王玉禄

[{"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，我是您的主治医生，请具体描述你的问题和你的症状，我看完后给你回复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051237648},{"body":{"content":"可以吃","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051240980},{"body":{"content":"她的情况吃***好还是***好。谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051320516},{"body":{"content":"*****有依赖性","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051344208},{"body":{"content":"效果更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051347932},{"body":{"content":"如果***也睡得着就吃***","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051366441},{"body":{"content":"***是中成药吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051386951},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051434490},{"body":{"content":"***副作用应该比***小吧？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051489856},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051498570},{"body":{"content":"好的我知道了谢谢您了。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051516773},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547029},{"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":1653051549177},{"body":{"content":"***什么牌子比较好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051563986},{"body":{"content":"都差不多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051574028},{"body":{"content":"好了没有问题了谢谢您！","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051595953},{"body":{"content":"**源的可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051596654},{"body":{"content":"希望我的建议能够帮助你，麻烦结束后好评下，再见！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051600997}]

女84岁

2022.05.20

[{"body":{"content":"我偏**，眼眶也疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050110774},{"body":{"content":"想申请开药，封控区也不能去医院","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050133076},{"body":{"content":"可以开药的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050143736},{"body":{"content":"我吃的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050154759},{"body":{"content":"**的？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050182957},{"body":{"content":"**的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050188167},{"body":{"content":"居委会可以代配药吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050212118},{"body":{"content":"但是现在买不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050233235},{"body":{"content":"我现在想自己先买因为很疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050253066},{"body":{"content":"如果等他们开，需要下周了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050280918},{"body":{"content":"买不到的话要不您换个药？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050283687},{"body":{"content":"我就差一个处方，你这不能帮我开吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050306349},{"body":{"content":"我回不去那个家，处方不在这边所以传不了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050333087},{"body":{"content":"开不了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050339272},{"body":{"content":"需要您之前的病史","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050345968}]

女42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":1653050690150},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699955},{"body":{"content":"不确认怀孕的情况下是可以用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050702870},{"body":{"content":"确认没有怀孕的情况下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050720012},{"body":{"content":"刚测到排卵强阳","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050722379},{"body":{"content":"影响排卵受精吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050730994},{"body":{"content":"这个不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050737764},{"body":{"content":"尽量不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050744595},{"body":{"content":"因为有点感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050746507},{"body":{"content":"如果准备同房的话","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050750313},{"body":{"content":"准备同房","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757990},{"body":{"content":"可以不用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050763263},{"body":{"content":"感冒嗓子太不舒服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050772129},{"body":{"content":"女方","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050776791},{"body":{"content":"还是建议治疗好以后下个月同房","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050791234},{"body":{"content":"或者是就多喝水","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794116},{"body":{"content":"不建议吃？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050801276},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050816686},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050820317},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050823656},{"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":1653050826690},{"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":1653050828193},{"body":{"content":"您对肾虚有了解吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050838706},{"body":{"content":"肾虚分为肾阳虚和肾阴虚，肾阳虚——肾阳虚主要表现为脸色苍白、畏寒怕冷、浮肿、腰腿冷痛、尿频而少、慢性腹泻等症状。肾阴虚——腰膝部位酸痛，头晕或耳鸣，听力下降，口乾咽燥，烦热，手足掌心发热，晚上出汗，大便乾结，男子遗精。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050871606},{"body":{"content":"有点早泄","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050876687},{"body":{"content":"在吃药物吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050892879},{"body":{"content":"射的快，三五分钟","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050897582},{"body":{"content":"没吃","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050900527},{"body":{"content":"敏感","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050905253},{"body":{"content":"如果一直这个情况的话，还是需要看一下男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920927},{"body":{"content":"医院吗？挂什么号","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944676},{"body":{"content":"饮食宜清淡营养，忌辛辣不容易消化食物，节制房事，加强体育锻炼，增强体质，多吃一些清淡的食物，含有***和蛋白质比较高的食物","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050949685},{"body":{"content":"男科","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050951789},{"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":1653051036039},{"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":1653051039837},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051070292},{"body":{"content":"能治吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051075031},{"body":{"content":"线下看男科看一下是先天敏感还是什么原因","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051100683},{"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":1653051360547}]

