刘继帅

[{"body":{"content":"您好，我是耳鼻喉科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049924437},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049925861},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936742},{"body":{"content":"看照片 鼻腔粘膜充血","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049951228},{"body":{"content":"鼻塞挺严重的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049977363},{"body":{"content":"是过敏吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049989441},{"body":{"content":"有鼻痒 打喷嚏 流鼻涕吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050022776},{"body":{"content":"有鼻痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050054157},{"body":{"content":"经常揉鼻子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050074539},{"body":{"content":"**没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050106979},{"body":{"content":"还有其他的症状吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050107223},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050153632},{"body":{"content":"孩子的情况考虑是鼻炎 过敏性鼻炎的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050171246},{"body":{"content":"孩子的情况多长时间了？ 有用药治疗吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050180670},{"body":{"content":"没有用药，这情况快一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050224147},{"body":{"content":"了解 孩子有不适 建议是用药干预的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254765},{"body":{"content":"有时间最好带孩子去医院检查一下过敏原 看对什么过敏 平时远离的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050274064},{"body":{"content":"孩子行动不便","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050304810},{"body":{"content":"有什么药可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050347613},{"body":{"content":"现在有不适 先用药缓解 有时间带孩子去检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050347744},{"body":{"content":"请问孩子有特殊疾病史，药物过敏史，药物禁忌史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050351256},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050357185},{"body":{"content":"我的建议是****** 每次1毫升 每日1次 口服 + ******** 每侧鼻孔1喷每日1次 + ******：喷鼻 2喷每日4次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394088},{"body":{"content":"先使用一周看症状恢复的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400026},{"body":{"content":"可以线上开药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536617},{"body":{"content":"如果您网上买药 稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050555651},{"body":{"content":"您可以点击查看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559316},{"body":{"content":"如果没有处方药，可以去药店买！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050603844},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050610300},{"body":{"content":"一般药店都有的 您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617572},{"body":{"content":"稍等给您发送处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645019},{"body":{"content":"去药店，用这个处方可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050703582},{"body":{"content":"不可以的 只能线上买药使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050761277},{"body":{"content":"那线下，买这些药。需要处方吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798035},{"body":{"content":"需要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050845462},{"body":{"content":"一般药店有坐诊医生以及药师","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050868213},{"body":{"content":"一般是可以买到的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871438},{"body":{"content":"您可以先去问一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874734},{"body":{"content":"那我看看，谢谢哦！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905433},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050916710},{"body":{"content":"应该给您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919512}]

男13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":1653049685410},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689161},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049694829},{"body":{"content":"宝宝口水多吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049705329},{"body":{"content":"我家宝宝10个还没有长牙","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049709812},{"body":{"content":"还好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049715429},{"body":{"content":"前段时候多一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049726760},{"body":{"content":"个别宝宝出牙晚也是正常的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049736405},{"body":{"content":"我想给她买一个磨牙香蕉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049743536},{"body":{"content":"如果超过一岁还不出牙就要看医生了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049759040},{"body":{"content":"没出牙用的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049766115},{"body":{"content":"出牙晚是缺钙吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049777396},{"body":{"content":"可以用磨牙棒的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049794627},{"body":{"content":"可能有关系，也不全是，还有别的可能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049834453},{"body":{"content":"但是他自己能扶着沙发移动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049919015},{"body":{"content":"九个多月就这样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049936000},{"body":{"content":"可能和遗传有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049942584},{"body":{"content":"还有就是辅食过于精细","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049968159},{"body":{"content":"喝粥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049980075},{"body":{"content":"可以给宝宝稍微有点**感的让宝宝咀嚼","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050017235},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050024732},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050057407},{"body":{"content":"如果方便的话希望能给个好评谢谢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060849},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050076168},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050096236}]

