[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fnQs_HXsAa9iYs1nwuvfbVe52jJOdrjUSg9g_tY4Was0":8,"$fEQIOytcgQC5Y6ck27YxD9sQzDF7k8ya4Ym2XVMVD5Yc":61,"$ffkqTZxVnbZRu-VhVLD-W4YilfmWtGeuSwlDoMrthCn4":62,"$fz8zesB-BPFR7HDZk9qEreCjDa8aThIb4XvNWUo6uENU":66},{"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":60},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":6,"adept":17,"hospital":18,"department":19,"postsTitle":20,"materialTotal":21,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":31,"isThumbsUp":7,"isCollection":7,"collections":31,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":56,"quality":57,"commentCount":31,"isComment":26,"deviceType":58,"url":59},10090,869363,[],"https://cdn.haohuanjiao.com/learnMaterial/ystApp//Fnjdy1kNh8ld2LtOVgWkcHdqSI2hnstA.png","魏丽","呼吸系统相关疾病的诊治","上海市浦东新区周浦医院","呼吸内科","主治医师",16,11,"耳鼻喉科常见疾病","","https://cdn.yishi-tong.com/console/3/3ftyDtt4MZzx-YcomwArTeE4NITps-35.png",1,"WEBVTT\n\n00:02.128 --> 00:02.302\n嗯，\n\n00:02.302 --> 00:02.852\n大家好，\n\n00:02.852 --> 00:04.228\n我是呼吸科魏医生，\n\n00:04.228 --> 00:07.328\n今天跟大家一起聊一聊耳鼻喉科的常见疾病。\n\n00:09.701 --> 00:11.701\n第一节我们说一下急性咽炎。\n\n00:11.701 --> 00:16.252\n急性咽炎是咽粘膜粘膜下组织的一个急性的炎症，\n\n00:16.302 --> 00:18.851\n可以分为上呼吸道感染的组成部分，\n\n00:19.402 --> 00:22.277\n冬季春秋之际较多见，\n\n00:22.277 --> 00:24.951\n可通过飞沫和密切接触而传染。\n\n00:25.252 --> 00:28.951\n本病也可以是全身性疾病的局部表现，\n\n00:28.951 --> 00:31.502\n或者急性传染病之前的前驱症状。\n\n00:34.216 --> 00:36.841\n它的病因常常由病毒感染引起，\n\n00:36.841 --> 00:41.166\n可激发葡萄球菌、链球菌、肺炎双球菌等细菌感染。\n\n00:41.367 --> 00:50.117\n受凉、过度劳累、过度饮酒、粉尘的浓度超标、高温作业、有害气体的刺激都可诱发本病。\n\n00:52.206 --> 00:54.756\n它的临床表现一般起病比较急，\n\n00:55.105 --> 00:56.756\n初起时咽部干燥，\n\n00:57.055 --> 00:58.256\n然后灼热积，\n\n00:58.256 --> 00:59.855\n之后出现疼痛，\n\n00:59.855 --> 01:01.456\n吞咽时有加重，\n\n01:01.756 --> 01:04.180\n并且可以放射到耳、耳部。\n\n01:04.180 --> 01:08.155\n有时全身不适、关节酸痛、头痛、食欲不振等，\n\n01:08.505 --> 01:10.255\n并且有不同程度的发热。\n\n01:10.505 --> 01:15.106\n检查口咽及鼻咽粘膜弥漫性的充血、肿胀，\n\n01:15.305 --> 01:17.206\n腭宫及悬容垂水肿，\n\n01:17.405 --> 01:20.405\n咽后壁有淋巴滤泡和咽侧所红肿。\n\n01:21.040 --> 01:23.489\n表面有黄白色的点状的渗出物，\n\n01:23.790 --> 01:26.139\n下颌淋巴结肿大并且有压痛。\n\n01:26.489 --> 01:28.839\n体温可升高至38°。