刘继帅

[{"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，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":1653051209087},{"body":{"content":"先暂停 服用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051219054},{"body":{"content":"这个活血的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051223157},{"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":1653052135367},{"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":1653052136419}]

女

2022.05.20

[{"body":{"content":"您好，我是泌尿外科的医生，非常高兴由我为您提供医疗咨询服务，为了保证本次问诊顺利进行，请您保持在线。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050514965},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，请您配合回答几个问题，可以吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050516453},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050525224},{"body":{"content":"为了更好地了解您的情况，我先收集一下病情信息，感谢您的配合。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050534791},{"body":{"content":"请问是否有以下症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050537276},{"body":{"content":"尿不尽","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050561400},{"body":{"content":"您这种情况出现多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050565408},{"body":{"content":"7—30天","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050569636},{"body":{"content":"是否做过相关检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050572680},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050575526},{"body":{"content":"目前是否在用药物治疗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579572},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050581899},{"body":{"content":"是否有阴囊潮湿或下腹部会阴部不适的症状？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050619788},{"body":{"content":"有时候会有一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050638977},{"body":{"content":"睾丸侧边隐隐作痛","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654092},{"body":{"content":"有没有尿分叉、尿等待、尿滴白等情况","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050669728},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050699710},{"body":{"content":"睾丸局部有明显的红肿肿大吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050713120},{"body":{"content":"就是尿完尿感觉不干净 还会在盛出来一点","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050757371},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050760594},{"body":{"content":"为了排除用药禁忌，请问您平时有没有慢性病病史或心脑血管疾病的病史或者药物过敏史呢？或者肝肾功能不全的情况呢？是否处于备育期呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050767867},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050788543},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050794658},{"body":{"content":"尿不尽是指尿液不能完全排尽，滴沥不已或排尿后仍有尿意。尿不尽，一般主要病变部位，就是在膀胱颈口，男性主要就是因为前列腺的原因引起的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050799780},{"body":{"content":"您目前的症状，考虑有轻微的前列腺炎的表现的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050807220},{"body":{"content":"在日常生活中导致前列腺炎的原因，比如性生活过于频繁，过多的手淫、久坐、憋尿、骑车、酗酒、喜欢吃辛辣，刺激生冷性的食物，感冒着凉等，都有可能诱发前列腺炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050811341},{"body":{"content":"大部分全占了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050860356},{"body":{"content":"嗯，目前的话症状不严重，可以先药物治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050878942},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050944874},{"body":{"content":"医生，请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050954196},{"body":{"content":"前列腺炎的问题，建议您可以使用******+******治疗一下，可以先使用2周的看看效果，2周后线上复诊，我帮您看一下治疗的效果。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050974021},{"body":{"content":"也可以去正规公立医院完善一个前列腺彩超+前列腺液常规的检查","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050975020},{"body":{"content":"用药剂量：********，一天一次，一次一片；******，一天两次，一次4粒。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051020534},{"body":{"content":"建议先口服2周的治疗看看效果","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051028083},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051126736},{"body":{"content":"谢谢大夫","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051133780},{"body":{"content":"不客气的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051140853},{"body":{"content":"可以帮您开个免费的处方参考一下，需要的话点击处方购买即可","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051142790},{"body":{"content":"您现在点击这个“处方单”添加购买就可以的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051218376},{"body":{"content":"用药前请您仔细阅读药品说明书，尤其重点关注禁忌及注意事项，如没有任何禁忌，可正常使用药物治疗，如您在用药过程中出现任何不适或疑问，请您及时上线咨询或附近医院就诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051220510},{"body":{"content":"吃药的同时也要注意综合治疗，比如多饮水，多锻炼身体，避免熬夜，避免久坐，避免憋尿，避免烟酒及辛辣刺激饮食等。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051222880},{"body":{"content":"平时可以口服一点****， ****具有抗氧化能力， 一方面预防和抑制癌症，抑制诱变，抗辐射增强免疫力的作用，另一方面可以预防和减少前列腺炎的反复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051290099},{"body":{"content":"用药期间有问题，可以随时按上述的流程找我复诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051295128},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051368767},{"body":{"content":"希望我的建议能够帮助到您，感谢您的信任。如果您对此次问诊满意，还请您在对话结束后给予五星好评，您的好评是对我工作最好的肯定和鼓励，欢迎您再次咨询。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051408654}]

男19岁

2022.05.20

[{"body":{"content":"有没有照片呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965164369},{"body":{"content":"发现这种情况多久了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965397189},{"body":{"content":"两年多了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965867559},{"body":{"content":"医生，在不在？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965993098},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966204539},{"body":{"content":"这看起来像疱疹感染","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652966223699}]