女

2022.05.20

[{"body":{"content":"你****","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879114305},{"body":{"content":"您好，我是京东皮肤专业主治医生***，由于问诊时间或者次数有限制，为给您提供更好的的诊疗方案，请问您依次回答您这种情况多久了？最近都用过什么药物治疗（具体药物名称），如果有过敏药物，肝肾，心脏等慢性疾病以及备孕请提前说明（不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879239331},{"body":{"content":"最近一直在涂抹*******","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879283186},{"body":{"content":"口服的什么药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879365203},{"body":{"content":"没有口服","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879395084},{"body":{"content":"之前在地方医院开过药是口服的 但是忘了叫啥名字了 因为是前年看的病 那个医生说是痤疮 开口服的就行 好像是去火的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879460551},{"body":{"content":"因为我是军人 所以外出看病有些限制","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879477824},{"body":{"content":"当时口服那个药物确实痘痘下去了很多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879498922},{"body":{"content":"什么时候严重一些？与熬夜，饮食辛辣，作息不规律，心情不好，长期使用电子产品（电脑前工作，刷**，玩游戏），***等有关系嘛？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879542397},{"body":{"content":"都有一点吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879572253},{"body":{"content":"因为职业问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879579311},{"body":{"content":"熬夜几乎不会 除非晚上执勤 几乎都十点半左右入睡了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879632755},{"body":{"content":"根据您目前的情况，我建议口服******一天2次，一次50mg（如果口服后有头晕等不适，放到睡前一次性吃2粒），白天外用******一天两次。晚上点涂******一次，外用药物都只摸痘痘上（您需要的处方已开，审核通过后按照提示购买，京东大药房的都是正品）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879720639},{"body":{"content":"好的我已经购买","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879821448},{"body":{"content":"如果有不适我再联系您","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879837819},{"body":{"content":"医生这和饮食有关系吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879980571},{"body":{"content":"成人奶粉和***增肌类型的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880035989},{"body":{"content":"主要与饮食辛辣，熬夜，作息不规律有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880054885},{"body":{"content":"这段时间尽量要注意休息，清淡饮食，不要吃辛辣刺激的食物（麻辣烫，火锅，烧烤等），少吃油腻的食物（肯德基，麦当劳，红烧肉等），甜食（巧克力，糖果等），多吃蔬菜水果，保持大**畅，少熬夜，少抽烟喝酒，尽量不要长期玩电脑游戏，刷**，看**。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652880059065},{"body":{"content":"牛奶和成人奶粉之类的奶制品可以饮用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880153298},{"body":{"content":"而且我是油性皮肤 易出汗 我们训练量也很大","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880180838},{"body":{"content":"洗面奶护肤之类的有要求吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652880274343},{"body":{"content":"高脂的牛奶尽量少喝。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881745118},{"body":{"content":"********的这几个","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652881772419},{"body":{"content":"好的明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882190289},{"body":{"content":"嗯，好的，不客气，按时用药治疗的同时注意我说的注意事项同等重要，一般2周左右复诊，根据病情变化调整治疗方案（如果用药过程中有不适请及时复诊或者附近医院及时就诊）。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882283910}]

男23岁

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0580，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050936167},{"body":{"content":"为了您的用药安全，方便药师指导用药，请问患者的性别和年龄？上为本人用药咨询吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050937523},{"body":{"content":"17岁，男，为自己孩子咨询","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051000243},{"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":1653051016862},{"body":{"content":"您咨询的这款对症的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051340094},{"body":{"content":"养成良好的用眼习惯，合理的用眼，减少使用电子产品时间，避免眼疲劳，要控制用眼距离。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051582538},{"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。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051584634},{"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":1653051586088}]

