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--> 00:08.566\n今天我们要来那个科普的是上呼吸道感染的认识和那个预防。\n\n00:09.878 --> 00:14.227\n首先我们来了解一下什么是上呼吸道这个感染。\n\n00:18.610 --> 00:20.284\n上呼吸道感染的定义呢，\n\n00:20.284 --> 00:26.959\n就是上呼吸道感染是鼻腔和咽部还有喉部的急性炎症的总称，\n\n00:27.510 --> 00:31.909\n是最常见的急性的上呼吸道的感染的疾病。\n\n00:32.560 --> 00:32.935\n嗯，\n\n00:32.935 --> 00:34.534\n通过我们这个图可以看到，\n\n00:34.534 --> 00:40.384\n像病毒一般性都是通过先通过我们的鼻子、鼻腔还有我们的嘴、嘴巴，\n\n00:40.384 --> 00:41.685\n然后口腔，\n\n00:41.685 --> 00:45.560\n然后慢慢进入这么我们这个上呼吸道的地方。\n\n00:46.103 --> 00:48.127\n然后再慢慢慢进入我们的肺部，\n\n00:48.127 --> 00:49.603\n到达我们的下呼吸道。\n\n00:50.714 --> 00:52.414\n所以这上部上，\n\n00:52.414 --> 00:56.138\n所以我们统称的这个鼻腔、咽部、喉部，\n\n00:56.138 --> 00:58.664\n就是我们最常见的这个上呼吸道。\n\n01:01.526 --> 01:04.625\n上呼吸道感染的常见病因有很多种，\n\n01:04.975 --> 01:05.375\n嗯，\n\n01:05.375 --> 01:08.625\n最常见的也是我们的这个病毒感染。\n\n01:09.125 --> 01:11.075\n像常见的病毒啊，\n\n01:11.125 --> 01:19.750\n如那个鼻病毒、冠状病毒、流感病毒等日常病毒感染的这个占比也是很大的，\n\n01:19.750 --> 01:22.676\n有占到70%.80%左右。\n\n01:23.749 --> 01:26.124\n第二常见的就是我们的细菌感染。\n\n01:27.505 --> 01:33.106\n像我们的溶血性链球菌、肺炎链球菌等常见细菌。\n\n01:34.143 --> 01:34.319\n对吧，\n\n01:34.319 --> 01:35.694\n它这个都是会，\n\n01:36.244 --> 01:39.844\n这个也是我们常见的细菌感染引起的，\n\n01:40.344 --> 01:41.744\n像扁桃体发炎啊，\n\n01:41.744 --> 01:43.043\n这种都是链球菌。\n\n01:44.377 --> 01:45.127\n的感染。\n\n01:47.862 --> 01:48.888\n然后像细菌感染，\n\n01:48.888 --> 01:52.362\n通常在病毒感染的感染后继发，\n\n01:52.862 --> 01:56.413\n一般性像细菌感染占比在20%.30%。\n\n01:57.205 --> 02:00.754\n还有其他因素也会导致我们这个上呼吸道感染，\n\n02:01.404 --> 02:06.404\n像比如常见的受凉、嗯淋雨啊、过度劳累等，\n\n02:06.455 --> 02:09.304\n导致这个身体的这个免疫力下降，\n\n02:09.854 --> 02:14.580\n使本来这个寄居于上呼吸道的病原体大量繁殖，\n\n02:14.580 --> 02:15.455\n引发感染。\n\n02:16.104 --> 02:18.554\n就是我们劳累啊、淋雨啊、受凉后，\n\n02:18.854 --> 02:21.255\n平时在我们身体内禁止这些细菌。\n\n02:21.966 --> 02:23.615\n开始因为抵抗力的下降，\n\n02:23.615 --> 02:26.865\n所以开始大大量的繁殖引发的这个感染。\n\n02:31.697 --> 02:34.996\n然后我们来看看这个上呼吸道感染的常见症状。\n\n02:35.940 --> 02:37.266\n局部的症状有什么呢？\n\n02:37.266 --> 02:38.041\n有鼻塞。