[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fOVy-D6wf5pN5PYlGeC6yYmVjSDSfp3fAUsFNZOzF7Kg":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":97},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":96},2432,"虫咬皮炎"," 虫咬皮炎的预防与治疗方法 - 专业指南"," 虫咬皮炎, 皮肤过敏, 昆虫叮咬, 皮肤炎症, 虫咬治疗, 皮肤护理, 过敏反应"," 了解虫咬皮炎的症状、预防措施和有效的治疗方法，从而更好地保护您的皮肤应对昆虫叮咬引起的皮肤炎症和过敏反应。详细指南帮助您远离虫咬烦恼。",[18,23,26,28,33,36,38,43,46,48,53,56,58,63,65,69,74,76,80,82,87,89,94],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},77104,"概述","\u003Cp>　　缺铁性吞咽困难，也称Plummer-Vinson综合征，是指食管腔内的一层薄的隔膜，根据其在食管的部位不同分为上食管蹼、中食管蹼、下食管蹼，其中以上食管蹼多见。多数食管蹼病人无症状，有症状者主要表现为间隙性吞咽困难，多在吃硬食时出现。男女均可发病，国内报告罕见。\u003C/p>",0,{"id":24,"classification":20,"description":25,"sort":22,"diseaseId":12},15334,"\u003Cp>　　虫咬皮炎(insect bite dermatitis)是指昆虫叮咬人类皮肤而引起的炎性皮肤病。虫咬性皮炎又可称“丘疹性荨麻疹”，主要与节肢动物的叮咬有关，常见的如螨，以春、夏、秋季多见。由于昆虫种类的不同和机体反应性的差异，可引起叮咬处不同的皮肤反应。一般为红色水肿性丘疹，中央可有小水疱，黄豆大小，好发于暴露部位和腰周。\u003C/p>",{"id":27,"classification":20,"description":21,"sort":22,"diseaseId":12},98078,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},15341,"病因","\u003Cp>　　现今几乎都认为丘疹性荨麻疹(虫咬皮炎)发病与昆虫叮咬有关，可以说是由节肢动物类叮咬止起的外因性变态反应。当患者被节肢动物，如臭虫、跳蚤、蚊子、蠕类等叮咬时，该昆虫唾液可注入皮肤内，若此人具有过敏素质倾向，那么，通过几天数次叮咬之后则可致病。多数看法是属于迟发性变态反应。持以上观点的理由有：其一、用上述昆虫制成抗原进行皮肤试验，90%患者呈阳性反应;其二、本病好发月份同昆虫爱叮咬人的季节相一致;其三、患者脱离致病时的环境，避免再与这类昆虫接触，结果常使患者病情霍然痊愈;其四、倘若病人长期反复受叮咬则可发生脱敏作用，故本病自儿童7岁后，随年龄增加其发病率也逐渐降低，直至中年人基本上不得此病。\u003C/p>",1,{"id":34,"classification":30,"description":35,"sort":32,"diseaseId":12},77105,"\u003Cp>　　本病的病因目前尚不清楚。多数人认为缺铁是本病最基本的因素。这是因为铁的不足引起上皮层的改变，导致吞咽困难。例如患缺铁性贫血病人往往同时有上食管蹼。临床治疗采用铁剂而不必扩张食管即可使吞咽困难消失，这是对这个理论的有力支持。在流行病调查中，发现正常人和没有贫血者有食管蹼存在;或者患有吞咽困难但并不贫血。这说明缺铁与吞咽困难关系不完全一致。\u003C/p>",{"id":37,"classification":30,"description":35,"sort":32,"diseaseId":12},98079,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},15347,"症状","\u003Cp>　　常见症状：斑丘疹、风团、水疱、瘙痒剧烈、发热\u003C/p>",2,{"id":44,"classification":40,"description":45,"sort":42,"diseaseId":12},77106,"\u003Cp>　　常见症状：食用硬的食物时感觉梗阻感，间歇性的吞咽困难\u003C/p>\u003Cp>　　主要症状为间歇性吞咽困难，多数是在吃硬食时出现，吃流食一般无症状，病人感到有食物停留在上胸部。Plummer-Vinson综合征病人常有消瘦、苍白，时有发红，舌质红而光滑，舌乳头消失，多数缺齿或完全无牙，口角皲裂，匙状指甲，脾大甚至巨脾。如果病人诉说吞咽困难则诊断肯定。\u003C/p>\u003Cp>\u003C/p>",{"id":47,"classification":40,"description":45,"sort":42,"diseaseId":12},98080,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},15352,"检查","\u003Cp>　　检查项目：血常规、过敏源检查\u003C/p>",3,{"id":54,"classification":50,"description":55,"sort":52,"diseaseId":12},98081,"\u003Cp>　　检查项目：血常规检查、血清铁检查、内镜检查、X线检查\u003C/p>\u003Cp>　　1.