刘继帅

[{"body":{"content":"尊敬的PLUS会员您好，我是普通外科张医生，很高兴为您提供医疗咨询。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822923},{"body":{"content":"您好，请问您有什么不适症状？有多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049836642},{"body":{"content":"静脉曲张","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049843563},{"body":{"content":"腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049851228},{"body":{"content":"目前没有图片","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049864504},{"body":{"content":"您可以站立位，发一张下肢的照片吗？我来判断一下严重程度。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049864585},{"body":{"content":"因为是帮家人问的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049901913},{"body":{"content":"就想看一下有什么可以缓解一下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049921011},{"body":{"content":"好的，患者多大年纪 确诊是下肢静脉曲张了么？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049930976},{"body":{"content":"腿部的筋和**差不多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049957662},{"body":{"content":"下肢静脉曲张 一般引起的是下肢酸胀不适 特别是站久了 酸胀明显 麻木的症状，要除外是腰椎问题引起的不适症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049974460},{"body":{"content":"63岁","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049974894},{"body":{"content":"确诊了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049988149},{"body":{"content":"暂时可以给您些静脉曲张的治疗建议 和方法 帮患者缓解下肢 酸胀不适的症状，但是彻底治疗下肢静脉曲张 是需要手术的，另外 下肢麻木的情况 需要排除是腰椎问题 压迫神经引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050027005},{"body":{"content":"治疗建议前，为了用药安全，系统需要先排除用药禁忌，请问您既往是否有基础疾病？近期是否有发现肝肾功能异常？是否有药物过敏史？您回答有或者没有就可以了。谢谢。（例行询问，请您配合 谢谢）","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050038945},{"body":{"content":"家里人也没有拍过腰椎片子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050088917},{"body":{"content":"但是静脉曲张是有的，也是那条腿麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050123140},{"body":{"content":"小腿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050129764},{"body":{"content":"没有药物过敏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050144619},{"body":{"content":"嗯，可以先用药缓解症状的。药物建议前，需要您配合回答一下上边问题。我给您建议","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050149205},{"body":{"content":"好的，感谢配合","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154238},{"body":{"content":"可以用药膏或者喷雾那些药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050185214},{"body":{"content":"建议您注意下肢保暖，避免过久站立，和久坐，平躺休息是尽量抬高下肢，促进血液回流，可以外用*******涂抹下肢 涂抹后轻轻按揉有助于药物吸收 同时可以口服 ****一次2片一天2次，治疗静脉曲张 口服****营养神经 缓解麻木症状","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050189224},{"body":{"content":"这种涂抹的效果比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050213207},{"body":{"content":"为了方便您用药，您可以点击“药品名称带有购物车标志”进入链接购买。有些药品为“处方药”，必须要由有医师开处方才能购买。稍后我再帮您开具一张电子处方，并注明用法用量，您作为参考，按照处方用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050418267},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050419545},{"body":{"content":"处方已经开好，您可以点击处方，预约购买，药师审核通过后，即可发药,京东物流会配送到您指定的**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050451727},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050579271},{"body":{"content":"祝患者早日康复，身体健康，生活愉快","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617136},{"body":{"content":"别忘了方便时候 带患者做过彩超检查一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050946037},{"body":{"content":"你***这个药膏可以吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051060220},{"body":{"content":"因为你说的药膏，我那地区发不了货","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051087636},{"body":{"content":"也是可以的，效果也是不错的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051096133},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051112937},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051169477},{"body":{"content":"哪个***是一次两片是吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051311777},{"body":{"content":"另一个就是一次一粒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051329844},{"body":{"content":"是的 ***一次2片 另外一个一次一个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051406775},{"body":{"content":"***一天2次，另外一个一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051413408},{"body":{"content":"我看另一个处方上写的是一天3次","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051491899},{"body":{"content":"***对痔疮也有用对吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051538715},{"body":{"content":"另外一个一天3次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051542879},{"body":{"content":"这个打错字了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051546555},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051551089},{"body":{"content":"对的，对痔疮也是管用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051551617},{"body":{"content":"哦哦好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051559037},{"body":{"content":"祝早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051702209}]

女30岁

2022.05.20

[{"body":{"content":"\n您好，麻烦您给开一下药吧，跟上次的一样","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051262054},{"body":{"content":"跟上次开一样的吗？最近病情平稳吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274742},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051369752},{"body":{"content":"上次一样的药","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051375177},{"body":{"content":"最近病情平稳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051415870},{"body":{"content":"好的，稍等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051515588},{"body":{"content":"能多开几盒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051620003},{"body":{"content":"可以多开一盒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051693908}]

女57岁

2022.05.20

[{"body":{"content":"您好，非常高兴由我为您提供医疗咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965385659},{"body":{"content":"你好，想问一下十二岁小女孩一般子宫厚度是多少属于正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965434382},{"body":{"content":"2~3厘米。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965475308},{"body":{"content":"44mm*38mm*31mm这属于正常吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965554958},{"body":{"content":"稍微增厚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965584469},{"body":{"content":"基本正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965621107},{"body":{"content":"那医生说薄薄的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671767},{"body":{"content":"9MM","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965901096},{"body":{"content":"4.4✘3.8✘3.1","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965959454}]