\n\n02:39.361 --> 02:41.811\n就像我们右图展示的这个小朋友，\n\n02:41.811 --> 02:43.712\n什么一只手捏着鼻子，\n\n02:43.861 --> 02:46.712\n表现出这个呼吸不是很通畅的这个。\n\n02:47.751 --> 02:48.201\n样子。\n\n02:48.861 --> 02:50.611\n还有是什么鼻涕？\n\n02:50.861 --> 02:52.212\n流鼻涕也会很多，\n\n02:52.712 --> 02:55.712\n一张纸巾上面会有很多很多的鼻涕。\n\n02:56.261 --> 02:58.712\n有些人会流黄脓鼻涕啊，\n\n02:58.712 --> 03:00.011\n清水鼻涕啊，\n\n03:00.611 --> 03:01.412\n都会有。\n\n03:02.535 --> 03:02.761\n嗯，\n\n03:02.761 --> 03:04.386\n还有最常见的是我们的咽痛。\n\n03:06.794 --> 03:07.195\n他们说，\n\n03:07.195 --> 03:08.619\n患者有些人会说啊，\n\n03:08.619 --> 03:09.895\n咽部有异物感，\n\n03:10.145 --> 03:11.970\n或者吞咽口水的时候，\n\n03:11.970 --> 03:13.294\n我会感觉很疼痛，\n\n03:13.595 --> 03:15.294\n导致不敢咽口水。\n\n03:17.145 --> 03:18.794\n咳嗽也是很常见。\n\n03:19.671 --> 03:21.921\n这些统称为什么卡他症状对吧？\n\n03:22.121 --> 03:23.222\n那咳嗽的话，\n\n03:23.222 --> 03:25.371\n就是一个人，\n\n03:25.371 --> 03:27.947\n干咳有可能会含有痰的，\n\n03:27.947 --> 03:29.921\n咳都会都会有。\n\n03:31.520 --> 03:34.020\n然后全身症状的话也有很多。\n\n03:34.858 --> 03:39.057\n像我们的什么发烧发热对不对。\n\n03:41.679 --> 03:43.128\n还有什么头疼？\n\n03:46.496 --> 03:46.772\n头疼，\n\n03:46.772 --> 03:50.621\n头疼起来患者也会一开始也不会发热，\n\n03:50.621 --> 03:52.147\n但是也会有头疼，\n\n03:52.647 --> 03:55.097\n还有什么发热之后会出现什么乏力，\n\n03:55.597 --> 03:56.822\n精神很萎靡，\n\n03:56.822 --> 03:57.996\n身体很虚弱。\n\n03:58.951 --> 03:59.526\n等等等等，\n\n03:59.526 --> 04:05.126\n还有什么也常见的什么发热后也会有患者出现什么腰酸背痛这种症状，\n\n04:05.126 --> 04:09.102\n可能也是跟这个病毒感染之后的全身发热症状有关。\n\n04:11.462 --> 04:15.613\n然后现在我们来了解一下临床诊断的流程。\n\n04:16.837 --> 04:18.386\n像病史询问这一块。\n\n04:19.276 --> 04:22.325\n像医生通常会询问近期是否有什么诱因，\n\n04:22.976 --> 04:25.575\n像患者有没有受凉啊，\n\n04:25.876 --> 04:28.075\n接触过周围，\n\n04:28.376 --> 04:30.376\n像小朋友班级里面啊，\n\n04:30.476 --> 04:35.325\n工工作公司里面有没有周围有没有人有存在发热啊，\n\n04:35.325 --> 04:36.200\n发烧啊，\n\n04:36.200 --> 04:37.876\n流鼻涕咳嗽等症状。\n\n04:38.876 --> 04:46.126\n然后症状的观察上面也是详细观察患者的上述的局部和全身的表现，\n\n04:46.376 --> 04:49.226\n像有没有流鼻涕、喉咙痛发烧。\n\n04:50.325 --> 04:50.500\n对吧，\n\n04:50.500 --> 04:51.274\n肌肉酸痛，\n\n04:51.774 --> 04:53.774\n然后什么浑身乏力等等。\n\n04:55.307 --> 04:57.557\n然后接下来我们医生要进行什么？