":{"content":"闭口闭口呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051196508},{"body":{"content":"闭口可以用****红霉素软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051199522},{"body":{"content":"用****有什么注意事项嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051300111},{"body":{"content":"不要涂太多，正常的皮肤不要涂到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051328293},{"body":{"content":"后续要补水避光嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051343787},{"body":{"content":"涂完要清洗嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051353730},{"body":{"content":"要","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051358539},{"body":{"content":"过几个小时可以清洗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051369707},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051391888},{"body":{"content":"有什么补水的推荐嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051399924},{"body":{"content":"面部和喷雾","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051410733},{"body":{"content":"你哪里的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051431369},{"body":{"content":"牌子呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433449},{"body":{"content":"品牌推荐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051458686},{"body":{"content":"市面上太多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051468292},{"body":{"content":"不知道怎么选择","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473029},{"body":{"content":"医美品牌也OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051482604},{"body":{"content":"我们医院的***很好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490369},{"body":{"content":"医用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051502180},{"body":{"content":"补水的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051548913},{"body":{"content":"这个牌子的一系列的都有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051610968},{"body":{"content":"OK","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051642891},{"body":{"content":"我混油 外油内干","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051655571},{"body":{"content":"哪个更有针对性啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051668059},{"body":{"content":"医生医生还有四分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051691369},{"body":{"content":"快快快","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051696269},{"body":{"content":"油脂多注意定期清洁就可以了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051769512},{"body":{"content":"但是内干啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051780617},{"body":{"content":"不知道咋整","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051786284},{"body":{"content":"做一下光子嫩肤会改善的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051820452}]

女21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，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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050650020},{"body":{"content":"您报告提示iGE很高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696794},{"body":{"content":"对，您知道怎么回事儿吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050707033},{"body":{"content":"这个反映过敏的状况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050716319},{"body":{"content":"周一我们检查确诊是哮喘了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720453},{"body":{"content":"查了****还有肺功能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050729040},{"body":{"content":"哮喘常常合并过敏性体质","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744283},{"body":{"content":"比较常见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050751184},{"body":{"content":"他这个这么高和哮喘有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760791},{"body":{"content":"多数哮喘有过敏的影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050788699},{"body":{"content":"因为他哮喘所以这个高也正常是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050807472},{"body":{"content":"查那个****检查也是65ppb显示过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050826707},{"body":{"content":"经过治疗之后可以下降","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050828153},{"body":{"content":"主要是哮喘引起的高？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050846815},{"body":{"content":"****也是提示嗜酸性粒细胞性炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050866604},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050880780},{"body":{"content":"不是有别的病吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050887617},{"body":{"content":"我百度说除了过敏可能还有别的问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050898310},{"body":{"content":"iGE最常见就是过敏引起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050928658},{"body":{"content":"他这个哮喘属于过敏性哮喘吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050941317},{"body":{"content":"有一部分是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962997},{"body":{"content":"之前问诊也是您，然后我们去医院查了肺功能检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050967081},{"body":{"content":"有一部分跟过敏没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975600},{"body":{"content":"确实医生说是哮喘","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050978586},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050993358},{"body":{"content":"哮喘的确诊依据主要是肺功能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050998138},{"body":{"content":"我们周一去的医院，查的这个结果，一个月后复查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051013744},{"body":{"content":"我们有必要再去医院专门看这个过敏源检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051041936},{"body":{"content":"有部分哮喘发作就是接触过敏诱发的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047039},{"body":{"content":"这个过敏原不急着复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051069203},{"body":{"content":"哦哦，那就是我们一个月以后复查也行？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051086461},{"body":{"content":"可以抽血复查iGE","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051110184},{"body":{"content":"皮肤过敏性检测可以暂时不用测","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051123899},{"body":{"content":"如果用药有效，我们一般建议三个月再复查相关指标即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169273},{"body":{"content":"不用急","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051173657},{"body":{"content":"肺功能，****检测有点贵","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051206773},{"body":{"content":"过敏源这个着急查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051241982},{"body":{"content":"我们很少复查这个过敏源","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268494},{"body":{"content":"确诊之后，主要看治疗的反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051293402},{"body":{"content":"****还有肺功能检查三百多还可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051299491},{"body":{"content":"那我们现在就等着用药一个月复查就可以了吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051317896},{"body":{"content":"过敏源抽血那个三百多我觉得还挺贵的，哈哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051339338},{"body":{"content":"症状明显好转，不用急着复查，当然也看您当时确诊的情况，如果比较严重，可以早点复查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344514},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051356049},{"body":{"content":"我现在就是担心那个总ige浓度太高了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051366235},{"body":{"content":"平时有过敏源鼻炎吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051376792},{"body":{"content":"平时他就爱咳嗽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400333},{"body":{"content":"以为抽烟抽的没当回事儿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051407745},{"body":{"content":"也打喷嚏，但是没那么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051418061},{"body":{"content":"有不少哮喘都是接触过敏源诱发的，平时要尽快避免接触这些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051425841},{"body":{"content":"治疗有效的话，iGE会明显下降的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463008},{"body":{"content":"因为吃的喝的都没过敏，就没想着他会过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051470827},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051485690},{"body":{"content":"那我们就一个月以后复查就行了，是吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051497311},{"body":{"content":"不用太担心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498684},{"body":{"content":"对，不急的话，用药三个月之后","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520955},{"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":1653051564147},{"body":{"content":"没有了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051688729},{"body":{"content":"感谢感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051707361},{"body":{"content":"若您无其他问题，我将结束本次咨询。希望我的建议能够帮助到您，非常感谢您的信任！还得麻烦您在对话结束后对我的服务作出评价，祝您和家人生活愉快，身体健康，工作顺利！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051713502}]