实验室检查\u003C/p>\u003Cp>　　血红蛋白、红细胞、平均红细胞血红蛋白量(MCH)、平均红细胞容积(MCV)、平均血红蛋白浓度(MCHC)均减少，血清铁降低，结合铁升高，呈现缺铁性小细胞性贫血。部分病例出现血清中维生素B12和B6浓度减低，胃酸缺乏，严重者可发生恶性贫血。\u003C/p>\u003Cp>　　2.其他辅助检查\u003C/p>\u003Cp>　　(1)X线检查 如疑有食管蹼，需依靠荧光电影检查，常在上食管侧位前壁发现为偏心性、宽度不足2mm，连续拍片即可见到。罕见的有一个以上的蹼，此类病人有可能并发口腔癌。\u003C/p>\u003Cp>　　(2)内镜检查 食管蹼像是一个光滑的、有色的隔膜状孔，有偏心的开口，位于环咽肌水平以下，为薄膜状蹼，有时薄到未能被检查者发现。罕见的蹼很粗硬，阻碍食物通过。必要时进行细胞刷或活检，以除外炎症性狭窄和癌。Plummer-Vinson综合征病人约40%并发萎缩性胃炎，30%恶性贫血，还有50%黏液性水肿。部分病人血液中可检出甲状腺和胃壁细胞抗体。食管蹼也可呈现在某些皮肤病人中，如大疱性表皮松解症、干燥综合征。\u003C/p>",{"id":57,"classification":50,"description":55,"sort":52,"diseaseId":12},77107,{"id":59,"classification":60,"description":61,"sort":62,"diseaseId":12},98082,"鉴别","\u003Cp>　　结合内镜检查及活组织检查，可与食管癌、食管炎性狭窄、食管肌收缩相鉴别。\u003C/p>",4,{"id":64,"classification":60,"description":61,"sort":62,"diseaseId":12},77108,{"id":66,"classification":67,"description":68,"sort":62,"diseaseId":12},15357,"预防","\u003Cp>　　2.保持清洁卫生，衣服、被褥常洗晒。\u003C/p>\u003Cp>　　3.忌食鱼腥发物，多食水果蔬菜，保持大便通畅。\u003C/p>",{"id":70,"classification":71,"description":72,"sort":73,"diseaseId":12},98083,"并发症","\u003Cp>　　缺铁性吞咽困难并发症很广泛，消化系统有食道炎，咽炎，反流性胃炎，隔逆，浅表性胃炎等。循环系统有贫血的表现乏力、易倦、头晕、头痛、眼花、耳鸣、心悸、气短、纳差；苍白、心率增快。\u003C/p>",5,{"id":75,"classification":71,"description":72,"sort":73,"diseaseId":12},77109,{"id":77,"classification":67,"description":78,"sort":79,"diseaseId":12},98084,"\u003Cp>　　缺铁是本病的基本因素。由于铁的不足导致系统含铁酶缺乏，影响黏膜代谢，引起上皮层的改变，形成食管蹼，导致咽下困难。在无食管扩张的早期，病人大多数仅采用铁剂治疗即可使吞咽困难消失。因此，尽早补铁治疗贫血，可使吞咽困难迅速改善。\u003C/p>",6,{"id":81,"classification":67,"description":78,"sort":79,"diseaseId":12},77110,{"id":83,"classification":84,"description":85,"sort":86,"diseaseId":12},77111,"治疗","\u003Cp>　　首先应治疗贫血，多数经补铁治疗可逆转贫血、脾大及食管上皮变化，吞咽困难亦迅速改善。少数大而厚的食管蹼单纯补铁，吞咽困难不能消失，可用内镜电灼治疗或用内镜扩张治疗。由于膈膜坚韧而需外科手术者比较罕见。\u003C/p>\u003Cp>　\u003C/p>",7,{"id":88,"classification":84,"description":85,"sort":86,"diseaseId":12},98085,{"id":90,"classification":91,"description":92,"sort":93,"diseaseId":12},77112,"饮食","\u003Cp>　　1、多以清淡食物为主，注意饮食规律。\u003C/p>\u003Cp>　　2、根据医生的建议合理饮食。适当的吃含铁的食物、营养素供给量和配比。合理营养可维持人体的正常生理功能，促进健康和生长发育，提高机体的劳动能力、抵抗力和免疫力，有利于某些疾病的恢复。\u003C/p>\u003Cp>　　3、该疾病对饮食并没有太大的禁忌，合理饮食即可。\u003C/p>",8,{"id":95,"classification":91,"description":92,"sort":93,"diseaseId":12},98086,[],true]