\n\n04:57.907 --> 04:59.307\n要进行体格检查。\n\n05:01.497 --> 05:04.696\n会让患者嘴巴张开来说的一下看看，\n\n05:04.846 --> 05:12.596\n然后手电筒看看患者什么咽喉部有没有充血红肿或者有滤泡等情况。\n\n05:13.046 --> 05:15.346\n他会听一听患者的肺部，\n\n05:15.546 --> 05:16.897\n像有咳嗽的患者，\n\n05:16.897 --> 05:18.096\n他听听他们的肺部。\n\n05:20.200 --> 05:22.000\n然后看看有没有里面有痰，\n\n05:22.149 --> 05:24.350\n有没有湿干湿啰音等等的，\n\n05:24.600 --> 05:26.850\n然后听诊的目的也是为了什么。\n\n05:27.742 --> 05:28.441\n鉴别诊断，\n\n05:28.492 --> 05:30.391\n排除我们的下呼吸道感染。\n\n05:32.264 --> 05:37.164\n通常我们的医生也会经常要求患者配合我们的实验室检查，\n\n05:37.563 --> 05:41.213\n像做一个最常见的是做两个配套的，\n\n05:41.414 --> 05:42.713\n像血常规，\n\n05:43.364 --> 05:43.938\n对吧，\n\n05:43.938 --> 05:48.864\n看看里面的白细胞计数、中性粒细胞技术、淋巴细胞等指标。\n\n05:49.958 --> 05:51.782\n在病毒和细菌感染的时候，\n\n05:51.782 --> 05:53.858\n变化特征也是不一样的。\n\n05:55.914 --> 05:56.313\n嗯。\n\n05:57.605 --> 05:59.279\n就像我们的什么，\n\n05:59.279 --> 06:00.480\n细菌感染的时候，\n\n06:00.480 --> 06:03.404\n白细胞、中性粒细胞都会偏高，\n\n06:03.404 --> 06:04.005\n是不是？\n\n06:04.743 --> 06:07.592\n像我们的这个淋巴细胞就会怎么。\n\n06:08.381 --> 06:09.032\n就会偏低。\n\n06:14.799 --> 06:16.299\n然后还有我们的C反应蛋白。\n\n06:17.226 --> 06:20.976\nC反应蛋白升高在细菌感染中也很明显。\n\n06:22.243 --> 06:22.567\n但是，\n\n06:22.567 --> 06:24.692\n像我们像有些患者，\n\n06:24.692 --> 06:27.442\n他是病毒合并细菌的话，\n\n06:27.792 --> 06:30.768\n它的C反应蛋白淋巴细胞也会偏低，\n\n06:30.768 --> 06:32.143\n然后C反应蛋白也会偏高，\n\n06:32.143 --> 06:33.143\n白细胞也会偏高。\n\n06:33.822 --> 06:34.773\n它是个合并的。\n\n06:35.479 --> 06:36.278\n混合感染。\n\n06:38.171 --> 06:38.796\n接下来，\n\n06:38.796 --> 06:40.571\n我们来看看这个治疗，\n\n06:41.071 --> 06:42.921\n像上呼吸道感染的治疗。\n\n06:43.522 --> 06:43.921\n嗯，\n\n06:44.022 --> 06:46.921\n一般性是我们分为一般治疗。\n\n06:46.921 --> 06:48.096\n一般治疗的话，\n\n06:48.096 --> 06:49.421\n就是，\n\n06:50.171 --> 06:50.971\n休息。\n\n06:52.264 --> 06:57.563\n就是一定要保证我们充足的睡眠对恢复体力、增加免疫力的重要性。\n\n07:02.277 --> 07:02.627\n还有什么，\n\n07:02.627 --> 07:03.326\n多喝水。\n\n07:04.742 --> 07:04.992\n嗯，\n\n07:04.992 --> 07:06.441\n就像我们刚才聊到的，\n\n07:06.441 --> 07:08.541\n还有什么让患者多喝水。\n\n07:09.867 --> 07:10.316\n对不对？\n\n07:10.717 --> 07:12.342\n多喝水有什么帮助呢？