男41岁

2022.05.20

[{"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":1653050328707},{"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":1653050330967},{"body":{"content":"哺乳期发热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050346805},{"body":{"content":"37.5度","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050351322},{"body":{"content":"乳房疼痛，怀疑是乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050376910},{"body":{"content":"乳房有硬块吗？局部皮肤有发红发烫么","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050395609},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050411205},{"body":{"content":"怀疑急性乳腺炎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050419774},{"body":{"content":"好的，乳房疼伴有发烧 这首先考虑是急性乳腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050481366},{"body":{"content":"给您些治疗的方法您参考一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050489713},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除药物禁忌，请问您既往是否有任何基础疾病，近期是否有发现肝肾功能异常？是否有药物过敏史？是否处于妊娠，备孕状态呢？您回答有或者没有就可以了。谢谢。（例行询问，请您配合回答，谢谢。）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050501647},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050511762},{"body":{"content":"现在是哺乳期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518156},{"body":{"content":"用药肯定得注意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050526472},{"body":{"content":"乳腺炎一般是由于乳汁淤积引起的，您可以局部冷敷，后由肿块向乳头方向按揉，将肿块揉散，后排出乳汁，按揉前清洗乳头，保证乳头清洁干燥，乳头处乳管通畅。平日也要保持乳头乳晕清洁干燥，哺乳和挤奶前后都要清洁乳头及乳晕周围。平日尽量保持乳房空虚，避免乳汁淤积。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050566076},{"body":{"content":"如果体温超过38.5度可以口服退热药物，**就可以。一般一次10ml，4到6小时可以重复一次。这个不影响哺乳 不到38度5 物理降温","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578776},{"body":{"content":"药物可以口服 蒲公英颗粒 ****治疗 也不影响哺乳","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590018},{"body":{"content":"如果自行保守治疗2天无效，乳房红肿痛加重，有脓性乳汁出现，或者高热不退，您需要到医院普外科或乳腺外科就诊，查彩超，明确具体情况，针对性治疗了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051748495}]

女31岁

2022.05.20

[{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050043105},{"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":1653050044263},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046433},{"body":{"content":"可以给5个月宝宝使用4个月以上240毫升的奶瓶","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143459}]

女

2022.05.20

[{"body":{"content":"月经干净多少天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965106620},{"body":{"content":"一直没来有两三个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965148008},{"body":{"content":"同房下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965168340},{"body":{"content":"怀孕了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965171665},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965191955},{"body":{"content":"测过是吧？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965202230},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965214450},{"body":{"content":"这是什么情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965233982},{"body":{"content":"怎么知道不是月经呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965239830},{"body":{"content":"月经没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285963},{"body":{"content":"下面也痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965302789},{"body":{"content":"来月经那两天肚子就痛下就没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965386787},{"body":{"content":"流血流了几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965431601},{"body":{"content":"没来月经就","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965457497},{"body":{"content":"没来月经","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965466845},{"body":{"content":"没有流血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965487845},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965492818},{"body":{"content":"这是炎症引起的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965517844},{"body":{"content":"同房痛可能是炎症引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965536621},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584225},{"body":{"content":"没来月经那该怎么治啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965585017},{"body":{"content":"有几个月没来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965609048},{"body":{"content":"内膜有多厚了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965611613},{"body":{"content":"月经就这一次推迟还是经常会推迟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965623084},{"body":{"content":"上个推迟了只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965676573},{"body":{"content":"上个月只来了一点点就没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965716437},{"body":{"content":"这个月还没来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965736108},{"body":{"content":"月经量少和什么原因有关呢？突然就少了？有没有受凉？经期生气？或是人工流产等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815370},{"body":{"content":"以前流过产","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965876268},{"body":{"content":"好几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965890783},{"body":{"content":"你这种情况最好去医院做个彩超看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965917528},{"body":{"content":"这段时间没空去，我老公忙，我又带两个小孩","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965980231},{"body":{"content":"可不可以先开点药吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966002227},{"body":{"content":"不能盲目吃药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966243856},{"body":{"content":"月经不调大多要吃激素类药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966264598}]

女29岁

2022.05.20

[{"body":{"content":"您好，我是主治医师白新锐，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049887732},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049890456},{"body":{"content":"嗯，您好，具体产品及售后问题问下客服或者商家的亲","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050746534},{"body":{"content":"您好，我是京东医生，产品问题，请联系客服哦。\n\n京东商城，点击我的，点击客户服务，就可以找到客服。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050749730}]

女

2022.05.20

[{"body":{"content":"h可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912013},{"body":{"content":"这个医生说每次喝2/3袋 每天晚上喝 可以和奶粉一起给宝宝喝么 会对药物有啥影响 会不会能影响药量浓度啥的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981807},{"body":{"content":"没啥影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004897},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007609},{"body":{"content":"还有 吃这个药孩子会困么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030185},{"body":{"content":"会，但几率很小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102168}]

女1岁6个月

2022.05.20