女

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049784470},{"body":{"content":"在发下舌头照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049793685},{"body":{"content":"早上起来齿痕比这严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049857072},{"body":{"content":"胃怕凉嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049877645},{"body":{"content":"怕","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049891873},{"body":{"content":"脾胃不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049920258},{"body":{"content":"嗯嗯。大便之前肚子疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049945461},{"body":{"content":"不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049964276},{"body":{"content":"反酸烧心嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050044308},{"body":{"content":"吃完饭 好放屁 打嗝","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050060595},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050077359},{"body":{"content":"不反酸烧心","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050094001},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050108870},{"body":{"content":"手脚心热吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117181},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050148436},{"body":{"content":"嗯嗯。平时白天稍微一活动出汗嘛","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184399},{"body":{"content":"出汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050205519},{"body":{"content":"脾湿有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050248980},{"body":{"content":"有脾湿的表现吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050275033},{"body":{"content":"嗯。脾胃虚寒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050287718},{"body":{"content":"嗯我感觉也是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050318672},{"body":{"content":"嗯嗯。你能吃汤药嘛，我可以给你调理下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050343118},{"body":{"content":"能","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377266},{"body":{"content":"有现成的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050392260},{"body":{"content":"有**的，热水一冲就好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050404996},{"body":{"content":"烫药效果会好一些吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434922},{"body":{"content":"汤药有两种形式，一种是*草药，你自己回家煎煮；另一种是做成**，**剂是*草药煎煮、浓缩、提纯之后做成的**，用热水冲服就可以，比较方便。你是要*草药还是**剂？请确认一下。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050467736},{"body":{"content":"来*草药吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050528477},{"body":{"content":"回来自己煎煮吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050601096},{"body":{"content":"好的。那您稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050603762},{"body":{"content":"好的，谢谢。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050802606},{"body":{"content":"收到了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051266895},{"body":{"content":"嗯？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051291978},{"body":{"content":"直接就能邮过来了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359009},{"body":{"content":"嗯嗯。对的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051392117},{"body":{"content":"你预约后就会有联系你的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051400302},{"body":{"content":"好的，谢谢刘医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051433455},{"body":{"content":"有什么忌口吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051473849},{"body":{"content":"吃药期间不要喝茶，奶茶，咖啡。平时少吃辛辣寒凉食物，少吃豆制品，豆类，土豆，**，玉米，**，**等含淀粉多的食物。烧心反酸的话，少吃酸菜，韭菜，甜的，粘的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051494739},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051553116},{"body":{"content":"嗯嗯。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051559014},{"body":{"content":"这个药早饭饭后十分钟吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051573516}]

男32岁

2022.05.20

[{"body":{"content":"余医生这个上次您开了药娃儿吃完了，现在还是喊累，中途感冒了一次，最近又感冒有点支气管炎，这个药还能继续开着吃吗？感觉他呼吸声音比平时大一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876518865},{"body":{"content":"因为最近回区县了，上来不方便也就没有带上来儿童医院来看","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876665617},{"body":{"content":"这个是最近在地方查血的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876713597},{"body":{"content":"什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879311767},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879315328},{"body":{"content":"上面的内容要重复发一遍吗？，可以看见不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879347728},{"body":{"content":"病历发给我看一下，现在用的什么药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879351169},{"body":{"content":"之前在您那里开了一个疗程的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879392288},{"body":{"content":"现在小朋友还是喊累，中途有感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879408259},{"body":{"content":"这几天又有一点感冒，喊累得比较频繁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879427564},{"body":{"content":"你再继续吃一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879473745},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879487683}]

男2岁6个月

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049703486},{"body":{"content":"医生您好，问一下我脸上有好几个痣，激光点痣后3个多月了，本来很小的黑痣现在变成了很大的色沉一直退不掉怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049719765},{"body":{"content":"看照片考虑色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049761157},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049773009},{"body":{"content":"那怎么办呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049796901},{"body":{"content":"可以外用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049798246},{"body":{"content":"什么作用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049815133},{"body":{"content":"要涂多久有效","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049847729},{"body":{"content":"可以外用一个月","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870843},{"body":{"content":"淡化色斑","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049878595},{"body":{"content":"脸上为什么会出现这种情况呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901575},{"body":{"content":"本来是很小的黑痣","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049912369},{"body":{"content":"现在反而难看了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049922965},{"body":{"content":"点痣后留的色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049935351},{"body":{"content":"一般的人点痣后都会留有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049961542},{"body":{"content":"很少留","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004233},{"body":{"content":"那为什么我脸上会这样呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050022404},{"body":{"content":"点痣的副作用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050062689},{"body":{"content":"除了涂药还有什么好方法吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050066631},{"body":{"content":"没有其他办法了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050088841},{"body":{"content":"是医生的缘故还是本人皮肤的缘故","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050092200},{"body":{"content":"都有原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050156870},{"body":{"content":"肤质有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050161361},{"body":{"content":"涂药只能淡化，不能完全与肤色一样是不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050237023},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050256520},{"body":{"content":"**怎么使用，一个月大概用几只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050335609},{"body":{"content":"晚上用一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050415139},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572467},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050605881}]