\n\n01:28.839 --> 01:30.165\n根据病原的不同，\n\n01:30.165 --> 01:31.440\n白细胞可增多，\n\n01:31.639 --> 01:33.089\n正常或者减少。\n\n01:35.331 --> 01:38.780\n诊断一般是根据发病及咽部疼痛，\n\n01:38.880 --> 01:40.581\n咽黏膜弥漫性的充血，\n\n01:40.630 --> 01:41.930\n本病诊断不难。\n\n01:42.231 --> 01:45.155\n对儿童病人应该注意某些急性的传染病，\n\n01:45.155 --> 01:48.380\n比如麻疹、猩红热、流感和百日咳等，\n\n01:48.930 --> 01:52.630\n这些病的前驱有类似于急性咽炎的症状和体征，\n\n01:52.630 --> 01:53.731\n应该注意鉴别。\n\n01:55.717 --> 01:57.141\n本病的治疗如果不及时，\n\n01:57.141 --> 01:58.641\n可以向临近的蔓延，\n\n01:58.641 --> 02:04.516\n可引起中耳炎、鼻炎、鼻窦炎、喉炎、气管及支气管肺炎等并发症。\n\n02:05.915 --> 02:07.540\n治疗我们一般是对症治疗，\n\n02:07.540 --> 02:08.464\n通畅大便，\n\n02:08.464 --> 02:09.214\n多饮水，\n\n02:09.464 --> 02:13.014\n发热者应该用抗生素、磺胺类药物和抗病毒的药。\n\n02:13.792 --> 02:20.143\n局部可用1:5000的呋喃西林液或者复方硼砂液漱口，\n\n02:20.593 --> 02:21.593\n杜来芬洗鼻，\n\n02:21.593 --> 02:27.292\n泰薄荷片或含碘片含化或抗生素加激素雾化治疗。\n\n02:30.505 --> 02:38.554\n中药中医中药治疗主要是恶寒重、发热轻、无汗脉服者可用麻黄汤内服，\n\n02:38.554 --> 02:42.255\n发热重、恶寒轻者则有银翘散内服，\n\n02:42.455 --> 02:47.104\n也可以用牛黄解毒丸、解毒消炎丸、六神丸内服。\n\n02:47.255 --> 02:50.755\n局部可以用冰硼散或锡类散吹入咽喉，\n\n02:51.255 --> 02:52.705\n针刺颊车，\n\n02:52.804 --> 02:56.255\n颌骨少伤或左下颌角封闭，\n\n02:56.404 --> 02:57.705\n可使炎症消退，\n\n02:57.705 --> 02:58.955\n止痛效果尤佳。\n\n03:02.186 --> 03:03.636\n第二节我们讲慢性咽炎，\n\n03:03.636 --> 03:04.335\n它是。\n\n03:05.458 --> 03:08.509\n咽粘膜、粘膜下及淋巴组织的慢性的炎症，\n\n03:08.608 --> 03:11.033\n常为呼吸道慢性炎症的一部分。\n\n03:11.033 --> 03:12.358\n本病多见于成人，\n\n03:12.358 --> 03:13.684\n病程常顽，\n\n03:13.684 --> 03:15.134\n症状比较顽固，\n\n03:15.134 --> 03:16.309\n治疗比较困难。\n\n03:17.666 --> 03:18.841\n它的局部因素是，\n\n03:18.841 --> 03:24.416\n多为急性咽炎反复发作或轻延误治疗转为慢性，\n\n03:24.565 --> 03:25.865\n患有各种鼻病，\n\n03:26.065 --> 03:32.216\n因鼻阻塞而长期张口呼吸及鼻腔分泌物下流致长期刺激咽部，\n\n03:32.216 --> 03:36.516\n或慢性扁桃体炎、曲平龋齿等影响所致。\n\n03:36.766 --> 03:38.365\n物理化学因素刺激，\n\n03:38.365 --> 03:44.565\n如粉尘、颈部放疗、长期接触化学气体、烟酒过度等都可引起本病。\n\n03:44.565 --> 03:47.341\n全身因素是各种慢性病，\n\n03:47.341 --> 03:48.065\n如贫血。\n\n03:48.132 --> 03:55.533\n便秘、下呼吸道慢性炎症、心血管疾病、新陈代谢障碍、肝脏及肾脏疾病都可以激发本病。\n\n03:57.091 --> 03:59.416\n它的临床表现不一般不明显，\n\n03:59.416 --> 04:00.916\n以咽部不适感为主，\n\n04:00.916 --> 04:03.490\n可以有有咽干、灼热、异物感等，\n\n04:03.690 --> 04:06.490\n常有透明粘稠样的痰块咳出，\n\n04:07.091 --> 04:09.541\n故而患者常有清嗓动作。