男50岁

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，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":1653049896183},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049897919},{"body":{"content":"看见照片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049915012},{"body":{"content":"多长时间了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049921373},{"body":{"content":"蛮久了，几个月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653049946443},{"body":{"content":"这个包考虑是皮脂腺囊肿","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049977310},{"body":{"content":"腺管堵塞（灰尘 感染等）引起内容物无法排出形成","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049984292},{"body":{"content":"怎么医治啊？会越长越大不？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050003147},{"body":{"content":"这个需要去医院耳鼻喉科 门诊 切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050007187},{"body":{"content":"有可能增大","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050013237},{"body":{"content":"必须切除吗？不会自愈？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050028687},{"body":{"content":"有可能自愈 如果平时没有什么影响 可以先观察 如果有增大 及时线下医院耳鼻喉科切除的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050065389},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050093232},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050110630},{"body":{"content":"不要频繁的触摸刺激","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050117054},{"body":{"content":"要外涂药吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050132402},{"body":{"content":"不用的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050154825},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050182171},{"body":{"content":"您客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050236280},{"body":{"content":"如果病情没有缓解或者出现加重的情况，建议您及时线下公立医院就诊，以免延误病情。不适随诊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051707250}]

男28岁

2022.05.20

[{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965474928},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965486110},{"body":{"content":"看看图片","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965515869},{"body":{"content":"疼吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965567040},{"body":{"content":"出汗多吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965569920},{"body":{"content":"疼","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965573436},{"body":{"content":"多","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965576807},{"body":{"content":"我需要经常走路","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965589712},{"body":{"content":"跟出汗有关系","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965591881},{"body":{"content":"可以抹点氧化锌软膏","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965596481},{"body":{"content":"为了您的用药安全，请问您是否有药物过敏史,肝肾功能异常或其他病史吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965601832},{"body":{"content":"尽量少活动","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965605250},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965611614},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965637141}]

女17岁

2022.05.20

[{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965137870},{"body":{"content":"你***，睾丸鞘膜积液能做无痛的吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965151068},{"body":{"content":"睡着了做那种","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965159343},{"body":{"content":"能不能要求做无痛的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965192576},{"body":{"content":"当然可以","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965204310},{"body":{"content":"可以全麻就无痛了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965229590},{"body":{"content":"三甲医院都可以是吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965239014},{"body":{"content":"费用大概多少","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965245859},{"body":{"content":"全麻","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965253132},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965255395},{"body":{"content":"成人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965258682},{"body":{"content":"费用2000多","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965270407},{"body":{"content":"这么便宜吗？网上看的都要五六千","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965295541},{"body":{"content":"做的时候手术大概要多久","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965329700},{"body":{"content":"这是麻醉费用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965346163},{"body":{"content":"手术约1小时左右","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965363169},{"body":{"content":"连准备到结束一个小时吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965382897},{"body":{"content":"问这个没有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965402355},{"body":{"content":"与医生的手术水平有关","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965419111},{"body":{"content":"好的，谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965444832},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965479896}]