女20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":1653049843212},{"body":{"content":"收到您上传的图片了，您稍等，我帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049844682},{"body":{"content":"四五天了 会痒 但是破了就不痒了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856127},{"body":{"content":"除了图片中其他部位还有这种症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049891287},{"body":{"content":"主要就是腹部 后背腰部 和大腿内侧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049917682},{"body":{"content":"最开始出现 哪个部位呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049965951},{"body":{"content":"腹部","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049986287},{"body":{"content":"根据您的图片和描述考虑 玫瑰糠疹 可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049993466},{"body":{"content":"您这种症状出现之后是否有自己用过药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049994452},{"body":{"content":"吃了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050001564},{"body":{"content":"吃了两天每天吃两粒 感觉没啥效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050018443},{"body":{"content":"玫瑰糠疹的病因目前尚不明确，常见的诱发因素包括感染、过敏反应、内分泌系统疾病等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050028599},{"body":{"content":"如果效果不理想，我帮您调整一下用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050030284},{"body":{"content":"为了用药安全，请问您有无药物过敏史及肝肾功能异常？ 冒昧问您一下，目前是否在妊娠期或准备怀孕或哺乳期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050068472},{"body":{"content":"暂时没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050114431},{"body":{"content":"好的， 稍等2分钟 我这边给您发送药物链接，用药前请您仔细阅读药品说明书中禁忌，注意事项，不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050158608},{"body":{"content":"建议您可以口服 ***** 每天一次一片\n＋******* 每天三次每次两片\n＋外用 ******* 每天一次 治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050250322},{"body":{"content":"吃多久啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050250736},{"body":{"content":"任何药物起效都需要一个过程，建议您坚持用药1-2周上线复诊，我再帮您看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050254560},{"body":{"content":"这个好了会留疤么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050387938},{"body":{"content":"这个一般不会的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050499600},{"body":{"content":"好的 那我先吃两周看看情况","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050522698},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050578195},{"body":{"content":"这个用药是一方面","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579646},{"body":{"content":"同时给您一些生活建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050580272},{"body":{"content":"建议避免搔抓和摩擦刺激，以免刺激加重病情，做好皮肤保湿，饮食清淡，忌鸡蛋，海鲜，牛**，多吃蔬菜和水果 避免搓洗患处","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050591945},{"body":{"content":"关闭问诊时间临近了，希望我的建议能够帮助到您。 后续如有其他医药问题，您可以随时留言咨询。祝您生活愉快，再见","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051061867},{"body":{"content":"给您发送了一张我的排班表 您可以先保存在手机相册中 后期按照我上班的时间 打开京东app 就可以找到我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051067462}]

