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--> 00:13.434\n今天要写那个预防与治疗慢性的慢性支气管炎。\n\n00:15.743 --> 00:15.942\n嗯。\n\n00:18.138 --> 00:19.962\n分析的部分啊，\n\n00:19.962 --> 00:21.638\n一是病因分析，\n\n00:21.788 --> 00:24.788\n二症状的症状与检查，\n\n00:24.788 --> 00:26.638\n3、诊断与鉴别。\n\n00:27.420 --> 00:29.319\n四治疗与预防。\n\n00:32.991 --> 00:33.691\n运营分析。\n\n00:35.145 --> 00:36.494\n慢性支气管炎病。\n\n00:42.756 --> 00:50.155\n慢性支气管炎时气支气管黏膜及其周围组织的慢性非特异性炎症。\n\n00:53.926 --> 00:54.477\n症状。\n\n00:56.424 --> 00:56.625\n嗯，\n\n00:56.974 --> 00:58.724\n咳嗽咳痰为主。\n\n01:00.527 --> 01:01.377\n我伴有。\n\n01:04.063 --> 01:06.663\n每年发病持续3个月及以上，\n\n01:06.813 --> 01:08.513\n持续两年以上。\n\n01:17.807 --> 01:18.208\n性质。\n\n01:19.246 --> 01:21.695\n需要与需要进一步排除。\n\n01:21.695 --> 01:23.295\n具有咳嗽、咳痰。\n\n01:24.402 --> 01:26.501\n喘息症状的其他疾病。\n\n01:28.017 --> 01:28.367\n食物，\n\n01:28.767 --> 01:29.568\n肺结核。\n\n01:31.228 --> 01:31.628\n陈飞。\n\n01:32.494 --> 01:33.094\n肺脓肿。\n\n01:34.150 --> 01:37.699\n心脏病、心功能不全、支气管扩张。\n\n01:38.679 --> 01:41.028\n支气管哮喘、慢性鼻咽炎。\n\n01:42.057 --> 01:43.458\n血管反流综合征。\n\n01:44.364 --> 01:44.915\n计划。\n\n01:47.125 --> 01:48.225\n病因分析，\n\n01:49.225 --> 01:50.250\n就诊科室呢，\n\n01:50.250 --> 01:51.975\n是呼吸内科和内科。\n\n01:54.500 --> 01:58.199\n慢性支气管炎的病因尚未完全明确。\n\n02:00.524 --> 02:07.723\n一般认为是多种环境与机体自身因素长期共同作用。\n\n02:09.309 --> 02:15.759\n导致气管、支气管粘膜及周围组织慢性非特异性。\n\n02:17.597 --> 02:18.397\n具体如下。\n\n02:19.880 --> 02:20.781\n心治病。\n\n02:23.253 --> 02:24.402\n吸烟是主因。\n\n02:26.298 --> 02:30.048\n其中化学物质会损伤气道上皮。\n\n02:31.720 --> 02:33.671\n刺激副交感神经。\n\n02:34.608 --> 02:39.257\n增加氧自由基破坏对弹力纤维。\n\n02:41.279 --> 02:42.779\n吸烟者患病率。\n\n02:43.647 --> 02:45.697\n比不吸烟者高两到8岁。\n\n02:47.501 --> 02:49.852\n烟龄和吸烟量越大，\n\n02:50.401 --> 02:52.302\n患病可能性就越高。\n\n02:54.776 --> 02:55.526\n职业暴力。\n\n02:57.613 --> 02:59.462\n长期接触职业粉尘。\n\n03:00.714 --> 03:01.514\n化学物质。\n\n03:02.921 --> 03:05.421\n文物后面废弃的。\n\n03:06.529 --> 03:08.630\n浓度高或接触者。\n\n03:10.630 --> 03:12.830\n会损伤气道的黏膜，\n\n03:13.229 --> 03:14.330\n引发炎症。\n\n03:15.324 --> 03:16.225\n导致发病。