王历阳

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965259994},{"body":{"content":"稍等我看看","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965264379},{"body":{"content":"？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965271609},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965280343},{"body":{"content":"怀孕了下面流绿色液体","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965322873},{"body":{"content":"孕周？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965359745},{"body":{"content":"有痒吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965367530},{"body":{"content":"什么感染","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965369501},{"body":{"content":"有异味吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965375083},{"body":{"content":"不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965381082},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965389773},{"body":{"content":"滴虫感染。可有绿色白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965403316},{"body":{"content":"建议检查一下白带","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965416655}]

女22岁

2022.05.20

[{"body":{"content":"方便再拍别的地方的照片吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050383104},{"body":{"content":"刚刚洗澡热水烫过之后","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050449899},{"body":{"content":"很热的烫的，烫过去很舒服，但是会起疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050509490},{"body":{"content":"多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050510027},{"body":{"content":"有一个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050518924},{"body":{"content":"有没有那种止痒的涂的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050558351},{"body":{"content":"有没有晚上加重？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050590560},{"body":{"content":"别的人有吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050602978},{"body":{"content":"就是晚上会痒一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607966},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642362},{"body":{"content":"手缝严重吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050659556},{"body":{"content":"阴囊有疙瘩吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050662679},{"body":{"content":"首先呢考虑是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050774989},{"body":{"content":"但是得问问你的情况，需要看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050792091},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050829601},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871264},{"body":{"content":"可以口服******晚上一片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050874879},{"body":{"content":"手缝我看一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050893045},{"body":{"content":"这么痒我得看看是不是疥疮","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905879},{"body":{"content":"?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908354},{"body":{"content":"手缝和手腕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050919324},{"body":{"content":"没有呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050925580},{"body":{"content":"手缝和手腕都没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957249},{"body":{"content":"也不咋痒是不","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050964294},{"body":{"content":"都不痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050974485},{"body":{"content":"那就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050983850},{"body":{"content":"外用*****一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050991828},{"body":{"content":"这个药膏含有**，不过局部用是没事的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050993872},{"body":{"content":"吃过了了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050998994},{"body":{"content":"不管用的话可以口服********，这个是好点的抗过敏药，不过吃这个不能吃西柚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051019359},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051121252},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051131534},{"body":{"content":"痒的厉害也可以外用*****，一天两次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142988},{"body":{"content":"吃的这个没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051178695},{"body":{"content":"再加一个吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051182880},{"body":{"content":"这个是考虑过敏是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051217636},{"body":{"content":"不是湿疹对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051225655},{"body":{"content":"是湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051247843},{"body":{"content":"湿疹就是过敏性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051252683},{"body":{"content":"湿疹就是过敏反应","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051268901},{"body":{"content":"疥疮呢，是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051269557},{"body":{"content":"不是","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274671},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051293853},{"body":{"content":"不客气哒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051314331},{"body":{"content":"就是在打***有没有关联","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051314393},{"body":{"content":"不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051331183},{"body":{"content":"这个也属于是过敏反应，但是具体什么东西过敏不好说","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347470},{"body":{"content":"好的。我先按照你说的先吃点药先","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051367714},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385341},{"body":{"content":"会不会有传染性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051530004},{"body":{"content":"不会","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051558796},{"body":{"content":"好的谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051752898},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051766439}]

男32岁

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":"方便拍照片吗？拍个照片看一下吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292322}]

