刘继帅

[{"body":{"content":"您好，我是上海宏康医院皮肤科室的李伟庭主治医生，我已经接诊到您的咨询，我正在看您的主诉，请您稍等，我马上解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965130291},{"body":{"content":"您这个症状有多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965144671},{"body":{"content":"一个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151174},{"body":{"content":"以前有类似发病史吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965173086},{"body":{"content":"痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965179953},{"body":{"content":"痒，以前没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965246136},{"body":{"content":"手心还有一块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257446},{"body":{"content":"从照片上看像红丘疹过敏引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965266958},{"body":{"content":"根据上述情况我可以给您一些用药方面的建议。 为用药安全，请问是否有严重药物过敏史或者药物严重不良反应？近期肝肾功能是否正常？是否有慢性疾病？您是否处于备孕期？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965273549},{"body":{"content":"表皮变硬，痒，裂口","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965278140},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965286388},{"body":{"content":"知道了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965290355},{"body":{"content":"建议一，要忌口鱼虾牛**和酒别吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965298648},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965306036},{"body":{"content":"二，外用*****或*****一天二次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965306381},{"body":{"content":"三，口服***********一天一粒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965314535},{"body":{"content":"先口服三天左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965330579},{"body":{"content":"治疗后应该会好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965339903},{"body":{"content":"手少接触肥皂和洗洁精","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965360379},{"body":{"content":"切记，暂时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965370756},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965379544},{"body":{"content":"不谢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965388155},{"body":{"content":"祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965395523},{"body":{"content":"不严重吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965398064},{"body":{"content":"不严重的，放心","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965413218},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966822906},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967683576},{"body":{"content":"电子处方已开好，等药师审核通过了，可以点击购买了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652967798518}]

男31岁

2022.05.20

[{"body":{"content":"您好！这里是京东医生皮肤科。你描述的情况我已经收到。为了配合确诊病情，请提供清晰度高的图片。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965385742},{"body":{"content":"一只脚这样还是两只脚都这样。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965484811},{"body":{"content":"两只","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965516893},{"body":{"content":"有过长期走路或运动的情况吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965522638},{"body":{"content":"有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965537061},{"body":{"content":"痛痒感有没有？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965572320},{"body":{"content":"有点疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965600887},{"body":{"content":"目前的情况考虑是长期外力摩擦导致的皮炎。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621361},{"body":{"content":"你最近这段时间直到恢复都需要减少活动量。以免症状加重。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965635160},{"body":{"content":"怎么医治？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965651827},{"body":{"content":"为了您的用药安全，需要排除禁忌症，请您仔细作答，以便能够正确的指导用药。\n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？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965664757},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965697084},{"body":{"content":"建议每晚使用******湿敷患处。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965699214},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965704667},{"body":{"content":"减少活动量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965715832},{"body":{"content":"请问还有其他需要咨询的问题吗？如果没有的话，这边就先关闭订单了，以便服务更多的患者。本次问诊结束后，希望您能给我一个好评。祝您身体健康，生活愉快！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965719391}]

女17岁

2022.05.20

[{"body":{"content":"您好，我是住院医师狄华，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050046786},{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050049868},{"body":{"content":"闲趣 自然清咸原味薄脆饼干 休闲零食带提手礼盒装900g（普通装和加量装随机发货 介意慎拍）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050126627},{"body":{"content":"都是独立小包装","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050144938}]

女

2022.05.20

[{"body":{"content":"你好，能否上传照片看看？按压痛吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402026},{"body":{"content":"按压不痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965426017},{"body":{"content":"有无挤压过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965442252},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965454819},{"body":{"content":"根据您症状情况，考虑是甲下出血，与无意中挤压有关系的。对身体没有影响的。可以不用管它的。自己会**恢复退掉的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965490474}]