\n\n03:18.876 --> 03:19.626\n空气污染。\n\n03:21.320 --> 03:23.169\n大气中有害气体，\n\n03:23.669 --> 03:25.570\n如二氧化硫等。\n\n03:26.434 --> 03:27.833\n会损伤气道上皮。\n\n03:28.886 --> 03:31.236\n增加细菌感染风险。\n\n03:33.141 --> 03:34.041\n室内油腻。\n\n03:35.300 --> 03:36.800\n生物燃料全部。\n\n03:38.076 --> 03:38.977\n也是指令。\n\n03:41.513 --> 03:42.162\n感染因素。\n\n03:43.464 --> 03:46.764\n病因的病毒均一起。\n\n03:47.598 --> 03:50.498\n细菌感染是重要因素。\n\n03:51.750 --> 03:54.050\n病毒感染形成细胞上皮。\n\n03:55.654 --> 03:59.654\n为细菌和细菌感染创造条件。\n\n04:01.514 --> 04:05.363\n支原体的原在青少年中较为常见。\n\n04:08.194 --> 04:08.944\n其他因素。\n\n04:11.393 --> 04:12.194\n便宜我们。\n\n04:13.320 --> 04:14.270\n起到高反应。\n\n04:15.720 --> 04:16.971\n自主神经失调。\n\n04:18.048 --> 04:18.847\n年龄增长。\n\n04:20.023 --> 04:21.322\n气候寒冷干燥。\n\n04:23.377 --> 04:26.076\n都会影响气道功能抵抗力。\n\n04:28.441 --> 04:29.240\n硕士法庭。\n\n04:33.878 --> 04:35.628\n二、症状与检查。\n\n04:38.816 --> 04:39.467\n主要选择。\n\n04:40.313 --> 04:43.364\n咳嗽一般晨间咳嗽为主。\n\n04:46.144 --> 04:48.595\n睡眠时有阵咳。\n\n04:49.828 --> 04:50.428\n我拍他。\n\n04:52.476 --> 04:52.877\n咳痰。\n\n04:54.019 --> 04:59.468\n一般为白色粘液或浆液泡沫性，\n\n04:59.819 --> 05:03.419\n偶可带血清泉排痰较多。\n\n05:04.425 --> 05:05.026\n起床后，\n\n05:05.126 --> 05:05.526\n我。\n\n05:06.537 --> 05:08.738\n体位变动和持续发展。\n\n05:14.173 --> 05:14.572\n喘息，\n\n05:14.622 --> 05:15.322\n气急。\n\n05:16.545 --> 05:20.996\n粉刺明显者可能伴发支气管哮喘和。\n\n05:20.996 --> 05:24.596\n伴肺气肿时可表现为活动气。\n\n05:25.558 --> 05:26.458\n活动或者气。\n\n05:28.236 --> 05:28.986\n检查方法，\n\n05:29.386 --> 05:30.386\n几个检查。\n\n05:31.558 --> 05:34.532\n肺部听诊是医生诊断肺部炎症，\n\n05:34.532 --> 05:38.058\n了解是呼吸系统生理的状况。\n\n05:39.177 --> 05:41.576\n最常见、最便捷的是。\n\n05:42.407 --> 05:45.808\n能够为医生诊断提供一定的帮助。\n\n05:46.058 --> 05:47.257\n实验室检查。\n\n05:48.821 --> 05:52.147\n血液常规检查中白细胞的变化，\n\n05:52.147 --> 05:58.022\n对预先减半及方变细菌病毒感染提供重要依据。\n\n05:58.985 --> 06:00.835\n产品转让明细。\n\n06:02.601 --> 06:05.200\n可以确明确患者。\n\n06:06.765 --> 06:08.165\n感染细菌种类。\n\n06:12.178 --> 06:15.528\n并为临床用药提供指导作用。\n\n06:17.404 --> 06:18.154\n心理警察。\n\n06:20.058 --> 06:26.157\nX线检查可以直观的显示患者肺感染范围。