\n\n04:09.541 --> 04:11.440\n患者症状不影响进食，\n\n04:11.740 --> 04:14.291\n但在精神状态不佳时有所加重。\n\n04:14.291 --> 04:16.290\n患者可有咽反射敏感，\n\n04:16.540 --> 04:18.265\n在晨起漱口时明显。\n\n04:18.265 --> 04:23.390\n临床以慢性单纯性咽炎和慢性肥厚性咽炎为多，\n\n04:23.540 --> 04:25.591\n慢性萎缩性咽炎比较少。\n\n04:26.647 --> 04:30.997\n检查口见粘膜充满、充血或者肥厚，\n\n04:31.147 --> 04:32.997\n咽后壁淋巴滤泡增生，\n\n04:33.096 --> 04:35.147\n可有咽侧所增厚等表现。\n\n04:35.497 --> 04:38.596\n萎缩性咽炎则有咽黏膜萎缩、干燥，\n\n04:38.946 --> 04:39.821\n显苍白，\n\n04:39.821 --> 04:42.997\n合并萎缩性的鼻炎。\n\n04:45.665 --> 04:46.140\n诊断方面，\n\n04:46.140 --> 04:50.865\n我们是依据临床的表现以及检查排除其他器质性的疾病可以做出诊断。\n\n04:51.066 --> 04:56.841\n但本病需要和咽易感症、临近器官恶性肿瘤的早期症状，\n\n04:56.841 --> 04:58.865\n尤其是食道癌早期相鉴别，\n\n04:58.865 --> 05:00.816\n特别是中老年病患者，\n\n05:01.015 --> 05:02.790\n除了详细的了解病史以外，\n\n05:02.790 --> 05:04.665\n还要进行必要的相关的检查，\n\n05:04.665 --> 05:05.515\n以免误诊。\n\n05:06.365 --> 05:07.053\n治疗上，\n\n05:07.053 --> 05:10.816\n本病以局部治疗及结合中医中医药治疗为主。\n\n05:10.816 --> 05:11.941\n除急性发作外，\n\n05:11.941 --> 05:14.316\n不宜全身使用抗菌药素。\n\n05:15.265 --> 05:15.865\n病因。\n\n05:15.915 --> 05:16.165\n治疗，\n\n05:16.165 --> 05:17.915\n消除各种的致病因素，\n\n05:18.316 --> 05:19.966\n如治疗全身性疾病，\n\n05:19.966 --> 05:20.915\n治疗鼻窦炎。\n\n05:21.115 --> 05:21.990\n注意营养，\n\n05:21.990 --> 05:22.915\n增强锻炼。\n\n05:23.877 --> 05:27.326\n避免刺激性食物和烟酒发音不正当的矫正，\n\n05:27.476 --> 05:31.027\n在有粉尘或刺激性气味环境中工作，\n\n05:31.326 --> 05:32.476\n应该戴口罩。\n\n05:34.704 --> 05:39.903\n药物治疗是局部可以用复方硼砂溶液、呋喃西林等漱口，\n\n05:40.303 --> 05:42.378\n3%的碘甘油涂烟，\n\n05:42.378 --> 05:47.253\n或者含化碘喉片、薄荷喉片及六神丸等。\n\n05:47.354 --> 05:48.653\n口服滋阴生津，\n\n05:48.653 --> 05:50.604\n清热润肺中药。\n\n05:52.093 --> 05:55.593\n对萎缩性胃炎可口服维生素A、C、e，\n\n05:55.593 --> 05:57.343\n以促进粘膜上皮的增生。\n\n06:00.226 --> 06:02.627\n第三节我们说一下急性扁桃体炎。\n\n06:02.877 --> 06:07.951\n急性扁桃体炎是腭扁桃体的一种非特异性的急性炎症，\n\n06:07.951 --> 06:12.502\n常伴有一定程度的咽黏膜及咽淋巴组织的急性炎症，\n\n06:12.502 --> 06:14.127\n中医称为乳蛾，\n\n06:14.326 --> 06:14.677\n喉，\n\n06:14.677 --> 06:18.576\n耳或连方额常伴有不同程度的急性咽炎。\n\n06:18.576 --> 06:20.826\n本病多发生于儿童及青少年，\n\n06:21.076 --> 06:21.777\n在季节，\n\n06:21.777 --> 06:22.677\n气温变化时，\n\n06:22.677 --> 06:24.027\n本病有传染性，\n\n06:24.326 --> 06:26.027\n经飞沫和接触传染。