\n\n07:12.342 --> 07:13.316\n对于我们人体内，\n\n07:13.467 --> 07:15.916\n一方面发烧的时候，\n\n07:15.916 --> 07:18.367\n人体内的水分大量的流失，\n\n07:18.467 --> 07:22.266\n通过汗液都是排出体外的，\n\n07:22.266 --> 07:25.467\n所以这时候身体内需要补充我们的水分。\n\n07:26.700 --> 07:27.226\n还有，\n\n07:27.226 --> 07:30.901\n喝水能让有助于我们干嘛稀释痰液。\n\n07:31.351 --> 07:33.175\n有些患者咳嗽咳痰时候，\n\n07:33.175 --> 07:34.300\n他痰咳不出来了，\n\n07:34.550 --> 07:35.175\n对不对？\n\n07:35.175 --> 07:37.925\n这时候我们多喝水可以稀释它的痰液，\n\n07:37.925 --> 07:40.151\n使它的痰液更快的排出，\n\n07:40.601 --> 07:43.200\n加快它这个恢复的过程。\n\n07:44.122 --> 07:46.122\n还可以促进我们的新陈代谢。\n\n07:48.519 --> 07:51.669\n然后接下来就是一般治疗之后的话，\n\n07:51.669 --> 07:53.218\n就是我们的药物治疗了。\n\n07:56.278 --> 08:00.477\n药物治疗常见的有我们的这个分为两种，\n\n08:00.778 --> 08:01.703\n分为好几种，\n\n08:01.703 --> 08:03.727\n一种是抗病毒的药物，\n\n08:04.127 --> 08:04.453\n嗯，\n\n08:04.453 --> 08:06.477\n比较常用的是利巴韦林。\n\n08:07.742 --> 08:10.092\n是比较常见的这个抗病毒药物，\n\n08:10.291 --> 08:12.992\n还有像流感这种的是奥司他韦。\n\n08:14.660 --> 08:15.010\n对吧，\n\n08:15.160 --> 08:19.059\n奥司他韦一般性也是主要用于流感病毒的感染。\n\n08:19.410 --> 08:22.035\n一般性在这个有症状，\n\n08:22.035 --> 08:23.660\n发病48小时之内，\n\n08:23.760 --> 08:25.059\n效果使用更好。\n\n08:25.856 --> 08:27.731\n然后现在也包括我们新的药，\n\n08:27.731 --> 08:29.106\n像速福达这种，\n\n08:29.256 --> 08:32.057\n都是针对于流感的药。\n\n08:34.218 --> 08:36.067\n然后第二类是我们的抗生素。\n\n08:37.119 --> 08:39.270\n常见的抗生素有我们的，\n\n08:39.270 --> 08:41.820\n比如说阿莫西林、头孢菌素。\n\n08:43.018 --> 08:45.169\n但是有一点要强调的是什么，\n\n08:45.919 --> 08:47.218\n就在明确。\n\n08:48.515 --> 08:52.966\n细菌感染或者合并细菌感染的时候才能使用抗生素，\n\n08:53.315 --> 08:55.065\n避免滥用抗生素。\n\n08:56.002 --> 08:56.252\n对不对，\n\n08:56.252 --> 08:59.078\n因为有些患者经常来门诊说，\n\n08:59.078 --> 08:59.502\n哎呀，\n\n08:59.502 --> 09:00.453\n最近有点感冒，\n\n09:00.453 --> 09:01.403\n流鼻涕了，\n\n09:01.653 --> 09:06.302\n在家里我吃了什么青霉素、阿莫西林、头孢，\n\n09:06.502 --> 09:07.078\n对吧，\n\n09:07.078 --> 09:09.052\n这种时候它其实是没有指针用的，\n\n09:09.052 --> 09:09.502\n对不对？\n\n09:11.335 --> 09:14.984\n这会导导致我们什么以后治疗的话，\n\n09:14.984 --> 09:17.159\n患者的耐药性增加也好，\n\n09:17.159 --> 09:18.034\n这种都是。