\n\n06:26.959 --> 06:29.559\n请医生了解患者器官。\n\n06:30.890 --> 06:31.440\n真奇怪。\n\n06:32.319 --> 06:33.519\n的主要手段。\n\n06:35.981 --> 06:37.532\n呼吸功能检查。\n\n06:39.614 --> 06:42.213\n用于提示气道阻塞情况。\n\n06:43.398 --> 06:45.548\n一般用于疾病后期。\n\n06:52.313 --> 06:52.563\n嗯。\n\n07:09.450 --> 07:09.851\n三。\n\n07:11.281 --> 07:12.230\n诊断与鉴别。\n\n07:14.667 --> 07:22.768\n诊断方法主要是在典型临床表现、实验室检查及X线检查的基础上，\n\n07:23.067 --> 07:24.817\n排除其他原因的，\n\n07:25.118 --> 07:27.467\n对系统疾病做出诊断。\n\n07:28.265 --> 07:28.464\n喂。\n\n07:29.282 --> 07:30.832\n每年咳嗽咳痰的，\n\n07:31.032 --> 07:32.432\n或伴有喘息，\n\n07:32.481 --> 07:35.282\n持续3个月或以上。\n\n07:36.687 --> 07:39.837\n且连续两年或两年以上，\n\n07:39.986 --> 07:44.437\n在排除其他具有类似症状的疾病后。\n\n07:45.128 --> 07:47.979\n可初步考虑慢性支气管炎怎么办？\n\n07:52.140 --> 07:52.341\n2。\n\n07:53.302 --> 07:54.652\n在疾病缓解期，\n\n07:55.701 --> 08:01.052\n患者体格检查可能无明显的异常体征。\n\n08:04.238 --> 08:06.238\n但在急性发作期。\n\n08:07.209 --> 08:09.359\n出现肺部听诊的异常。\n\n08:11.373 --> 08:13.273\n有两非可文字下载的，\n\n08:13.523 --> 08:15.473\n看录音或是录音。\n\n08:17.944 --> 08:20.743\n咳嗽后多晕可减少或消失。\n\n08:22.993 --> 08:25.643\n喘息性患者可听到哮鸣。\n\n08:29.135 --> 08:31.585\n严重时可出现呼吸的症状。\n\n08:32.383 --> 08:33.684\n发干等表现。\n\n08:38.262 --> 08:39.111\n实验室检查。\n\n08:41.458 --> 08:42.158\n血液检查，\n\n08:42.458 --> 08:49.257\n急性发作期血常规中白细胞计数和中性粒细胞比可能升高。\n\n08:51.036 --> 08:51.286\n其实，\n\n08:51.286 --> 08:52.486\n存在细菌感染。\n\n08:54.130 --> 08:55.229\n如果是病毒感染，\n\n08:55.229 --> 08:58.330\n白细胞计数可正常或偏低。\n\n08:59.442 --> 09:00.791\n淋巴细胞比例可见。\n\n09:02.911 --> 09:03.312\n此外，\n\n09:03.812 --> 09:07.062\nC反应蛋白等严均指标也可能是高。\n\n09:10.984 --> 09:11.833\n职业组成。\n\n09:15.926 --> 09:18.625\n通过痰液图片和培养。\n\n09:19.896 --> 09:22.046\n可明确痰液中的病原体种类。\n\n09:23.270 --> 09:26.221\n细菌、病毒、支原体等。\n\n09:27.380 --> 09:29.481\n有助于指导抗生素的使用。\n\n09:31.895 --> 09:32.895\n影像学检查。\n\n09:37.648 --> 09:39.999\n对于一些不典型病。\n\n09:41.267 --> 09:42.367\n或者其他水果。\n\n09:43.244 --> 09:44.794\n疾病难以鉴别时，\n\n09:45.145 --> 09:50.094\n胸部CT检查会提供更详细的信息。\n\n09:51.895 --> 09:53.895\n有助于排除其他的疾病。\n\n09:54.830 --> 09:56.280\n支气管佐证。