刘继帅

[{"body":{"content":"你好，能否上传照片看看？有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965473931},{"body":{"content":"几天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965528532},{"body":{"content":"能否上传照片看看？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965547978}]

女17岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员您好，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":1653049792549},{"body":{"content":"已经是确诊的银屑病了吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049799973},{"body":{"content":"因为哺乳期，就去过一次医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049821258},{"body":{"content":"说看上去是银屑病","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049828254},{"body":{"content":"但是总觉得红点多，鳞屑不多啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049855307},{"body":{"content":"我也不太会判断","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049860223},{"body":{"content":"当时有没有做检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049877375},{"body":{"content":"没有做检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049888591},{"body":{"content":"头皮这块，已经好多年了的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049910334},{"body":{"content":"疼不疼痒不痒？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912157},{"body":{"content":"胳膊和腿上，刚刚有，几个月","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921771},{"body":{"content":"胳膊和腿上不痒也不疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049934101},{"body":{"content":"头皮上的很痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049940910},{"body":{"content":"您这个是要考虑寻常型银屑病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049950075},{"body":{"content":"每天掉很多头皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049951711},{"body":{"content":"需要去做什么检查吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049970433},{"body":{"content":"哺乳期可以治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049979338},{"body":{"content":"如果做检查的话，皮肤镜","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010949},{"body":{"content":"哺乳期的话用药是很局限。主要就是润肤为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021416},{"body":{"content":"之前有中医给开过泡洗的药，但是不能治疗，说只能缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050026666},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050069493},{"body":{"content":"哺乳期差不多结束了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050075522},{"body":{"content":"现在应该怎么做呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050081557},{"body":{"content":"那可以先给您开药，您结束哺乳之后再来治疗，可以接受吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050089790},{"body":{"content":"现在开的药是什么类型的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050111476},{"body":{"content":"一般来说银屑病常用药：***，****系列、****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050136676},{"body":{"content":"外用药膏治疗为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050142013},{"body":{"content":"这些哺乳期也适用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050158292},{"body":{"content":"都不能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172220},{"body":{"content":"哦，哺乳期还是不能用的的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050192521},{"body":{"content":"哺乳期之后呢？只用药膏应该效果不好吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050208607},{"body":{"content":"都得结束哺乳才能用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050210627},{"body":{"content":"银屑病外用药膏治疗为主","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050215036},{"body":{"content":"哦，寻常型的，能治愈吗。。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241292},{"body":{"content":"积极治疗的话。可以治愈的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393550},{"body":{"content":"使用前请您仔细阅读说明书中禁忌，注意事项，如无禁忌可使用，若期间出现任何不适及时复诊或线下医院进一步就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050604971},{"body":{"content":"建议您1.避免饮酒，忌辛辣食物；2.避免外伤，3.避免混乱外用药物；4.避免暴晒,会加重皮疹；5.注意皮肤的保湿护肤，和清洁6.避免感冒，避免熬夜。7.保持心情舒畅","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050615801},{"body":{"content":"？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051310801},{"body":{"content":"之前给您发送的消息没有收到吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051359390}]

女37岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050167457},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050170110},{"body":{"content":"哪个部位骨折了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050233516},{"body":{"content":"把片子发过来看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050666807}]

男23岁

2022.05.20

[{"body":{"content":"您好，我是互联网王医师，非常感谢你的信任，您先别担心，我会仔细看您的资料以后，再详细回复您。分析病情和回复需要一些时间，请您耐心等待。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965366727},{"body":{"content":"***活血通络的，心肌缺血可以吃，对症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965383352}]