\n\n06:26.777 --> 06:29.976\n它的病因是由病毒以及细菌感染引起。\n\n06:29.976 --> 06:30.377\n病。\n\n06:30.464 --> 06:32.464\n毒可分为腺病毒、鼻病毒等。\n\n06:32.765 --> 06:38.864\n细菌主要是乙型溶血性链球菌、刺猬非溶血性链球菌、葡萄球菌、肺炎双球菌等。\n\n06:39.065 --> 06:42.714\n当机体在受凉、过度疲劳、烟酒过度等情况下，\n\n06:42.714 --> 06:44.565\n可以导致机体免疫力下降，\n\n06:44.765 --> 06:46.315\n使病原体趁虚而入，\n\n06:46.315 --> 06:47.114\n导致感染。\n\n06:50.105 --> 06:53.304\n临床表现本病发病一般比较急，\n\n06:53.704 --> 06:56.904\n临床上常见者为以下两种类型。\n\n06:57.696 --> 06:59.795\n急性卡他性扁桃体炎，\n\n06:59.895 --> 07:02.496\n它多由病毒感染引起，\n\n07:02.846 --> 07:05.946\n炎症局限于扁桃体表面的黏膜，\n\n07:05.946 --> 07:09.446\n可有程度不同的咽痛及吞咽疼痛，\n\n07:10.096 --> 07:13.846\n并且伴有全身的不适、畏寒、低热等症状。\n\n07:14.145 --> 07:15.645\n病情相对较轻，\n\n07:15.795 --> 07:16.996\n并发症较少。\n\n07:17.395 --> 07:19.196\n检查可见咽部充血，\n\n07:19.196 --> 07:20.596\n扁桃体充血肿大，\n\n07:20.596 --> 07:22.596\n表面可以没有分泌物。\n\n07:23.649 --> 07:28.149\n急性化脓性扁桃体炎一般多为细菌感染所导致。\n\n07:29.950 --> 07:31.726\n因为炎症累积扁桃体实质。\n\n07:31.726 --> 07:33.601\n患者全身及局部。\n\n07:34.584 --> 07:35.334\n均比较重，\n\n07:35.834 --> 07:37.183\n患者咽痛明显，\n\n07:37.183 --> 07:38.134\n吞咽加重，\n\n07:38.584 --> 07:41.584\n并且向耳部放射痛。\n\n07:41.683 --> 07:45.384\n全身症状可以有头痛、寒颤、高热、四肢酸痛等。\n\n07:45.683 --> 07:48.984\n检查可以看到扁桃体明显的充血肿大，\n\n07:49.183 --> 07:51.834\n表面有黄色的脓点附着，\n\n07:52.334 --> 07:55.734\n脓点可以用棉签擦去而没有出血，\n\n07:56.084 --> 07:58.734\n可以有颌下淋巴结肿大以及压痛。\n\n07:59.433 --> 08:00.734\n如果发生在儿童，\n\n08:00.734 --> 08:03.584\n全身及局部症状较成人较重，\n\n08:03.683 --> 08:04.783\n甚至可因高。\n\n08:04.855 --> 08:10.705\n高热出现惊厥、抽搐、急性扁桃体炎患者应该做血常规检查，\n\n08:10.705 --> 08:12.955\n病毒感染显示淋巴细胞增高，\n\n08:13.205 --> 08:16.055\n细菌感染显示嗜中性粒细胞增高，\n\n08:16.506 --> 08:19.705\n必要时做咽拭子涂片检查和细菌培养。\n\n08:22.779 --> 08:25.079\n它的并发症有急性扁桃体炎，\n\n08:25.079 --> 08:26.880\n尤其是化脓性扁桃体炎，\n\n08:27.179 --> 08:29.804\n在患者抵抗力低或者治疗不及时，\n\n08:29.804 --> 08:31.980\n可引起局部及全身的并发症。\n\n08:32.330 --> 08:35.479\n局部并发症最常见为扁桃体周围的脓肿。\n\n08:35.729 --> 08:38.080\n其他也可有急性颈部淋巴结炎，\n\n08:38.080 --> 08:39.104\n急性中耳炎，\n\n08:39.104 --> 08:39.854\n急性鼻炎，\n\n08:39.854 --> 08:42.380\n急性喉炎等全身并发症。\n\n08:42.380 --> 08:46.080\n急性扁桃化脓性扁桃体炎可引起风湿热，\n\n08:46.080 --> 08:46.929\n关节炎，\n\n08:47.030 --> 08:47.905\n急性肾炎，\n\n08:47.905 --> 08:48.679\n心肌炎，\n\n08:48.729 --> 08:51.880\n亚急性心内膜炎、败血症等全身并发症。