男31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":"您好，我是副主任医师邬美俊，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050131453},{"body":{"content":"这种情况多久了？\n出现症状之后最近都用过什么药物治疗？\n\n（具体用药药物名称，是否有过敏药物，肝肾等疾病、慢性病、基础疾病，备孕（老幼可忽略）、妊娠期哺乳期（男性、老幼可忽略）等情况请提前说明，不回复默认为没有）？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159732},{"body":{"content":"用过**** 和红霉素软膏","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050255616},{"body":{"content":"您的图片收到","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050272096},{"body":{"content":"俩个多星期","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050277219},{"body":{"content":"从您提供的图片上可以看到一些闭口粉刺。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050277651},{"body":{"content":"****对于粉刺不具有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050284159},{"body":{"content":"熬夜吃辛辣食物了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050289836},{"body":{"content":"*****具有**的作用，对于粉刺治疗帮助也不大。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050292537},{"body":{"content":"对呢，熬夜和吃辛辣饮食是不对的。^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050306921},{"body":{"content":"那应该用什么治疗呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050308827},{"body":{"content":"闭合性粉刺，主要是跟饮食辛辣刺激上火油腻甜腻，心情不好急躁，作息不规律，睡眠不足，熬夜，学习压力大、便秘等有关。\n\n要清淡饮食，辛辣、油腻、甜腻、烫的、刺激的不要吃；不熬夜；多喝水，多吃水果蔬菜；\n\n保持心情愉快，大**畅，营养均衡，保证足够睡眠；\n\n饭后根据面部油腻情况建议温水洗脸，可以用控油洗面奶。\n\n用药上可以晚上涂抹******，不要轻易挤压。 ","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050329984},{"body":{"content":"****使用的注意事项为：\n该药怕光。\n需要夜间避光使用。\n白天必须清洗掉。\n用药前皮肤要清洁干燥，不要有水。\n皮肤有破损的地方不可以涂抹。\n要避开眼周皮肤薄嫩的区域。\n\n它在治疗的过程中有一部分皮肤敏感的患者可能会有一定的刺激感。因此建议使用时先小范围、短时间（起初15-20分钟左右，就可以清洗掉了）少量点涂。\n如果1~2天没有明显的刺激感，再全部患处、较长时间点涂于患处。\n\n如果患处出现轻微的瘙痒、刺痛感，是正常的，**可以耐受。\n\n若出现患处出现明显红肿，瘙痒，刺痛明显等症状。就需要停药，将药品清洗掉","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050356472},{"body":{"content":"如果皮肤比较敏感。\n可以先涂护肤品再涂药膏，这样可以减少药物的刺激。\n\n如果不是敏感肌是属于正常皮肤。\n先涂药膏后涂乳液可以增加药膏的吸收量。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050368175},{"body":{"content":"这个痘印现在属于红痘印还是黑痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050430712},{"body":{"content":"怎么可以祛除呀?","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050444099},{"body":{"content":"红色。略偏黑。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050446189},{"body":{"content":"这种情况也可以使用******来淡化。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050452082},{"body":{"content":"需要涂精华产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050474982},{"body":{"content":"一定要注意防晒，是晒会导致痘痘形成痘印","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050488048},{"body":{"content":"不需要。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050491640},{"body":{"content":"可以用**类的产品吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050516997},{"body":{"content":"和那种修红痘印的精华","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050534521},{"body":{"content":"聊胜于无。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050543455},{"body":{"content":"治疗作用肯定是不如药物强的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050548565},{"body":{"content":"我这些天一直用****涂痘印","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050549458},{"body":{"content":"也可以呀。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050554346},{"body":{"content":"发现没有效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050555996},{"body":{"content":"看不出来太大效果","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050563278},{"body":{"content":"***对于粉刺和痘印也有治疗作用。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050563510},{"body":{"content":"需要连续用药一段时间。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050568860},{"body":{"content":"还是得****吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572135},{"body":{"content":"***要温和一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050594274},{"body":{"content":"****的力量要强一些。当然了，****的刺激感可能要比***要强一些。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050617775},{"body":{"content":"***可以和***一起使用吗 还是就***就可以了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050623303},{"body":{"content":"所以如果您的皮肤特别敏感，可以继续使用一段时间***\n\n如果不是敏感肌，是正常的皮肤，****的治疗作用更强","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050645846},{"body":{"content":"只用***就可以了。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050653898},{"body":{"content":"我用的是百分之15的***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050654011},{"body":{"content":"对的，绝大多数患者最开始使用的时候都要从低浓度用起","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050674738},{"body":{"content":"大概使用一个月之后，当皮肤建立耐受，可以适当提高浓度","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050696093},{"body":{"content":"好的 之后耐受用百分之多少的呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050755914},{"body":{"content":"20%","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050764558},{"body":{"content":"好谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050780488},{"body":{"content":"不客气哒^_^","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050797143}]

女

2022.05.20

[{"body":{"content":"尊敬的PLUS会员，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":1653050481173},{"body":{"content":"您是需要开具处方吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050483144},{"body":{"content":"是的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050491941},{"body":{"content":"2瓶***","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050499172},{"body":{"content":"是线下医师建议使用的吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050553355},{"body":{"content":"温馨提示：平台要求凡是六岁以下宝宝购药均需提供线下医院病历或处方","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050557520},{"body":{"content":"麻烦您上传一下具体的病例资料，需要系统匹配到有效病例、购药单或之前开具过的电子处方后，可以直接给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050561686},{"body":{"content":"直接开吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050572735},{"body":{"content":"非常抱歉，国家为保证儿童的用药安全，所以现在儿童用药都需要线下明确的的病例或药单资料，系统匹配到病例才能使用处方系统，没有匹配到明确的病例或药单开方系统不能使用","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050579843},{"body":{"content":"那我去找","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050589964},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830441},{"body":{"content":"请问孩子是否有药物过敏史，肝肾功能异常史，其他慢性疾病及心血管疾病史，近期在使用哪些其他药物？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050834886},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050894877},{"body":{"content":"问诊中只能开具一次 处方，处方是一次性的，一旦确认不能更改","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050942056},{"body":{"content":"您需要几盒","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050945455},{"body":{"content":"您好、","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051137305},{"body":{"content":"2盒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051142229},{"body":{"content":"您稍等，处方开具需要2-3分钟，马上给您开","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051171030},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051233440},{"body":{"content":"您好，处方已开好，您可以直接点击处方预约购药了","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051302221},{"body":{"content":"建议用药前仔细阅读说明书中禁忌、注意事项、如无禁忌可使用，用药过程中如有不适或用药后症状无好转，建议及时医院就诊，排除**异常可能，或者再次上线问诊，帮您调整用药，注意按时复诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051303471},{"body":{"content":"注意遵线下医嘱用药","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051305450},{"body":{"content":"有问题您随时复诊咨询我，您在京东健康首页，看病，直接搜索我的名字，就可以找到我","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051589464},{"body":{"content":"请问您是否还有其他医药问题需要我为您解答。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051590549},{"body":{"content":"希望我的建议能帮助到您，如在治疗过程中还有任何问题，欢迎您随时上线咨询或者给我留言，非常感谢您的信任。祝您生活愉快，再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051595984},{"body":{"content":"祝孩子早日康复","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051601707}]

女4岁

2022.05.20