女20岁

2022.05.20

[{"body":{"content":"而且很痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878654689},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878784166},{"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":1652878790736},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878831734},{"body":{"content":"您好！脸上红印，红血丝较多，形成敏感肌，痘痘为结节囊肿型","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878897261},{"body":{"content":"平时常用洗面奶洗脸的频率如何？都使用哪些类型的洗面奶？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878981247},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881169301},{"body":{"content":"晚上早上洗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652881195080},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881492821},{"body":{"content":"敏感肌建议您精简护肤，平时用温水洗脸即可。使用洗面奶。尽量避免使用清洁型或磨砂型，使用频率每周不超过两次为宜。每次洗脸之后需涂***。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881539035},{"body":{"content":"同时平时注意防晒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881546353},{"body":{"content":"痘痘之所以反复发作跟体内激素水平高有关，会导致毛囊皮脂腺分泌旺盛，堵塞毛管，痤疮丙酸杆菌，细菌灰尘，等会定植毛囊引发炎症。痘痘有硬结是炎症比较深，深达真皮层。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881614316},{"body":{"content":"您都用过哪些药物治疗？效果如何？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881640524},{"body":{"content":"没有用其他药物","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652919276830},{"body":{"content":"根据您的情况，建议您：\n1、中药口服内调体质，增加皮肤修复能力；局部外用药膏改善炎症，减少痘印；\n2、配合使用药妆品和肌肤屏障修复剂；有助于皮肤修复，改善敏感肌，减少痘痘复发；\n3、日常精简护肤，用温水洗脸，尽量避免使用深度清洁型洗面奶及磨砂型洗面奶，选择比较温和的保湿产品，避免选用***类产品。使用洗面奶的频率，每周两次左右。要特别注意防晒、保湿。这些措施要贯彻在你治疗的全过程。\n4、另外一个是饮食注意少食辛辣油炸刺激之品。避免食用奶茶，奶酪，牛奶，奶油等奶制品以及巧克力冰淇淋等甜食甜品。这些都是造成痘痘反复不愈的原因。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652926585887},{"body":{"content":"什么中药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652934819750},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937215777},{"body":{"content":"需要根据您的舌开具中药方，中药免煎颗粒，开水冲服那种","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937252364},{"body":{"content":"您发个舌苔图片看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652937260673}]

女31岁

2022.05.20

[{"body":{"content":"用过**，药店也买过湿疹的药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652878936880},{"body":{"content":"你好，从图片条件来看，考虑面部皮炎。与过敏、皮肤屏障功能受损有关。可以外擦0.03%******，每天一次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879230600},{"body":{"content":"小硬包的症状和皮炎能对应的上是不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879266431},{"body":{"content":"这个药**店有卖么，平时需要注意什么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879289517},{"body":{"content":"和天气冷热有关么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879305911},{"body":{"content":"对的上。大的药店有卖。和冷热有关系的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879598098},{"body":{"content":"生活规律，睡眠充足，调节饮食，多吃蔬菜水果，限制多脂及多糖食物，忌饮酒及辛辣刺激性食物，避免过度精神紧张！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879600223},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880231720},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881138221}]

女34岁

2022.05.20

[{"body":{"content":"您好，我是消化内科医生，您的问题已经收到，我正在详细阅读您的病情描述。感谢您对我的信任！请理解线上诊疗的局限性，因为缺乏查体环节！我向您提出以下问题，请尽可能逐一回答！为了您的健康！同时便于我尽可能多的掌握足够有效信息，从而更准确有效的做出回答，给予合理的意见和最大的帮助！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050779902},{"body":{"content":"报告已阅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050783802},{"body":{"content":"大夫你好，患者身体乏力，厌食，去两个医院，一个让住院，一个说不用住院，回家吃药就行。请问一下，她这种情况应该怎么治疗比较妥当？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050947915},{"body":{"content":"你这个是药物性肝损伤吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051026285},{"body":{"content":"怀疑是这个，因为患者4个月前注射过***，然后出现这个症状，而且尿液茶色。前天去检查然后医院得出的结论","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051099658},{"body":{"content":"这个最好住院治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051146487},{"body":{"content":"转氨酶有点高","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051250827},{"body":{"content":"我们这市医院检查说不需要住院，那不住院吃药可以治疗吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051283923},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051296846},{"body":{"content":"但有风险","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051306094},{"body":{"content":"医院开的药是这个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051316433},{"body":{"content":"单吃这个不行的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051319673},{"body":{"content":"好的，我知道了，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051453200},{"body":{"content":"您还有什么问题吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051507384},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"感谢你的信任，祝您**！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051561414}]

女59岁

2022.05.20

[{"body":{"content":"您好，我是主治医师许奇峰，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049741234},{"body":{"content":"您好,感谢您的信任!!!","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049744692},{"body":{"content":"您好，我是中医科医生，主要从中医角度给您一些建议，以上相关问题，点击主页面左边“客服”按钮，直接联系商家的客服，详细为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049747823},{"body":{"content":"目前京东商城很多产品都没有客服，或者您可以联系平台客服，咨询商家客服的联系方式","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049750990}]

女

2022.05.20

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

女21岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050093555},{"body":{"content":"没发红吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050106452},{"body":{"content":"您好，稍微有点发红","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050117836},{"body":{"content":"****涂一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050181976},{"body":{"content":"******涂","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189340},{"body":{"content":"好的，另外请问一下医生，这个影响宝宝打**吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050227142},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244112},{"body":{"content":"没关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050245361},{"body":{"content":"注意**屁股","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248907},{"body":{"content":"有点发炎的样子","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050253539},{"body":{"content":"好的，****是一天涂一次吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050288519},{"body":{"content":"一天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050304780},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050319832},{"body":{"content":"我没有其他问题了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050337529},{"body":{"content":"表皮也用一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050337768},{"body":{"content":"嗯嗯，好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050343422}]

男2个月22天

2022.05.20