女67岁

2022.05.20

[{"body":{"content":"您好，我是皮肤科医生，非常高兴由我为您提供医疗咨询服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050877588},{"body":{"content":"从刚开始到现在，这种情况大概有多久了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050879188},{"body":{"content":"局部有无瘙痒或疼痛不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050890804},{"body":{"content":"有一点痒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050905091},{"body":{"content":"有三四个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050918927},{"body":{"content":"目前局部皮肤是没有破损渗液的对吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920688},{"body":{"content":"现在没破，之前抓烂长好了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050952407},{"body":{"content":"身上其他部位还有这种情况吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050955556},{"body":{"content":"目前局部是有用药吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050962691},{"body":{"content":"身上有小红点，不知道是不是，也就是腿上有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050995607},{"body":{"content":"还没有用药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051004001},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051047549},{"body":{"content":"目前您这种情况考虑瘢痕瘙痒的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051068484},{"body":{"content":"请问有无肝肾功异常、药物过敏史、相关用药禁忌及其他疾病？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074117},{"body":{"content":"上述情况有没有呢，这边给您用药建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051075773},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051092445},{"body":{"content":"目前可以使用*****，局部外涂 早晚各一次，缓解瘙痒不适，局部长好以后，如果想去除局部瘢痕，可以先局部外用****** 每天三次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051112828},{"body":{"content":"药物治疗效果不佳的情况下可以选择线下皮肤科做激光祛疤","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051127516},{"body":{"content":"感觉这不像是疤啊，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051165444},{"body":{"content":"之前这个部位受过外伤吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051183861},{"body":{"content":"看有说的说是湿疹","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051195556},{"body":{"content":"如果有抓破过，局部还是有伤口情况，既往之前这个部位考虑是皮炎或湿疹的可能性大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231653},{"body":{"content":"没有，就以为是蚊子咬的，抓了几次烂了又好，就成这样了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051248554},{"body":{"content":"目前主要是缓解局部瘙痒症状，同时用药缓解这种色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051254862},{"body":{"content":"那您当时这种还是考虑是蚊虫叮咬导致的，本身是小问题，但是由于抓破了，进一步加重，变成现在的情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051280760},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051319913},{"body":{"content":"建议后续规律使用药物对症观察1周，做好局部皮肤的清洁及保湿**，避免接触刺激性物品，清淡饮食，避免熬夜劳累，不适皮肤科随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051338255},{"body":{"content":"治疗期间您有其他问题需要问诊咨询，打开京东APP，搜索我的名字即可点诊我为您服务","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051343489},{"body":{"content":"那到底是啥","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051365528},{"body":{"content":"湿疹么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051374355},{"body":{"content":"考虑是局部蚊虫叮咬后导致的皮炎，您搔抓刺激以后局部皮肤破损引起的局部炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051389623},{"body":{"content":"留下了色素沉着","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051393298},{"body":{"content":"暂时不考虑湿疹","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051482018},{"body":{"content":"皮炎的话用什么药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051510641},{"body":{"content":"目前上述给您建议的药物都是对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051520480},{"body":{"content":"您可以使用1周看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051527809},{"body":{"content":"行","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051679840},{"body":{"content":"后续用药前请仔细阅读药品说明书中禁忌，注意事项，如无禁忌及注意事项中提及的问题可使用，使用请严格遵循说明书用法用量，如在用药过程中出现不适则请及时停药，同时上线咨询或线下就诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051704594},{"body":{"content":"如果没有其他问题，这边就先帮您关闭问诊了，希望我的建议能够帮助到您，非常感谢您的信任","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706604}]

男25岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0022，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051578391},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051579045},{"body":{"content":"***什么时候吃比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593360},{"body":{"content":"建议可以餐前一小时","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051594730},{"body":{"content":"但是今天没到","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051602854},{"body":{"content":"我一会睡前吃行吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051609974},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051615774},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620367},{"body":{"content":"饮食影响 不大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051621705},{"body":{"content":"主要看您方便 来，这个是最重要的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051630555},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051633241},{"body":{"content":"是消化不良吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051637235},{"body":{"content":"肚子胀气","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051645524},{"body":{"content":"男 24岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051653657},{"body":{"content":"那您可以直接用成人的哟","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051666410},{"body":{"content":"我买了***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051678824},{"body":{"content":"好嘞","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051707945},{"body":{"content":"//**********：本品为儿童专用药品，； \n：一次1～袋，一日～2次。 用40℃以下温开水或牛奶冲服，也可直接服用\n【用药注意】1.与其他药物间隔2小时服用（如***类），阴凉保存","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051714605},{"body":{"content":"按这个用量用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051721980},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051751578},{"body":{"content":"温馨提示：1、建议选择清淡易消化的食物，避免吃油腻、煎炸类的食物，最好不要吃**和**，否则会刺激胃黏膜，加重病情。\n2、建议多喝一些淡盐水，能够防止身体脱水，并且可以有效缓解腹泻或呕吐的症状。\n3、建议吃新鲜的食材，不要吃放置过久的食物，更不可以吃霉变的食物。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051765157},{"body":{"content":"为了您的健康和用药安全，使用前请仔细阅读药品说明书，按照药品的用法用量正确使用、查看用药禁忌和注意事项，如果为禁忌人群请勿使用，如有任何疑问，请及时咨询医生或药师。请您查看药品说明书中的注意事项，使用 天后如果症状没有改善或出现症状加重的情况，建议尽快线下就医。用药期间禁烟酒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051914926},{"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":1653051915884},{"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，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052017431}]