\n\n08:53.908 --> 08:55.283\n它的诊断及鉴别诊断，\n\n08:55.283 --> 08:58.958\n急性扁桃体炎一般都具有典型的临床表现，\n\n08:59.309 --> 09:00.458\n故不难诊断。\n\n09:02.104 --> 09:02.255\n嗯，\n\n09:02.255 --> 09:06.929\n血尿常规检查、血小板技术及咽拭纸图片检查和细菌培养，\n\n09:06.929 --> 09:11.405\n对其他疾病的鉴别诊断有其重要的意义。\n\n09:11.505 --> 09:24.054\n必须注意于咽白喉、猩红热、流行性出血热、溃疡性溃疡、粘膜性咽峡炎、单核白细胞增多症等相鉴别。\n\n09:26.890 --> 09:27.340\n治疗方面，\n\n09:27.340 --> 09:28.364\n一、一般治疗，\n\n09:28.364 --> 09:29.940\n我们与急性咽炎相同，\n\n09:29.940 --> 09:30.614\n注意休息，\n\n09:30.614 --> 09:31.640\n多饮水通便。\n\n09:32.190 --> 09:32.989\n局部治疗，\n\n09:32.989 --> 09:38.539\n我们常用3%的硼酸溶液、1:5000的呋喃西林溶液等漱口，\n\n09:39.090 --> 09:43.640\n含服有消炎作用的喉片或抗生素溶液，\n\n09:43.640 --> 09:44.789\n局部喷雾等。\n\n09:45.918 --> 09:50.567\n全身的治疗应全身应用抗足量的抗菌素，\n\n09:50.768 --> 09:53.268\n依据病情口服或者静脉给药，\n\n09:53.468 --> 09:54.968\n青霉素类首选，\n\n09:54.968 --> 09:58.518\n也可以配合使用其他抗菌素及抗病毒药物。\n\n09:59.174 --> 10:01.174\n病情重者可以适量加用激素，\n\n10:01.174 --> 10:03.775\n如强的松、氢化可的松、地塞米松等。\n\n10:04.075 --> 10:07.025\n抗菌素最好用至症状消退后一周，\n\n10:07.375 --> 10:08.325\n以防复发。\n\n10:08.575 --> 10:10.000\n如果咽痛剧烈，\n\n10:10.000 --> 10:14.125\n可加用消炎痛或普炎普炎痛等药物。\n\n10:14.575 --> 10:15.500\n中医中药，\n\n10:15.500 --> 10:19.075\n凡恶寒、高热、脉浮无汗者可用。\n\n10:20.898 --> 10:24.398\n甘菊汤或麻杏石甘汤。\n\n10:24.747 --> 10:26.447\n凡高热无胃寒，\n\n10:26.447 --> 10:28.197\n口干舌燥，\n\n10:28.598 --> 10:29.885\n脉数而浮者，\n\n10:29.885 --> 10:31.348\n可用甘露饮。\n\n10:43.273 --> 10:43.473\n嗯，\n\n10:43.473 --> 10:45.523\n五官科常见的疾病小结，\n\n10:45.872 --> 10:48.872\n耳鼻咽喉部急性慢性炎症，\n\n10:48.872 --> 10:51.872\n它是临床五官科门诊的常见病之一，\n\n10:52.322 --> 11:01.473\n如急性咽炎、慢性咽炎、急性鼻炎、慢性鼻炎、急性喉炎、慢性喉炎、急性和慢性扁桃体炎等。\n\n11:01.523 --> 11:08.572\n由于耳鼻喉在解剖上互为相通的和延续疾病时可以相互影响，\n\n11:08.723 --> 11:13.473\n如慢性鼻炎、慢性咽炎和慢性喉炎可以同时存在。\n\n11:13.728 --> 11:15.028\n并相互影响。\n\n11:16.093 --> 11:18.843\n在急性炎症时可以相互蔓延，\n\n11:19.692 --> 11:22.018\n在治疗指导用药时，\n\n11:22.018 --> 11:26.043\n急性炎症应考虑局部用药和全身用药配合。\n\n11:26.893 --> 11:28.293\n减少并发症的发生。\n\n11:28.742 --> 11:33.293\n慢性炎症依据情况以局部用药为主，\n\n11:33.293 --> 11:36.143\n并结合合理用药及中医中药，\n\n11:36.442 --> 11:42.942\n再用耳鼻喉上淋、颅脑及眼眶下通气管和食管。