\n\n09:19.187 --> 09:20.187\n我们是不提倡的，\n\n09:20.687 --> 09:23.487\n然后还有一种是对症治疗的药物，\n\n09:23.588 --> 09:27.838\n比如说什么患者发烧的时候超过38°五的时候，\n\n09:28.038 --> 09:32.038\n我们就要对他们用一些对乙酰氨基酚、布洛芬等。\n\n09:33.299 --> 09:34.099\n然后根据。\n\n09:34.968 --> 09:35.268\n这个。\n\n09:36.499 --> 09:38.348\n体温去决定我们的用药。\n\n09:39.453 --> 09:41.903\n还有就是对于咳嗽咳痰的患者，\n\n09:41.903 --> 09:46.153\n我们也会对他用一些什么止咳祛痰的药物，\n\n09:46.302 --> 09:47.302\n像氨溴索。\n\n09:49.206 --> 09:50.057\n右美沙芬等。\n\n09:52.331 --> 09:54.606\n他们的机制和那个都是不一样的，\n\n09:54.606 --> 09:56.831\n像右美沙芬是我们的什么纸盒，\n\n09:56.981 --> 09:57.632\n对不对？\n\n10:03.679 --> 10:03.755\n好，\n\n10:03.755 --> 10:06.580\n接下来是我们要讲的日常的护理要点。\n\n10:07.315 --> 10:10.116\n像针对于平时的这种啊，\n\n10:10.616 --> 10:11.866\n周边的环境啊，\n\n10:11.866 --> 10:13.116\n工作单位的环境啊，\n\n10:13.116 --> 10:14.515\n首先我们要保持什么呢？\n\n10:14.815 --> 10:17.616\n要保证这个室内的空气流通。\n\n10:18.481 --> 10:20.682\n温度还有什么湿度适宜？\n\n10:23.036 --> 10:24.385\n还有我们的口腔护理。\n\n10:25.202 --> 10:27.226\n因为刚才我们也讲了，\n\n10:27.226 --> 10:29.427\n像有些人他抵抗力差了，\n\n10:29.427 --> 10:30.052\n劳累了，\n\n10:30.052 --> 10:30.802\n淋雨之后，\n\n10:31.052 --> 10:35.401\n本来在上呼吸道里面定植的那些病毒或者细菌，\n\n10:35.702 --> 10:38.052\n就会因为机体的免疫力下降。\n\n10:39.833 --> 10:41.783\n导致这个病毒的大量繁殖，\n\n10:41.783 --> 10:44.283\n引发我们的急性的上呼吸道感染。\n\n10:45.083 --> 10:46.734\n所以我们要经常要什么，\n\n10:47.033 --> 10:48.783\n吃完饭之后要勤漱口，\n\n10:49.684 --> 10:51.583\n也可以用淡的放点盐水，\n\n10:51.684 --> 10:53.383\n淡的盐水漱漱口。\n\n10:54.853 --> 10:57.052\n这样也可以有助于我们的清洁口腔，\n\n10:57.353 --> 10:59.252\n减少我们的细菌滋生。\n\n11:00.638 --> 11:01.088\n然后，\n\n11:01.088 --> 11:03.263\n病情也要什么密切的关注。\n\n11:03.263 --> 11:05.038\n当这个患者发烧的时候，\n\n11:05.038 --> 11:08.187\n我们要密切的关注他的体温还有症状的变化。\n\n11:08.687 --> 11:12.038\n因为像患者大部分的患者前三天发烧之后，\n\n11:12.038 --> 11:13.588\n到了第三天开始咳嗽，\n\n11:13.888 --> 11:15.338\n烧退之后开始咳嗽。\n\n11:16.283 --> 11:16.484\n对吧，\n\n11:16.484 --> 11:18.383\n咳痰会变得越来越重。\n\n11:20.619 --> 11:23.320\n如果症状持续不缓解或者加重的话，\n\n11:23.520 --> 11:25.320\n应该及时来医院就医。