刘继帅

[{"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":1652965274581},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965278513},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965402688},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965421579},{"body":{"content":"我是种植户的，是不是有问题可以问你","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965564772},{"body":{"content":"这儿只咨询人的皮肤病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965588350},{"body":{"content":"哦，对不起","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965629816},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965639610}]

女38岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，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":1653051327336},{"body":{"content":"请问您需要咨询那些医学问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331559},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051338381},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456020},{"body":{"content":"报告提示右侧鼻骨骨折","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051490609},{"body":{"content":"现在主要是什么症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051496316},{"body":{"content":"有治疗吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051499027},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051741261},{"body":{"content":"您还在关注对话吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051852575},{"body":{"content":"如果骨折明显，有不适症状，根据骨折症状轻重情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052013571},{"body":{"content":"如果必要时是建议手术的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052022592},{"body":{"content":"避免影响之后的正常生活","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052030600},{"body":{"content":"现在看不到具体的骨折情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052037081},{"body":{"content":"建议遵线下医嘱对症治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052057916},{"body":{"content":"由于您长时间不在线，所以无法了解到您的具体症状，也无法给您更全面的建议，建议您下次方便时可以再次上线咨询，以便我给您一些比较适合的建议。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052063603},{"body":{"content":"您好，受接诊时长的控制，如果您没有其他问题咨询了，或者现在不方便在线回复，时限到后，系统会自动关闭并提交结束本次问诊，等您需要或方便的时候再上线免费咨询，谢谢您的理解和配合，下次再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052065264}]

男40岁

2022.05.20

[{"body":{"content":"医生，请帮忙看下是不是干性湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879089929},{"body":{"content":"您好，有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879098262},{"body":{"content":"就脖子一圈，包括后面","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879123532},{"body":{"content":"您好，是婴儿湿疹的，目前处于慢性状态，因此干燥，需要最好保湿的，***大白罐不断涂抹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879223922},{"body":{"content":"是干性湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879250192},{"body":{"content":"另外如果用药的话，可以用***吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879279106},{"body":{"content":"不是干性湿疹，干性湿疹指皮脂分泌少诱发的湿疹状态，宝宝这个只是炎症消退后皮肤脱屑，不过与他本身皮肤屏障功能不佳有关，失水更多，也容易干燥。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879420302},{"body":{"content":"这么小出现湿疹样皮炎，如果家族有过敏性疾病，那么属于特应性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879453401},{"body":{"content":"能否推荐用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879547524},{"body":{"content":"没有家族过敏性疾病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879583035},{"body":{"content":"可以外用*****，＋******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881110637},{"body":{"content":"***一天两次，宝宝一层，消退以后减为一天一次巩固2－3天停用，之后需要长期使用***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881143796},{"body":{"content":"好的，感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652885233240}]

男2岁1个月

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169573},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050190769},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050193821},{"body":{"content":"小孩近视最近眼睛疲劳的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050281712},{"body":{"content":"厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050291241},{"body":{"content":"看黑板老看不清","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050311878},{"body":{"content":"上个星期去眼镜店去测视力说疲劳，测不准","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050385293},{"body":{"content":"这个星期还是疲劳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408730},{"body":{"content":"一个300°一500°","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050435970},{"body":{"content":"这样的可以用******吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050461455},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050686927},{"body":{"content":"散瞳验才准确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702250},{"body":{"content":"您去医院散瞳验光吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713252},{"body":{"content":"眼镜店不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050723102},{"body":{"content":"眼睛店说不用散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746804},{"body":{"content":"去眼镜店半年几个月就得换眼镜","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050803976},{"body":{"content":"******能缓解多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050874391},{"body":{"content":"眼睛店配眼镜是不是都多配°数","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050939027},{"body":{"content":"这样用什么***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050999595},{"body":{"content":"******可以滴吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051040007},{"body":{"content":"这个不是缓解近视加深的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051063673},{"body":{"content":"一定要散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143643},{"body":{"content":"眼睛店说现在视疲劳验不出来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051213893},{"body":{"content":"我就是现在不相信他们","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051307813},{"body":{"content":"上次去我们人民医院看过也没有散瞳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051411454},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510102},{"body":{"content":"谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051521993}]