女30岁

2022.05.20

[{"body":{"content":"一周前在网上跟您咨询过，您让我先吃点***和*** 然后查一下肝功能。说我这个确实是肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878076516},{"body":{"content":"然后我去附近医院查了一个急诊肝功，我看着数据也挺正常的。不知道为啥会有肝掌。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878102413},{"body":{"content":"肝功能化验是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878624047},{"body":{"content":"这次肝功能化验没事，但是上次是异常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878737725},{"body":{"content":"既往长期的肝功能异常，会造成肝掌","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878805720},{"body":{"content":"那我这个肝现在需要怎么处理一下吗？这个肝掌是不是以前肝功能非常不好才会这样？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879085616},{"body":{"content":"现在已经恢复正常了。继续减肥，到BMI正常范围，长期保持就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879138485},{"body":{"content":"肝掌跟既往的肝脏损伤有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879154232},{"body":{"content":"明白了，那请问这个肝掌可以恢复吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879223263},{"body":{"content":"还有我那个乙肝五项报告上写的抗体阳性剩下的都是阴性是啥意思？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250105},{"body":{"content":"肝功能持续正常后，肝掌会恢复的，就算不恢复，也不会有什么影响，反正得定期检测肝功能，肝功能没事，就没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720373},{"body":{"content":"你的乙肝报告在哪儿呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879781969},{"body":{"content":"那个报告我看不了电子版的，也不方便去医院。但是我给检验科的人打电话，他给我念的，说除了抗体是阳性剩下都是阴性。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879880876},{"body":{"content":"是的大夫，我打算每半年查一次。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879914703},{"body":{"content":"乙肝五项查的是两个抗原和三个抗体，如果你三个抗体都是阳性，就提示既往曾经感染过乙肝病毒，机体已经把病毒清除后的结果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880646824},{"body":{"content":"如果情况稳定，体重下降满意，没有反弹，半年查一次应该没问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880671922},{"body":{"content":"好的大夫，那您说我还用吃那两个药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880869497},{"body":{"content":"手里有就吃完，还需要巩固一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880911303},{"body":{"content":"好的，谢谢您，我没问题了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880941660},{"body":{"content":"不客气！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880954583}]

男26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":"一直在用****和***联合用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652876253605},{"body":{"content":"你好，我是京东医生，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":1652878629808},{"body":{"content":"具体需要帮助您解决什么问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878631814},{"body":{"content":"这次请问需要开那个药哈？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878646889},{"body":{"content":"**** 二支","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878667609},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878677332},{"body":{"content":"您好，处方已开好，药师审核通过后就可以购买了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878845912},{"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":1652878850894},{"body":{"content":"没有了谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879063117},{"body":{"content":"不客气哈！非常感谢您的信任！请对话结束后对我的服务作出评价，祝您生活愉快，再见哈！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879077548}]

男41岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，您好，我是眼科张医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051176918},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051230127},{"body":{"content":"宝宝是双眼都有症状吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051234152},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051239097},{"body":{"content":"平时宝宝有经常用手揉眼睛的情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267519},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051290655},{"body":{"content":"眼泪在眼睛里存着的时候就会有好多黄色的脓状眼屎","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051345952},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390235},{"body":{"content":"宝宝是纯母乳喂养吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051396214},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051400220},{"body":{"content":"症状出现后有给宝宝用药治疗过吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051568555},{"body":{"content":"用过几天*** 后来发现不管用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051708066},{"body":{"content":"这个药物一天使用了几次呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051726670},{"body":{"content":"一次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051730877},{"body":{"content":"一只眼睛一滴","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051744138},{"body":{"content":"了解","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051777058},{"body":{"content":"根据您的描述初步考虑宝宝为泪囊炎伴泪道阻塞的表现","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051789461},{"body":{"content":"眼部分泌物增多是炎症的表现，需要局部用药来**治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051801433},{"body":{"content":"而******是**效果的药物，是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051812262},{"body":{"content":"建议一天3次，一次1滴，给宝宝继续使用5天看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051828013},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051905655},{"body":{"content":"您客气，应该的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913445},{"body":{"content":"在宝宝眼分泌物增多时，建议用****冲洗眼睛后再用药，有利于促进炎症的恢复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051917801},{"body":{"content":"****跟泪液的成分相似，有轻度**的作用，对眼睛没有刺激，而且这款是小支装****，使用方法跟***是一样的，非常方便卫生","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051996808},{"body":{"content":"使用10分钟后再使用***，不冲突","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052011235},{"body":{"content":"宝宝用药期间，妈妈饮食清淡，增加饮水量，多吃水果蔬菜，避免辛辣刺激的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052124025},{"body":{"content":"在用药观察3到5天如果病情没有缓解或者出现加重的情况，可以线上复诊或线下公立医院眼科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052179870},{"body":{"content":"希望我的建议能够帮助到您，同时感谢您的信任与支持。之后有任何其他问题，可以在京东APP搜索“京东医生张茜”就可以找到我，祝宝宝早日恢复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052183827}]

男4个月

2022.05.20