女

2022.05.20

[{"body":{"content":"在","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051008471},{"body":{"content":"您好，请问您有什么用药问题需要咨询^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051009314},{"body":{"content":"是鼻炎 吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051015321},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051021174},{"body":{"content":"您好，为了您的用药安全，方便药师指导用药，方便提供下用药人年龄、性别等情况吗？是本人用药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051036076},{"body":{"content":"是","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051047966},{"body":{"content":"可以搭配用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051057181},{"body":{"content":"为了您的用药安全，特殊情况请提前告知，如：（糖尿病、肝肾等其他慢性病史、备孕期、孕期、哺乳期、是否有过敏史），如果没有则回复“无”。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051062892},{"body":{"content":"****家里有没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051276514},{"body":{"content":"鼻炎 可以****+****","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290995},{"body":{"content":"**** 每个鼻孔各2喷。每日1次（每日200微克），以早晨用药为好。某些患者需每个鼻孔各2喷，每日2次，早晚各1次直至症状改善，当症状得到控制时，维持剂量为每个鼻孔1喷，每日1次。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051385015},{"body":{"content":"//*****：口服 成人及2-12岁以上儿童（ 体重＞30公斤）：一日1次，一次1片（10毫克）\n【用药注意】用药期间建议不喝酒，减少驾车高空高精密作业。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051435931},{"body":{"content":"生活温馨提示：清淡饮食，忌食辛辣刺激、油腻食物，注意休息，避免过度劳累。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051437480},{"body":{"content":"因您未提供既往史信息，只能经验性给予用药指导，您可能存在使用禁忌/过敏的情况，请务必查看药品说明书明确能否应用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051438626},{"body":{"content":"用药前请仔细查看药品说明书中的注意事项，如您在用药过程中出现**不适或持续无法耐受的症状，请立即停药，并及时咨询医师或线下医院 科室就诊！用药期间禁烟酒！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051439772},{"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":1653051440482},{"body":{"content":"请问您还在线吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446345},{"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，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051756485}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050433022},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050436181},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050514963},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050530809},{"body":{"content":"左腿腿弯疼 蹲下得时候厉害","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050556783},{"body":{"content":"左腿腿弯蹲着一跪疼得更厉害 请问用什么药呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050616500},{"body":{"content":"请问您这样多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050624627},{"body":{"content":"十天八天了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050644537},{"body":{"content":"差不多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050661805},{"body":{"content":"近期是否就医诊疗过，近期是否服用过*西药物缓解症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050683461},{"body":{"content":"昨天刚拿的*****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722743},{"body":{"content":"用了吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050734321},{"body":{"content":"还没开始用","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050787754},{"body":{"content":"去诊所拿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050798236},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050804497},{"body":{"content":"请问这个药可以用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817435},{"body":{"content":"可以用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050836660},{"body":{"content":"有****的效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844868},{"body":{"content":"您先用药三至五天看看效果，如果没有缓解，建议您及时去医院检查和治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936238},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050957172},{"body":{"content":"还有**********有吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050969312},{"body":{"content":"请您稍等，我马上为您查询一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050987265},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051012891},{"body":{"content":"暂时没有喷剂哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051049895},{"body":{"content":"哦哦 喷剂得好用 **不方便啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087945},{"body":{"content":"**效果持久些哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051120633},{"body":{"content":"哦哦 效果比喷剂好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051143308},{"body":{"content":"喷剂使用方便些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154525},{"body":{"content":"药物都是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051158036},{"body":{"content":"我想着鞋子里也喷点 脚也喷 不是更好嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051176328},{"body":{"content":"可以用其他的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051190603},{"body":{"content":"需要推荐吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051193761},{"body":{"content":"那是一样的嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051202918},{"body":{"content":"药物是一样的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051231231},{"body":{"content":"我之前用的**********得 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233643},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051236909},{"body":{"content":"都一样用的 一样的效果吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051253277},{"body":{"content":"药品的效果与药品的吸收、分布、代谢、排泄等有关。另外患者年龄、性别、体质、以及联合用药情况等 都对药效的体现有影响。所以药效视具体情况而定噢。由于个体差异，不同的人对药物的吸收会有差异，大多数患者见效快，少数患者见效可能会慢一些，一般对症就会有效果的呢。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051267056},{"body":{"content":"效果相似的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051275628},{"body":{"content":"效果相似","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051302795},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051307810},{"body":{"content":"药物成份是相 同的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051324057},{"body":{"content":"我就是手心脚上 水泡氧 完了之后开始褪皮","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051351724},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051363866},{"body":{"content":"嗯 用****可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423958},{"body":{"content":"可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051429241},{"body":{"content":"可以用洛芙联苯苄唑溶液治疗如手、足癣，体、股癣，花斑癣。\n用法用量：外用，一日1次，2～4周为一疗程。用脱脂棉蘸取少量涂擦局部。\n注意事项\n\n1.避免接触眼睛和其他黏膜(如口、鼻等)。\n\n2.用药部位如有烧灼感、红肿等情况应停药，并局部药物洗净，必要时向医生咨询。\n\n3.对本品过敏者禁用，过敏体质者慎用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051436076},{"body":{"content":"喷剂好还**得","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051441492},{"body":{"content":"足癣（脚气）是要按疗程用药的，一般二到四周为一个疗程，不能吃牛**、*****，另外建议您穿宽松透气的鞋袜，勤换鞋袜，保持脚部干燥。治愈后，条件允许的，建议全部换过新的鞋袜。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051444545},{"body":{"content":"可以两种搭配使用的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051452938},{"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":1653051493460},{"body":{"content":"**跟喷剂？搭配吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505329},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051518201},{"body":{"content":"喷剂白天 用，**晚上用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051526106},{"body":{"content":"那怎么搭配","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551276},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051558719},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051562291},{"body":{"content":"嗯 行 那不是不一个牌子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051574161},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051583294},{"body":{"content":"**是**** 喷剂是***啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051593077},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051606057},{"body":{"content":"没有影响嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051622941},{"body":{"content":"不影响的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642522},{"body":{"content":"好 那你都推给我看我看看去","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051661558},{"body":{"content":"**** 跟这个喷剂**喝酒可以吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051699984},{"body":{"content":"不建议喝酒的哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051706159},{"body":{"content":"好的 谢谢 ","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051714980},{"body":{"content":"那可以把喷剂喷**推给我嘛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051733426},{"body":{"content":"好的 谢谢药师","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051762031},{"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":1653051825432},{"body":{"content":"嗯 没有了 谢谢哈","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051835464},{"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":1653051841789},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051857505}]