\n\n09:57.521 --> 09:58.822\n肺部肿瘤的。\n\n10:01.325 --> 10:02.424\n对功能的建筑。\n\n10:08.807 --> 10:13.408\n肺功能检查是判断气流受损的主要客观指标。\n\n10:15.138 --> 10:16.638\n对慢性支气管炎。\n\n10:18.835 --> 10:21.786\n严重程度的评估疾病进展。\n\n10:22.841 --> 10:26.492\n及预后判断等具有重要的意义。\n\n10:35.620 --> 10:37.270\n相似病症区分。\n\n10:40.507 --> 10:42.007\n咳嗽、变异性哮喘。\n\n10:44.981 --> 10:45.580\n你自己。\n\n10:46.617 --> 10:48.017\n性的咳嗽为特征。\n\n10:49.114 --> 10:53.614\n灰尘、油烟、冷空气等容易诱发咳嗽。\n\n10:54.486 --> 10:57.085\n常有家庭或个人过敏。\n\n10:58.586 --> 11:01.586\n疾病时对抗生素治疗无效。\n\n11:01.986 --> 11:04.736\n支气管激发试验阳性，\n\n11:04.937 --> 11:05.336\n坚。\n\n11:07.557 --> 11:07.807\n2。\n\n11:09.677 --> 11:11.078\n嗜酸性粒细胞性。\n\n11:13.197 --> 11:18.148\n13细胞性支气管炎X线检查无明显的改变，\n\n11:18.247 --> 11:19.497\n肺往也增加。\n\n11:20.366 --> 11:23.166\n支气管激发试验引起临床上。\n\n11:24.096 --> 11:24.697\n有物质。\n\n11:26.421 --> 11:31.070\n还诱导他检查嗜酸性、嗜酸细胞比例。\n\n11:31.986 --> 11:34.335\n增加百分之大于3%，\n\n11:34.635 --> 11:36.085\n可以设置诊断。\n\n11:37.463 --> 11:38.539\n3肺结束了，\n\n11:38.539 --> 11:43.064\n常有发热、乏力、盗汗及消瘦的症状。\n\n11:44.961 --> 11:48.012\n可以做抗生杆菌C检查。\n\n11:49.322 --> 11:49.572\n嗯。\n\n11:52.513 --> 11:52.763\n是。\n\n11:53.830 --> 11:54.679\n支气管肺癌。\n\n11:55.463 --> 11:57.112\n多数有数年吸烟史，\n\n11:57.562 --> 12:01.112\n反复性刺激性咳嗽或具有咳嗽史。\n\n12:02.315 --> 12:04.216\n引起咳嗽性质发生改变。\n\n12:04.965 --> 12:06.965\n常有痰菌带血，\n\n12:07.364 --> 12:08.914\n有时表现为反复。\n\n12:08.914 --> 12:10.715\n同一部位的阻塞性肺。\n\n12:11.565 --> 12:12.715\n新抗菌药物。\n\n12:13.495 --> 12:15.195\n治疗未能完全消退。\n\n12:15.937 --> 12:18.286\n还脱瘤细胞学、胸部CT及。\n\n12:19.322 --> 12:22.372\n纤维支气管镜检查很明确什么，\n\n12:22.671 --> 12:25.271\n如被坚持行为法。\n\n12:26.986 --> 12:28.685\n临床经过缓慢。\n\n12:29.577 --> 12:32.476\n开始已经有咳嗽、咳痰或有起斑感。\n\n12:33.247 --> 12:33.872\n仔细听诊。\n\n12:33.872 --> 12:34.197\n在。\n\n12:35.856 --> 12:38.406\n不下后侧可稳抱有。\n\n12:40.596 --> 12:40.846\nMicro.\n\n12:42.362 --> 12:43.763\n血气分析是。\n\n12:44.642 --> 12:46.742\n动脉血氧分压降降低，\n\n12:46.742 --> 12:50.192\n而二氧化硫二氧化碳分压可不升高。\n\n12:52.455 --> 12:53.505\n支气管扩张。\n\n12:56.351 --> 12:57.750\n典型就表现为。