女33岁

2022.05.20

[{"body":{"content":"您好，我是京东健康互联网医院专业育儿师，非常高兴由我为您提供育儿咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193734},{"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":1653050197476},{"body":{"content":"您好！引起婴儿吐奶的原因有很多，主要考虑是以下几种原因导致的：一，喂奶量过多。婴儿胃容量比较小，吃奶比较频繁。如果婴儿吃奶太多，就会出现吐奶的情况。二，喂养不当。在喂奶时如果大量的空气被孩子吞入胃内，家长没有及时拍嗝，后期就可能出现吐奶的情况。三，消化功能异常。如果孩子受凉导致胃肠功能出现问题，导致进食的乳汁不能及时被消化吸收，就会出现吐奶的情况。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050226732},{"body":{"content":"那跟室内温度较高没关系是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050258128},{"body":{"content":"对","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050320102},{"body":{"content":"您好现在我们是奶粉喂养，这个喂养姿势有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050339866},{"body":{"content":"有影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050393005},{"body":{"content":"正确的喂养姿势也会减少宝宝吐奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050413184},{"body":{"content":"您那边方便介绍一下喂奶姿势吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050495555},{"body":{"content":"还有现阶段针对吐奶呛奶有什么办法吗，大约多少周会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050536135},{"body":{"content":"喂养姿势，宝宝的嘴巴跟奶粉呈45度角。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050675473},{"body":{"content":"根据宝宝体质，最早也得三个月以后吐奶情况才会缓解。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050707330},{"body":{"content":"那宝宝怎么抱","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050864955},{"body":{"content":"现在孩子不到满月可以这样坐着吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925888},{"body":{"content":"可以。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970806},{"body":{"content":"还想咨询您一下，孩子喂奶粉的时候是让孩子一次性喝饱还是手动给她暂停一下呀","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981326},{"body":{"content":"孩子每次吃奶粉都咕咚咕咚的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050994566},{"body":{"content":"感觉他很着急","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051002925},{"body":{"content":"宝宝吐奶的可以给宝宝拍拍嗝。宝宝吃完奶以后右侧位躺着。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008061},{"body":{"content":"像夏天宝宝屋里需要开风扇或者空调给她调节一下温度维持在26度吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051068856},{"body":{"content":"这会儿晚上睡觉孩子盖多厚呀一般","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051091059},{"body":{"content":"嗯感谢啦，那现在室内温度27.5还算可以是么？不用一直稳定在26度左右是嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051301606},{"body":{"content":"我们现在晚上给她盖两层纱布","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316707},{"body":{"content":"还有一个问题麻烦您，白天有时候看孩子头发有点汗汲汲的，头发有点揪揪在一起，需要物理降温用毛巾擦擦吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051455052},{"body":{"content":"感谢您的咨询，祝您和宝宝健康快乐每一天。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051897666},{"body":{"content":"您好！感谢您的咨询，如果我的回复您还满意的话，请您在百忙之中抽出时间在我们的对话框的右上角，点开“表扬”给我个五星⭐好评呗！谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051910364},{"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，宝宝健康快乐！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051919631}]

女

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":"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":"[**]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":"您好，京东大药房药师工号0049，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050842475},{"body":{"content":"可以喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050855327},{"body":{"content":"不建议经常喝","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050861767},{"body":{"content":"只有大便干的时候可以喝，平常不可以当做***是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050924878},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937104},{"body":{"content":"好的，五岁的孩子鼻子经常干痒，不通气，有没有那种滴剂可以缓解","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050981536},{"body":{"content":"给孩子喝点鲜榨果汁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987320},{"body":{"content":"便秘有可能是**摄入不足","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050994945},{"body":{"content":"用****看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051010856},{"body":{"content":"是不是有鼻炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051014535},{"body":{"content":"有点鼻夹肥大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051058441},{"body":{"content":"其他的药物滴剂建议遵医嘱用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051079042},{"body":{"content":"我觉得像鼻炎，经常鼻子干不通气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051100133},{"body":{"content":"用洗鼻喷雾就可以了吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051138163},{"body":{"content":"日常**1.平时要经常活动、锻炼、增强体质； 2.注意气候变化，适时增、减衣服； 3.本病流行期间不到人多的公共场所。饮食调理多注意休息，多饮水，不要偏食、营养要均衡。饮食上应以清淡为主，过敏性鼻炎发作期应少吃海鲜、鸡蛋和牛奶等易诱发过敏的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140828},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051177558},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051187652},{"body":{"content":"为了您的用药安全，请您在用药前仔细阅读说明书注意事项、禁忌等内容，严格按照说明书或药师指导的用法用量使用，若用药无效果或病情加重，请及时咨询医生师或立即线下就医","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051209179},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051211425},{"body":{"content":"很高兴为您服务，请对我本次的服务做出评价，感谢您对京东大药房的支持，祝您生活愉快，谢谢！。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051353817}]

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":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