\n\n11:30.344 --> 11:32.494\n我们讲讲这个预防，\n\n11:32.494 --> 11:35.669\n针对于我们上呼吸道感染的这个预防措施，\n\n11:36.320 --> 11:38.320\n第一个就是增加我们的体质。\n\n11:39.181 --> 11:44.231\n适量的运动可以有助于提高我们的身体的免疫力，\n\n11:44.981 --> 11:46.830\n包括跑跑步啊，\n\n11:47.080 --> 11:48.380\n打打羽毛球啊。\n\n11:49.416 --> 11:51.041\n多在户外活动活动，\n\n11:51.041 --> 11:51.741\n晒晒太阳，\n\n11:51.741 --> 11:52.265\n对不对？\n\n11:53.747 --> 11:54.747\n合理饮食。\n\n11:56.151 --> 11:56.351\n对吧，\n\n11:56.351 --> 11:58.052\n包括我们不能挑食。\n\n11:59.437 --> 12:00.086\n对不对，\n\n12:00.336 --> 12:05.736\n像我们的蔬菜、水果、蛋白质等都是需要摄入的。\n\n12:10.148 --> 12:12.549\n第三个就是我们要充足的睡眠。\n\n12:14.948 --> 12:16.948\n很多患者他怎么劳累了，\n\n12:16.948 --> 12:17.924\n睡觉睡不好了？\n\n12:17.924 --> 12:18.848\n最近睡得少了，\n\n12:18.848 --> 12:19.874\n加班加的多了，\n\n12:19.874 --> 12:20.398\n对不对？\n\n12:21.416 --> 12:23.216\n是不是所以他就会抵抗力下降。\n\n12:24.137 --> 12:24.361\n但是，\n\n12:24.361 --> 12:24.786\n你看，\n\n12:24.786 --> 12:26.736\n像我们人一旦生病了之后，\n\n12:27.086 --> 12:28.187\n他好好休息，\n\n12:28.586 --> 12:29.111\n对吧？\n\n12:29.111 --> 12:30.086\n好好睡一觉，\n\n12:30.586 --> 12:31.736\n抵抗力上去了，\n\n12:31.736 --> 12:34.486\n他的病情也会得到相应的缩短。\n\n12:36.572 --> 12:39.072\n第四个就是注意我们的个人卫生，\n\n12:39.572 --> 12:41.171\n要什么勤洗手。\n\n12:43.017 --> 12:46.591\n我们网上现在常说的七步洗手法对不对？\n\n12:46.591 --> 12:49.317\n因为手上有我们大量的细菌、病毒，\n\n12:49.716 --> 12:51.017\n还有其他的微生物。\n\n12:51.732 --> 12:52.083\n对吧。\n\n12:53.401 --> 12:58.700\n多洗手可以冲走我们手上的大部分的细菌和病毒。\n\n12:59.939 --> 13:02.088\n或就是避免接触感染源，\n\n13:02.489 --> 13:05.239\n像在这种流感高发的季节啊，\n\n13:05.239 --> 13:08.689\n我们就要避免前往人多的地方场所。\n\n13:09.138 --> 13:10.638\n如果一定要去的话，\n\n13:10.789 --> 13:12.088\n一定要戴好口罩。\n\n13:12.439 --> 13:12.864\n那么，\n\n13:12.864 --> 13:16.013\n口罩也能阻挡我们大部分的这个细菌病毒。\n\n13:16.013 --> 13:16.414\n但是，\n\n13:16.414 --> 13:18.513\n你戴好之后一定要扔掉，\n\n13:18.513 --> 13:20.239\n不能放在口袋里面，\n\n13:20.239 --> 13:22.088\n然后接着戴这个也是不对的，\n\n13:22.289 --> 13:22.689\n像。\n\n13:26.752 --> 13:30.103\n然后我们来看看特殊人群的注意事项。\n\n13:31.517 --> 13:32.517\n像小孩子的话，\n\n13:32.716 --> 13:34.117\n这个免疫系统啊，\n\n13:34.117 --> 13:35.392\n并没有发育完善，\n\n13:35.392 --> 13:36.367\n更容易感染。