女

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965025702},{"body":{"content":"能拍个照片看一下吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965047862},{"body":{"content":"身体右侧肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965053284},{"body":{"content":"颜面部肿吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965055421},{"body":{"content":"右侧是上肢和下肢吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965072607},{"body":{"content":"既往有什么基础疾病吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965083725},{"body":{"content":"上肢不肿对吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965143453},{"body":{"content":"按压肿得地方有凹陷吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965163733},{"body":{"content":"从图上看您左侧下肢及脚面是肿的，而不是右侧","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965225387},{"body":{"content":"整个右边都是肿的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965257392},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965272777},{"body":{"content":"心脏和肾脏都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965285570},{"body":{"content":"没有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965292020},{"body":{"content":"我自己拍不到全身","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965311743},{"body":{"content":"单侧水肿考虑血管的问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965318746},{"body":{"content":"哪的血管呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965364390},{"body":{"content":"建议您查下腔静脉及下肢动静脉超声或血管核磁","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965384820},{"body":{"content":"都查过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965401080},{"body":{"content":"血管核磁可能更清楚一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965409087},{"body":{"content":"有问题吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965420435},{"body":{"content":"有点静脉曲张。但不足以导致整个右侧的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965429488},{"body":{"content":"脸的肿","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965459714},{"body":{"content":"如果水肿部位比较的应该考虑上面血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965459845},{"body":{"content":"胳膊没法拍","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965468281},{"body":{"content":"自身免疫抗体谱有没有查过？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965476117},{"body":{"content":"没","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965488092},{"body":{"content":"属于内分泌么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965498738},{"body":{"content":"主要考虑血管的问题，就是全身血管的问题。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965501139},{"body":{"content":"属于风湿免疫科。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965509879},{"body":{"content":"腰脱或颈椎问题会导致这种问题么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534492},{"body":{"content":"需要做个全身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965569183},{"body":{"content":"ct或核磁么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965592431},{"body":{"content":"不会的，颈椎和腰椎的问题，它不会引起单侧的颜面的问题，除非是脑神经脑血管堵塞，但是会伴行运动障碍。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965614130},{"body":{"content":"核磁看血管比较清楚。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965625364},{"body":{"content":"需要挂什么科室呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965659792},{"body":{"content":"风湿免疫科么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965671643},{"body":{"content":"可以的，可以挂风湿免疫科，考虑全身血管病变。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965682508},{"body":{"content":"早晨起来手抓不严","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965712402},{"body":{"content":"这就是晨僵现象。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965728966},{"body":{"content":"活动一会才会好一些","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965729784},{"body":{"content":"建议到上级比较好的风湿免疫专科就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965746669},{"body":{"content":"就是血管的病变引起的是么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965766140},{"body":{"content":"对血管病变引起的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965788618},{"body":{"content":"好的。我去查查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965807547},{"body":{"content":"一定要到上级最好的风湿免疫专科就诊，这样的话查的比较全面，不延误您的病情。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965838817},{"body":{"content":"之前做了心脏肾脏。。。。好多检查。。都没有解决问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965844364},{"body":{"content":"这种能治不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965855891},{"body":{"content":"目前考虑大血管的病变，具体还要等检查结果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965862258},{"body":{"content":"不要紧张，根据病情制定方案就行了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965874445},{"body":{"content":"一般情况会是做手术还是吃药调理呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965902348},{"body":{"content":"嗯，不会做手术的，主要是内科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965918896},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965935466},{"body":{"content":"等下。我拍个手和胳膊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965999057},{"body":{"content":"手指没有变形，但是皮肤颜色有变化，所以仍考虑风湿免疫类问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966146725},{"body":{"content":"感谢您的回复","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966159379},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966167409},{"body":{"content":"最近会安排做个检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966172223},{"body":{"content":"因为已经折磨我几年了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966186522},{"body":{"content":"找不到病因","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966198089},{"body":{"content":"放宽心情，积极面对，尽早的明确病情","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966288526},{"body":{"content":"应该是手机镜像的原因你看着是左边。其实是右边","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966360372},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966380243},{"body":{"content":"有凹陷","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966382190},{"body":{"content":"按下去不回来","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966406626},{"body":{"content":"静脉的水肿一般就为凹陷性水肿，血管炎会有这样的表现，血管炎呢，它一般情况下属于也是属于风湿免疫结缔组织病的一种，所以建议您尽快的行，专科检查，专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966444186},{"body":{"content":"但不回弹的地方只在膝盖以下","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966459709},{"body":{"content":"我是做整身的血管检查么？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966495949},{"body":{"content":"还是只做右侧呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966515102},{"body":{"content":"我建议您不要只做单项检查，我建议您先走风湿免疫科的专科医院，然后由专科医生给您开一系列的检查，您再去做，检查结果，方便医生进行总体病情评估。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966555759},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966570901},{"body":{"content":"您自己不要再去单独的开检查了，必须让专科医生进行专科治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966574409},{"body":{"content":"我明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966577447},{"body":{"content":"感谢您的帮助","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966585320},{"body":{"content":"这就是所谓的一叶障目不见泰山，所以不要自作主张，及时的进行专科诊疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966627887},{"body":{"content":"明白了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966643652},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966676573},{"body":{"content":"您早点休息。我尽快安排检查","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652966736986},{"body":{"content":"嗯嗯，加油","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966760292}]