\n\n11:43.393 --> 11:47.192\n有的疾病可以是全身性疾病的病灶，\n\n11:47.293 --> 11:50.692\n可以在治疗时还必须有整体的观念。\n\n12:04.895 --> 12:05.070\n嗯，\n\n12:05.070 --> 12:08.044\n耳鼻喉疾病是常见的健康问题，\n\n12:08.445 --> 12:10.645\n涵盖耳鼻喉三个部位，\n\n12:10.645 --> 12:13.294\n对生活质量影响显著。\n\n12:14.585 --> 12:14.786\n嗯，\n\n12:14.935 --> 12:17.786\n耳部常表现疾病有中耳炎，\n\n12:17.786 --> 12:20.060\n它多因感冒过敏引发。\n\n12:20.060 --> 12:23.536\n中耳积液或者感染可以导致耳朵痛，\n\n12:23.536 --> 12:24.536\n听力下降。\n\n12:25.463 --> 12:29.564\n耳鸣则表现为耳内出现持续或间歇的嗡嗡声，\n\n12:29.864 --> 12:31.114\n病因比较复杂，\n\n12:31.114 --> 12:35.013\n包括噪音暴露、衰老、内耳疾病等。\n\n12:35.896 --> 12:36.146\n嗯。\n\n12:36.890 --> 12:37.590\n鼻部疾病，\n\n12:37.690 --> 12:38.864\n过敏性的鼻炎，\n\n12:38.864 --> 12:39.515\n有花粉，\n\n12:39.515 --> 12:41.140\n尘螨等过敏原，\n\n12:41.140 --> 12:43.215\n诱发症状有鼻痒，\n\n12:43.215 --> 12:43.940\n打喷嚏，\n\n12:43.940 --> 12:44.690\n流鼻涕。\n\n12:45.671 --> 12:47.497\n鼻窦炎常因鼻腔感染扩散，\n\n12:47.497 --> 12:51.271\n出现鼻塞、脓涕、头痛等症状。\n\n12:52.927 --> 12:54.778\n影响嗅觉及呼吸。\n\n12:56.049 --> 12:57.148\n咽喉疾病方面，\n\n12:57.299 --> 12:59.348\n咽炎分为急性和慢性。\n\n12:59.848 --> 13:03.098\n急性咽炎多由病毒或细菌感染引起，\n\n13:03.098 --> 13:05.823\n表现为咽痛、吞咽困难，\n\n13:05.823 --> 13:14.198\n慢性咽炎则因长期用嗓过度、环境刺激等导致咽部常有异物感，\n\n13:14.448 --> 13:15.473\n干燥不适。\n\n13:15.473 --> 13:17.948\n扁桃体炎也是常见的病症，\n\n13:18.299 --> 13:19.223\n儿童多发，\n\n13:19.223 --> 13:22.648\n反复发炎可能会影响他的睡眠与呼吸。\n\n13:23.835 --> 13:24.210\n嗯，\n\n13:24.210 --> 13:28.234\n日常生活中我们要保持耳鼻喉的清洁，\n\n13:28.635 --> 13:31.284\n避免用尖锐的物品去挖耳，\n\n13:31.284 --> 13:32.184\n预防感冒，\n\n13:32.585 --> 13:33.859\n远离过敏源，\n\n13:33.859 --> 13:35.984\n减少刺激性食物的摄入，\n\n13:36.034 --> 13:37.934\n有效降低患病风险。\n\n14:19.913 --> 14:20.088\n嗯，\n\n14:20.088 --> 14:24.663\n耳鼻喉跟呼吸道的关系比较紧密。\n\n14:25.112 --> 14:27.588\n在季节转换的时候，\n\n14:27.588 --> 14:29.562\n特别像现在目前这个季节，\n\n14:29.913 --> 14:30.312\n嗯，\n\n14:30.663 --> 14:32.413\n早晚冷中午热。\n\n14:32.763 --> 14:33.163\n嗯，\n\n14:33.612 --> 14:34.763\n3到五月份，\n\n14:34.862 --> 14:35.263\n嗯，\n\n14:35.312 --> 14:38.088\n空气里面的花粉和柳絮比较多，\n\n14:38.088 --> 14:45.413\n特别是有鼻炎的病人经常会出现鼻塞流鼻涕打喷嚏这些症状，\n\n14:45.413 --> 14:49.187\n有的时候会诱发支支气管哮喘的发作，\n\n14:49.187 --> 14:50.112\n门诊比较。\n\n14:50.169 --> 14:50.568\n多见，\n\n14:50.869 --> 14:54.419\n我们会一般会给他做一些血常规的检查，\n\n14:54.419 --> 14:56.318\n会发现他的嗜酸比较高。