女15岁

2022.05.20

[{"body":{"content":"您好， 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":1653049970786},{"body":{"content":"没事的，多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049978852},{"body":{"content":"***那个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049987216},{"body":{"content":"嗯，没事","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049996110},{"body":{"content":"不能药着吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050007491},{"body":{"content":"那以后买钙是不是就可以买片得了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050025841},{"body":{"content":"不能药着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050063134},{"body":{"content":"看含量：建议一天300mg钙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093984},{"body":{"content":"***建议补充1到2个月以后复查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050115360},{"body":{"content":"不能一直吃吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192856},{"body":{"content":"宝宝不建议长时间补钙","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050208267},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050287801},{"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":1653051646244},{"body":{"content":"非常感谢您的信任！请对话结束后对我的服务作出评价，谢谢您！再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051699067}]

男1岁10个月

2022.05.20

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050075476},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078438},{"body":{"content":"宝宝 身高体重多少\n饮食、睡眠、大小便怎么样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050116019},{"body":{"content":"您好。\n 还在吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051447782}]

女

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":1652965432936},{"body":{"content":"HPV病毒可以导致湿疣，有传染性，正常人没有不洁性接触史不会得的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965516151}]

男24岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965489231},{"body":{"content":"图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490675},{"body":{"content":"就颈部吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965550038},{"body":{"content":"病史多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965555910},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965560893},{"body":{"content":"这个考虑是神经性皮炎，有过敏因素参与其中，建议忌口鱼虾蟹，可以外用*****，一天二次，口服*******，一天一次，一次一片，口服*******，一天三次，一次二粒，不要熬夜，清淡饮食，烟酒不要接触，没有传染性。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965576476},{"body":{"content":"一个星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965577186},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965582023}]

男26岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050015860},{"body":{"content":"有什么可以帮到你的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050020634},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050027922},{"body":{"content":"有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050041968},{"body":{"content":"有没有使用改善睡眠药物治疗，效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050047708},{"body":{"content":"患者77岁 女 无精神病史","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062178},{"body":{"content":"晚上睡觉总是说梦话，而且时常会大声喊叫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050083264},{"body":{"content":"您看这种情况可能是什么原因导致的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050119544},{"body":{"content":"平时有没有感觉全身无力，不愿意活动？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159947},{"body":{"content":"这种现象有多长时间了呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050184561},{"body":{"content":"突然出现的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050192023},{"body":{"content":"这种状况有些年了，一直没太在意","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050230467},{"body":{"content":"没有不愿意活动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050251206},{"body":{"content":"精神状态还挺好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050259244},{"body":{"content":"白天是正常的吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050267219},{"body":{"content":"白天很正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289403},{"body":{"content":"以前有什么疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050308938},{"body":{"content":"主要是晚上睡觉不紧说梦话，喊，还手脚乱动","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050317092},{"body":{"content":"没有精神类疾病的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050325951},{"body":{"content":"曾经有过突然发生的强烈不适感或心慌、眩晕、感到憋气或呼吸困难等症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050336992},{"body":{"content":"心脏不太好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050340716},{"body":{"content":"心慌 呼吸和困难 偶尔会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050377017},{"body":{"content":"毕竟岁数在那了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050384975},{"body":{"content":"最近有没有压力增大？\n思虑过多，精神紧张等表现？ ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050389309},{"body":{"content":"这个是有的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050396735},{"body":{"content":"老人心思比较重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050403645},{"body":{"content":"之前跟老伴总生气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422826},{"body":{"content":"情绪有没有波动？有没有容易生气发怒等，不易控制自己的情绪？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433781},{"body":{"content":"会有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050440827},{"body":{"content":"但去年老伴去世了，这回基本不生气了，但这个病根留下了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050496464},{"body":{"content":"根据你提供的资料，目前考虑两方面问题 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514044},{"body":{"content":"您看吃什么药或者怎样能对这种状况有缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516839},{"body":{"content":"第一，首先去医院神经内科门诊就诊，化验血常规，血糖，肝肾功能，甲状腺功能，查头颅CT，明确身体本身有没有问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050551156},{"body":{"content":"如果检查没有问题，可以口服****，*****等治疗观察一下效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050607954},{"body":{"content":"好的，神经性的可能大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050626918},{"body":{"content":"可以吃**么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050634655},{"body":{"content":"第二，需要排查一下有没有焦虑等精神心理问题。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645672},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050658470},{"body":{"content":"需要药物治疗的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050663775},{"body":{"content":"**意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050671382},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676368},{"body":{"content":"不过，在诊断焦虑问题前，必须先除外身体本身疾病。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050698859},{"body":{"content":"嗯嗯，明白","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050708573},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050712867},{"body":{"content":"谢谢了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050720067},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050728783},{"body":{"content":"那***吃什么对脑细胞好些呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050734096},{"body":{"content":"考虑出现的症状时间比较长，需要药物治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050772106},{"body":{"content":"***作用不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050782890},{"body":{"content":"那要是辅助营养呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050785297},{"body":{"content":"意义不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050814411},{"body":{"content":"好吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050883307},{"body":{"content":" 多谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050896464},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050896594},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050900794}]