女

2022.05.20

[{"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":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050394644},{"body":{"content":"胃间质瘤，晚期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050422226},{"body":{"content":"你发一下报告吧，你这样子拿着拍片子，我一点都看不见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050434568},{"body":{"content":"发现半年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050434790},{"body":{"content":"要什么样的报告","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050448111},{"body":{"content":" CT报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050502699},{"body":{"content":"发一下病理报告。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518452},{"body":{"content":"没做病理，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050546380},{"body":{"content":"大夫没让做","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050562605},{"body":{"content":"没做病理怎么知道是胃间质瘤？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568380},{"body":{"content":"沈阳肿瘤大夫根据加强ct给的结果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589143},{"body":{"content":"建议你第1个是取病理明确病理诊断，只有病理诊断才能够确诊恶性肿瘤，第二如果是胃肠间质瘤，如果有CD117阳性的话，可以进行靶向治疗，效果还是挺好的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050618619},{"body":{"content":"光影像没有办法确诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050626187},{"body":{"content":"之前寇有为大夫给开的****，吃了之后效果不好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050676700},{"body":{"content":"除了这个药还有别的药好用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050689817},{"body":{"content":"因为你没明确，也不知道你到底适合不适合吃这个药。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050705748},{"body":{"content":"就是做个胃镜取一块东西就能确诊的事儿，怎么那么麻烦呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050719225},{"body":{"content":"你首先不明确诊断让大夫怎么跟你说怎么治疗。现在要求治疗恶性肿瘤，必须有病的诊断。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050739267},{"body":{"content":"如果确诊是恶性肿瘤，胃间质瘤，那怎么治疗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050817617},{"body":{"content":"得看CD117和CD34的表达水平。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050844452},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050848684},{"body":{"content":"大夫没让做病理的原因是，现在肚子里全是肿瘤，怕破裂，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050968254},{"body":{"content":"这么这边的底线是病理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000334},{"body":{"content":"没有病理不能按恶性肿瘤治疗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051018839},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051045812},{"body":{"content":"因为不知道到底是间质瘤还是胃癌，怕方向错了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051051392},{"body":{"content":"希望您可以理解，都是家里人带老人去治疗的，我这边也是想多一个方向","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051105127},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051117743}]

男73岁

2022.05.20