女12岁

2022.05.20

[{"body":{"content":"几天了？之前治疗过吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050400927},{"body":{"content":"有一段时间了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415222},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050417672},{"body":{"content":"之前开过**药膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050427404},{"body":{"content":"这个看着神经性皮炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050438529},{"body":{"content":"但是好了之后一出汗还是容易长疹子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050446555},{"body":{"content":"用过什么药物？见好吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050448214},{"body":{"content":"***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050469176},{"body":{"content":"用了之后能缓解，但是不能根治","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050486777},{"body":{"content":"请问这个开什么药比较好呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581132},{"body":{"content":"***可以 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669439},{"body":{"content":"但是好了以后不能一下停药 要逐渐减量的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050685244},{"body":{"content":"比如由以前的一天两次改成一天一次","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050700516},{"body":{"content":"然后改成隔一天一次 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050709245},{"body":{"content":"***不能用的时间过长","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050717733},{"body":{"content":"最长能用多长时间呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050855651},{"body":{"content":"7天","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050908328},{"body":{"content":"然后换成弱效激素或者非激素","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050932939},{"body":{"content":"非**可以用什么药膏呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944671},{"body":{"content":"可以用******","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050970330},{"body":{"content":"好的，谢谢您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051037089},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051102520}]

女51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":"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":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049941426},{"body":{"content":"但是没必要吧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049948236},{"body":{"content":"全身没有任何症状，额头和后背出虚汗，这是怎么回事？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049984105},{"body":{"content":"那不好说啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050011993},{"body":{"content":"体质虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050036280},{"body":{"content":"没有症状那两个药就别吃了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050060622},{"body":{"content":"可以中医药调理一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050078038},{"body":{"content":"前两天胃反流性食管炎引起上呼吸道感染，一直在吃*****和******，这几天嗓子干痒，又吃了******，现在嗓子好了，在没有任何症状，就是老出虚汗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050130081},{"body":{"content":"那**就恢复了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172782},{"body":{"content":"你吃的比较杂了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050183319},{"body":{"content":"肺气虚","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050193911},{"body":{"content":"可能","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204667},{"body":{"content":"****和********一起可以吃吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050207277},{"body":{"content":"没必要吃这两种啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050229518},{"body":{"content":"除了这两种药还吃点什么药好呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050231119},{"body":{"content":"如果光出虚汗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050248736},{"body":{"content":"可以吃点中药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050268418},{"body":{"content":"额头和后背虚汗出的比较多，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050274380},{"body":{"content":"辩证后开汤药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289133},{"body":{"content":"在这里开吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308402},{"body":{"content":"这里不好开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050321386},{"body":{"content":"无法脉诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050326959},{"body":{"content":"你在当地医院找中医大夫","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050346229},{"body":{"content":"好的，那你有没有给我推荐药呢？对虚汗比较好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050408065},{"body":{"content":"因为在**，所以附近的中医医院都关门了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050445786},{"body":{"content":"不可能啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050504146},{"body":{"content":"我以为自己得新冠了，一直再做核酸，已经做了20多次了，核酸一直没问题。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050504173},{"body":{"content":"我看看你舌头","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050518269},{"body":{"content":"阴虚有热","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767950},{"body":{"content":"那现在吃点什么药比较好呢？现在我附近的医院基本上都关门了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820587},{"body":{"content":"你这种还就是吃汤药比较好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050857586},{"body":{"content":"没有适合的成药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050867033},{"body":{"content":"好的，那知道了，谢谢医生。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897493},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050909680}]

男34岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965815024},{"body":{"content":"能吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965817128},{"body":{"content":"没什么疾病啥的吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965842759},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965884801}]

男25岁

2022.05.20

[{"body":{"content":"你好，我是三级甲等医院神经内科中级医师，***，请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595516},{"body":{"content":"你是患者本人吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049606155},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049612738},{"body":{"content":"这么年轻","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049626743},{"body":{"content":"不应该啊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049629347},{"body":{"content":"是家里人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049640119},{"body":{"content":"奥奥","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049683854},{"body":{"content":"咨询什么问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049689152},{"body":{"content":"家里老人轻微中风","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049706834},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049713486},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049725390},{"body":{"content":"开几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049727803},{"body":{"content":"为了用药安全，请问你是否有药物过敏史，是否有肝肾功能异常，是否有慢性疾病","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049732198},{"body":{"content":"5","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049732283},{"body":{"content":"无","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049742701},{"body":{"content":"谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049861411},{"body":{"content":"回看沟通记录可见电子处方。点开电子处方，下方会有 预约药品，点击后会跳转京东，补充**等信息，支付后，京东药师审核后，会直接按照您预留**发货，无需再上传处方。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049869848},{"body":{"content":"不用客气，祝您早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049871882},{"body":{"content":"脑梗塞应这样\n1.应平衡饮食和营养，多吃蔬菜、水果和谷类食品，减少饱和脂肪酸和胆固醇的摄入；每天盐摄入量限制在6克以下。\n\n2、继续锻炼，持续锻炼可减少20%的复发风险，每天至少进行30分钟的适度体育活动，如步行、慢跑、**拳、骑自行车等，每周5次。\n\n3、定期体检和会诊，患者应定期检查血压、心电图、血糖**脂，并根据自己的检查结果咨询神经科医生，帮助解决所遇到的各种问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049876299},{"body":{"content":"你可以点开我的头像关注我，以后有问题随时可以咨询我， 或者去：京东_搜我的名字***，点击图文咨询直接咨询就行。这样就能找到我了，有什么用药问题或者购药问题都可以继续咨询我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049879609},{"body":{"content":"希望我的建议能够帮助到您，非常感谢您的信任！请对话结束后对给予5星好评，您的好评是对我最好的肯定与鼓励，祝您生活愉快，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049881616}]

女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":1652965641012},{"body":{"content":"脚拇指指甲边肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965695458},{"body":{"content":"网诊较为局限，完全要靠清晰度高的图片来判断病情，就和线下医院问诊是一个道理，医生也需要看你的患处，对你的情况进行诊断。希望理解，谢谢配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965708099}]

女28岁

2022.05.20