女41岁

2022.05.20

[{"body":{"content":"你***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742626},{"body":{"content":"尊敬的plus用户您好，我是骨科医生，很高兴能为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049749756},{"body":{"content":"您可以在下图中描述疼痛的具体部位在哪里。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049754449},{"body":{"content":"4","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049783843},{"body":{"content":"您出现疼痛多长时间了，有受伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049811352},{"body":{"content":"我上学的时候，坐姿不好，就是类似于盆骨往前倾坐","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049823322},{"body":{"content":"就是往前顶","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049834167},{"body":{"content":"好久了，没受伤","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049840611},{"body":{"content":"有5年多了估计","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049849627},{"body":{"content":"不经常疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049856172},{"body":{"content":"就是坐姿不怎么好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049862859},{"body":{"content":"会疼几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049869019},{"body":{"content":"您平常有无久站、负重工作比较多？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049870352},{"body":{"content":"这是什么病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049874283},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049877069},{"body":{"content":"我是学生，经常坐着","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049885578},{"body":{"content":"您除了臀部疼痛外有没有下肢的麻木酸胀感？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049923637},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049959227},{"body":{"content":"您按压疼痛明显吗，平躺放松后是否有改善？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049995798},{"body":{"content":"平躺有改善","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050017224},{"body":{"content":"不明显","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050031715},{"body":{"content":"因为我也找不准是哪个地方，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050043001},{"body":{"content":"现在也不怎么疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050047650},{"body":{"content":"腰的话。转圈，会有一点点疼，有一点点舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050062980},{"body":{"content":"收到，您平常走路、运动有影响吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050084194},{"body":{"content":"不疼，转圈，就是有点活动的感觉","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050089006},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050090892},{"body":{"content":"就是坐姿久做不好得话，会犯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111393},{"body":{"content":"不是中间的骨头那","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144623},{"body":{"content":"骨头两边，没有骨头的地方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050152036},{"body":{"content":"好的，根据您所描述的情况，初步考虑肌筋膜炎，久坐、姿势不良，肌肉张力不平衡有关。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050169314},{"body":{"content":"两个屁股上方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050169913},{"body":{"content":"类似于这里","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050221902},{"body":{"content":"这个怎么治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050225588},{"body":{"content":"我肩膀处好像也有这种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050236925},{"body":{"content":"就是后面三角肌那里不是有个突起的骨头","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274291},{"body":{"content":"肌筋膜炎属于自限性的疾病，对症治疗，理疗、加强肌肉锻炼是会好转的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283412},{"body":{"content":"请问您有无某些药物过敏史，无肝肾功能异常、无消化道溃疡的病史，（如无，可直接回复：没有）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050288325},{"body":{"content":"缝隙有时候也会疼，不是骨头，类似于软骨","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050301305},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050305162},{"body":{"content":"建议您注意休息，参考使用*******，一次2片，一日3次+外用*****1天3次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050352003},{"body":{"content":"日常使用加热盐袋用于疼痛处每天2次，每次30分钟，改善循环 缓解症状。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050369645},{"body":{"content":"疼痛症状好转后 加强腰背肌训练 ，提高肌肉力量","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050379032},{"body":{"content":"现在夏天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427954},{"body":{"content":"加热会不会太热","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050433854},{"body":{"content":"您可以在空调房内或者使用热水袋，温度不会过高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050486323},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509356},{"body":{"content":"不客气的，我给您开个电子处方，参考一下药物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050538685},{"body":{"content":"处方已开好，您点击处方，绿色方框处，进入购药流程即可预约直接购买。如果出现多个，建议您选择京东大药房的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051286761},{"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。长期使用药物定期复查肝肾功能。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051289712},{"body":{"content":"随时关注身体状况，疾病都存在演变过程，如果症状没有缓解或者出现加重的情况，建议您立即到线下医院骨科检查就诊，以免延误病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051390880},{"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":1653051392007},{"body":{"content":"关闭问诊时间临近，如果没有其他问题的话我这边就先结束问诊了，希望我的建议能够帮助到您，感谢您的信任。请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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051461697},{"body":{"content":"后续您如果还有问题需要咨询可以在京东健康APP或京东APP中搜索“***”进行咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051463713}]

男21岁

2022.05.20