女40岁

2022.05.20

[{"body":{"content":"h可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049912013},{"body":{"content":"这个医生说每次喝2/3袋 每天晚上喝 可以和奶粉一起给宝宝喝么 会对药物有啥影响 会不会能影响药量浓度啥的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049981807},{"body":{"content":"没啥影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050004897},{"body":{"content":"可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007609},{"body":{"content":"还有 吃这个药孩子会困么","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050030185},{"body":{"content":"会，但几率很小","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050102168}]

女1岁6个月

2022.05.20

[{"body":{"content":"您好，我是主治医师胡春燕，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049562802},{"body":{"content":"请问是什么手术呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049571766},{"body":{"content":"手术后一般是要注意容易吸收，营养丰富的更好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049595577},{"body":{"content":"胃穿孔","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049642041},{"body":{"content":"术后可以用有机纯牛奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049673495},{"body":{"content":"那哪个比较好一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049690163},{"body":{"content":"脱脂的，可不可以呀？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049699553},{"body":{"content":"金典有机纯牛奶会更好。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049706917},{"body":{"content":"脱脂的和低脂的，适合体型偏胖的，或者血脂高的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049719532},{"body":{"content":"如果比较瘦是可以用全脂奶。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049726494},{"body":{"content":"好的，感谢你。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049741872}]

女

2022.05.20

[{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051374667},{"body":{"content":"长出来有半个月了，半个月前也有痘，没有这么严重","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051396812},{"body":{"content":"摸着会痛，挤破会出血","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051423732},{"body":{"content":"我上面电子处方里给你开了一瓶中药外用**，****，促进皮肤愈合，包括你的痘坑都能修复，是我们三甲医院治疗你这种情况最好的药，点开电子处方购买京东就给你邮寄了，很快就到货。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051456718},{"body":{"content":"这种药要多久见效？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051479047},{"body":{"content":"只是普通的痤疮吗？为什么我的痘痘一直复发呢？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051505785},{"body":{"content":"生活中要少吃油，少吃辣少吃糖，因为痤疮不喜欢这些饮食，另外不要熬夜，这个也很重要，这些都会影响痤疮。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051528699},{"body":{"content":"你就坚持外用我给你开的中药**就可以好，加上生活中注意就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051547045},{"body":{"content":"我这边小医院给我开******和****，可以和中药水一起用吗？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051588335},{"body":{"content":"有这个中药**，那两种都不需要了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051642576},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051652436},{"body":{"content":"不客气，再见，祝早日康复。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051669255}]

男23岁

2022.05.20