\n\n13:38.103 --> 13:38.302\n然后，\n\n13:38.302 --> 13:40.728\n病情变化的也不像成年人这么慢，\n\n13:40.728 --> 13:42.302\n他进展的可能会比较快。\n\n13:42.802 --> 13:43.353\n所以，\n\n13:43.353 --> 13:44.903\n强调我们要强调什么？\n\n13:45.252 --> 13:49.177\n当家长发现小孩子有这种上述的卡他症状的时候，\n\n13:49.177 --> 13:52.953\n有发烧的时候要及时的去医院就就医。\n\n13:54.356 --> 13:55.831\n然后也要合理的用药，\n\n13:55.831 --> 14:00.257\n不能像大人一样一感冒一发烧就要吃什么头孢这种的。\n\n14:00.956 --> 14:02.132\n然后后期的话，\n\n14:02.132 --> 14:04.106\n就是预防也很重要，\n\n14:04.456 --> 14:07.206\n像不要带小朋友去人多的地方啊，\n\n14:07.557 --> 14:08.057\n对不对？\n\n14:08.057 --> 14:09.581\n游乐场密闭的游乐场，\n\n14:09.581 --> 14:10.807\n这种这种都不需要，\n\n14:10.807 --> 14:12.356\n这种都不太适合。\n\n14:14.591 --> 14:14.841\n然后，\n\n14:14.841 --> 14:16.216\n第二类的话是老年人。\n\n14:16.216 --> 14:17.741\n老年人身体的话，\n\n14:18.440 --> 14:19.491\n抵抗力比较差，\n\n14:19.591 --> 14:22.015\n因为机能已经在慢慢走下坡路，\n\n14:22.015 --> 14:22.841\n在衰退了。\n\n14:23.770 --> 14:25.070\n所以更应该。\n\n14:26.676 --> 14:27.375\n注意保暖，\n\n14:27.926 --> 14:30.026\n然后定期的要参加体检，\n\n14:30.375 --> 14:33.325\n看看自己最近身体各方面怎么样。\n\n14:35.755 --> 14:39.955\n然后在流感季节前可以什么考虑接种流感疫苗？\n\n14:40.841 --> 14:41.741\n来预防感染。\n\n14:42.898 --> 14:44.148\n第三类就是我们的孕妇，\n\n14:44.148 --> 14:45.999\n孕妇用药也需要谨慎，\n\n14:46.398 --> 14:48.124\n因为感染之后，\n\n14:48.124 --> 14:49.448\n有些抗生素啊，\n\n14:49.448 --> 14:54.948\n包括对症治疗的药物都可能会对胎儿产生产生影响，\n\n14:55.348 --> 14:57.398\n所以我们应该要什么。\n\n14:58.927 --> 15:00.877\n平时更加注意防护，\n\n15:01.278 --> 15:03.377\n但是一旦有症状的时候，\n\n15:03.677 --> 15:04.603\n感染了之后，\n\n15:04.603 --> 15:05.478\n有症状了之后，\n\n15:05.528 --> 15:06.578\n要及时就医，\n\n15:06.828 --> 15:09.028\n然后遵循医生的建议进行治疗，\n\n15:09.228 --> 15:10.478\n不可以自己用药。\n\n15:13.898 --> 15:14.072\n好，\n\n15:14.072 --> 15:15.247\n今天就讲到这些。\n\n","v0d47cg10004d61aaviljht4ijk9m4b0",917,548,"2026-01-24 23:21:04"," 呼吸道感染的认识和预防 - 症状、传播途径及科学防护指南  \n"," 呼吸道感染, 感冒预防, 流感症状, 病毒感染防护, 呼吸道疾病, 健康防护措施, 空气传播疾病, 免疫力提升  \n"," 本文详细解析呼吸道感染的常见症状、传播途径及科学预防方法，提供实用的个人防护建议和免疫力提升技巧，帮助您有效降低感染风险，维护呼吸系统健康。","2026-04-12 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