\n\n12:58.880 --> 13:03.031\n反复大量克隆痰或反复的他许。\n\n13:04.140 --> 13:07.341\nX线胸骨拍片常见肥窝里增粗。\n\n13:08.934 --> 13:09.635\n我减吧。\n\n13:10.577 --> 13:10.827\n说。\n\n13:11.825 --> 13:14.525\n分螺旋CT检查有助诊断。\n\n13:18.479 --> 13:20.629\n其其他几种也可能。\n\n13:21.809 --> 13:25.309\n会出现咳嗽、咳痰或伴有喘息等症状。\n\n13:26.206 --> 13:28.156\n容易与慢性支气管炎混淆。\n\n13:29.773 --> 13:30.473\n这些疾病。\n\n13:31.578 --> 13:48.879\n有支气管哮喘、嗜酸性粒细胞性支气管炎、肺结核、支气管肺癌、特发性肺纤维化、支气管扩张、慢性炎、咽炎、上呼吸道咳嗽综合征、胃食管反流，\n\n13:49.179 --> 13:52.778\n某些心血管疾病如二尖瓣狭窄。\n\n13:53.943 --> 13:56.044\n如果出现上述类似的症状，\n\n13:56.093 --> 13:57.093\n需要及时。\n\n13:58.484 --> 13:59.234\n去医院就诊。\n\n14:00.648 --> 14:03.198\n请现在进行检查和诊断。\n\n14:04.859 --> 14:11.758\n主要通过体个检查、实验室检查及XT检查排除其他疾病做出诊断。\n\n14:13.205 --> 14:14.104\n治疗与预防。\n\n14:20.078 --> 14:21.379\n急性加重时的治疗。\n\n14:21.875 --> 14:25.325\n主要是运用药物减轻急性症状。\n\n14:25.676 --> 14:27.075\n一是控制感染，\n\n14:27.325 --> 14:31.075\n根据病原种类及药敏选择进行药物。\n\n14:32.783 --> 14:34.533\n二是镇咳祛痰。\n\n14:34.833 --> 14:36.997\n对于咳嗽咳痰明显者，\n\n14:36.997 --> 14:39.333\n可使用镇咳祛痰药。\n\n14:40.989 --> 14:42.338\n三是平常指标。\n\n14:43.107 --> 14:48.208\n有喘息症状者可使用支气管扩张剂缓解喘息症状。\n\n14:51.693 --> 14:51.943\n四。\n\n14:53.424 --> 14:54.049\n治疗方法，\n\n14:54.049 --> 14:55.224\n缓解性治疗。\n\n14:55.875 --> 14:56.575\n一是戒烟，\n\n14:56.825 --> 14:59.174\n二是康复治疗保护。\n\n14:59.794 --> 15:01.193\n呼吸功能锻炼。\n\n15:02.538 --> 15:04.487\n三是长期家庭氧疗。\n\n15:09.163 --> 15:10.862\n四是药物维持治疗。\n\n15:11.952 --> 15:14.851\n部分患者可规律使用长效的支气管扩张剂。\n\n15:18.132 --> 15:18.432\n第四，\n\n15:18.783 --> 15:19.432\n预防。\n\n15:21.174 --> 15:22.773\n那是戒烟限酒。\n\n15:24.552 --> 15:25.851\n二是适度的锻炼，\n\n15:25.952 --> 15:27.502\n三是规律的作息，\n\n15:28.101 --> 15:30.101\n四是避免职业暴露，\n\n15:30.351 --> 15:32.351\n五是改善居住环境。\n\n15:33.599 --> 15:35.849\n有预防呼吸道的感染。\n\n15:36.601 --> 15:39.351\n七控制基础疾病。\n\n15:41.427 --> 15:43.476\n注意饮食均衡。\n\n15:46.185 --> 15:46.385\n嗯。\n\n","v0247cg10004d60s7g2ljht4un4u4iag",948,1230,0,"2026-01-24 22:13:04","预防与治疗慢性支气管炎 - 症状、方法与专业建议  ","慢性支气管炎预防,慢性支气管炎治疗,支气管炎症状,呼吸道疾病管理,肺健康护理  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