\n\n14:56.318 --> 14:57.143\n追问病史，\n\n14:57.143 --> 14:58.768\n患者既往有咽炎呀，\n\n14:58.768 --> 15:00.393\n或者是皮肤过敏，\n\n15:00.393 --> 15:01.468\n有鼻炎的病史，\n\n15:01.768 --> 15:03.869\n然后给他做一个肺功能的检查，\n\n15:03.869 --> 15:05.619\n肺检查会特别的高。\n\n15:06.486 --> 15:06.637\n嗯，\n\n15:06.637 --> 15:07.586\n这个就。\n\n15:09.390 --> 15:11.114\n比较比较麻烦，\n\n15:11.114 --> 15:13.289\n然后我们只最好是到医院里，\n\n15:13.539 --> 15:13.940\n嗯，\n\n15:14.239 --> 15:15.239\n线下解决，\n\n15:15.239 --> 15:17.414\n然后让医生给你仔细的检查，\n\n15:17.414 --> 15:18.640\n然后规律的用药。\n\n15:19.718 --> 15:22.293\n自己不要自己私买私购药品，\n\n15:22.293 --> 15:23.968\n自己在家里吃吃药。\n\n","v0347cg10004d60sm3iljht5uhgqhsn0",926,1498,0,"2026-01-24 22:41:33","耳鼻喉科常见疾病 - 症状、治疗与预防指南  ","耳鼻喉科疾病,中耳炎,鼻炎,咽炎,扁桃体炎,耳鸣,鼻窦炎,喉炎,耳鼻喉症状,耳鼻喉治疗  ","了解耳鼻喉科常见疾病如中耳炎、鼻炎、咽炎等的症状、治疗方法及预防措施。专业解答耳鼻喉健康问题，助您及时识别疾病并科学应对。","2026-03-04 00:30:00",[38],{"menuId":39,"menuName":40,"parentId":31,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":26,"status":31,"createDept":6,"remark":24,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":31,"isHome":31,"forceLogin":31,"color":6,"seoTitle":51,"seoKeywords":52,"seoDescription":53,"contentNum":6,"promotionalPoster":54,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":55,"routerPath":42,"componentInfo":43},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",2,"慢性病,高发轻症",4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/869363/df3fb27f-df8b-4ab4-a034-1cb9a242f303.tmp?a=0&auth_key=1789027052-7155ae4e47c040b78a54b45b121aaf93-0-a42364be7e428a7eff3205c8f54c02d5&br=427&bt=427&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004d60sm3iljht5uhgqhsn0&er=0&l=2026081105420399DAD6DA98E9D21568BE&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3Z0azhrbzZ2OTczNGY3M0ApcWtqeHdtbHAzZzMzajo2eWdrZWRycWdmai1hLS1kNDBzcy1wbmUyZWkwcDMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":59,"message":6,"data":6,"success":60},{"code":9,"msg":10,"message":6,"data":63,"success":60},{"pageNo":26,"pageSize":64,"result":65,"totalSize":31},10,[],{"code":9,"msg":10,"message":6,"data":67,"success":60},{"authors":68,"appraiseDimensionScoresVos":69},[],[]]