[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fJF9LcAN9Dcwkb0km7TOwaBjKFibJkvttfkpT5sCfxtY":8,"$fKG5uRuRyRx6uIOXcrN48KLL7TpwHQddCnHcNwWdd-pM":60,"$frFVHATwhXmy_SBbI5Vry1LAQ2txCE5zYTLwecvpnnsI":61,"$fTRbF1hXdTa_1WdofcMOOEUNFmeu5U-q48kxUsK2eomY":65},{"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":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":25,"coverAcross":26,"directionMarker":27,"description":28,"vid":29,"time":30,"mediaType":27,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":33,"seoKeywords":34,"seoDescription":35,"shelvesTime":36,"menus":37,"menuId":39,"type":56,"quality":57,"commentCount":17,"isComment":27,"deviceType":22,"url":58},10169,863104,[],"https://ystcdn.venuertc.com/learnMaterial/ystApp//rKmQ1AiTsaEdX7xe39NNVHOgiaBpgEAm.png","乔敏捷",0,"急诊危急重症诊治","上海交通大学医学院附属仁济医院","急诊科","住院医师",4,12,"咽喉脓肿概述","","https://cdn.yishi-tong.com/console/3/6lL9Bs7MX5fqkUp14S4CnZGT7eudYdkp.png",1,"WEBVTT\n\n00:03.467 --> 00:03.667\n嗯，\n\n00:03.667 --> 00:04.392\n今天呢，\n\n00:04.392 --> 00:06.967\n跟大家来一起讲一下，\n\n00:06.967 --> 00:09.866\n就是关于咽喉脓肿的一个概述。\n\n00:12.923 --> 00:16.347\n我们将通过以下六个方面来跟大家介绍一下，\n\n00:16.347 --> 00:19.122\n第一个就是咽喉脓肿的定义，\n\n00:19.173 --> 00:22.423\n然后第二个就是咽喉脓肿的病因，\n\n00:22.872 --> 00:25.773\n第三个就是咽喉脓肿的症状，\n\n00:25.923 --> 00:28.222\n还有就是咽喉脓肿的一个诊断。\n\n00:28.944 --> 00:30.294\n咽喉脓肿的治疗，\n\n00:30.294 --> 00:30.944\n最后呢，\n\n00:30.944 --> 00:33.543\n就是咽喉脓肿的预防和护理。\n\n00:42.504 --> 00:42.854\n首先呢，\n\n00:42.854 --> 00:44.328\n是咽喉脓肿的一个定义，\n\n00:44.528 --> 00:47.979\n定义就是咽喉间隙的化脓性的一个病变。\n\n00:48.903 --> 00:50.129\n在咽喉间隙，\n\n00:50.479 --> 00:52.054\n位于咽部后方，\n\n00:52.054 --> 00:55.078\n由肌肉、筋膜和脂肪组织构成，\n\n00:55.078 --> 00:57.028\n是脓肿的后发区域。\n\n00:59.584 --> 00:59.834\n嗯，\n\n00:59.935 --> 01:04.610\n化脓性病变常由常通常是由细菌感染引起的，\n\n01:04.610 --> 01:06.334\n如链球菌和葡萄球菌，\n\n01:06.635 --> 01:09.934\n导致局部的组织发生炎症炎，\n\n01:09.985 --> 01:11.084\n发炎化脓。\n\n01:11.975 --> 01:14.200\n那患者可能会出现的症状呢，\n\n01:14.200 --> 01:17.625\n就是就是它会出现一个吞咽困难，\n\n01:17.875 --> 01:19.526\n发热等症状啊，\n\n01:19.526 --> 01:21.551\n通过影像学检查的，\n\n01:21.551 --> 01:22.450\n如CT呢，\n\n01:22.450 --> 01:23.975\n可确诊咽部的一个。\n\n01:24.735 --> 01:25.084\n红肿。\n\n01:27.334 --> 01:29.684\n那它主要见于3岁以下的儿童，\n\n01:29.834 --> 01:31.260\n那高发年龄段呢，\n\n01:31.260 --> 01:32.535\n是在，\n\n01:32.635 --> 01:35.459\n就是3岁以下的儿童中呢，\n\n01:35.459 --> 01:36.885\n是较为常见的，\n\n01:37.035 --> 01:38.959\n那这与他们免疫系统呢，\n\n01:38.959 --> 01:42.084\n尚未完全发育有发育完全有关。\n\n01:43.939 --> 01:44.613\n感染途径呢，\n\n01:44.613 --> 01:46.013\n主要是儿童呢，\n\n01:46.013 --> 01:47.789\n主要是通过呼吸道感染，\n\n01:47.838 --> 01:49.988\n如感冒或者是咽喉炎，\n\n01:50.439 --> 01:54.039\n可能导致就是咽喉脓肿的一个形成。\n\n01:59.139 --> 02:00.264\n症状表现，\n\n02:00.264 --> 02:00.940\n儿童呢，\n\n02:00.940 --> 02:04.040\n可能会出现发热、吞咽困难，\n\n02:04.040 --> 02:06.940\n颈部的一个僵硬等症状啊。\n\n02:07.628 --> 02:09.378\n及时就医呢，\n\n02:09.378 --> 02:13.429\n应这这些都出现了就会就是就应该及时就医了。\n\n02:15.466 --> 02:16.365\n那成人呢，\n\n02:16.365 --> 02:19.565\n是比较少见的儿童的易感啊，\n\n02:19.565 --> 02:22.565\n咽喉脓肿在儿童中是较为常见的，\n\n02:22.615 --> 02:25.565\n因为他们的免疫系统尚未完全发育。\n\n02:25.966 --> 02:27.990\n那成人的免疫系统呢，\n\n02:27.990 --> 02:30.166\n较为成熟，\n\n02:30.166 --> 02:32.766\n能够有效的抵御细菌感染。\n\n02:32.865 --> 02:33.690\n因此呢，\n\n02:33.690 --> 02:36.466\n成人是较少出现咽喉脓肿的。\n\n02:40.694 --> 02:42.169\n解剖结构的差异，\n\n02:42.169 --> 02:44.268\n儿童的就是咽部结构呢，\n\n02:44.268 --> 02:45.069\n与成人不同，\n\n02:45.319 --> 02:48.569\n更容易导致细菌滞留和感染啊，\n\n02:48.569 --> 02:50.069\n从而形成一个脓肿。\n\n02:59.464 --> 03:01.964\n咽喉脓肿的一个病因是什么呢？\n\n03:04.843 --> 03:04.942\n嗯，\n\n03:04.942 --> 03:11.643\n咽喉主要是咽喉的一个间咽喉间化脓性淋巴管炎，\n\n03:12.093 --> 03:17.192\n细菌感染的咽喉间化脓脓咽咽喉咽喉稀化脓，\n\n03:17.192 --> 03:18.042\n淋巴管炎，\n\n03:18.242 --> 03:20.417\n脓稀化脓淋巴管炎呢，\n\n03:20.417 --> 03:24.843\n常常是由就是链球菌和葡萄球菌等细菌感染引起的，\n\n03:24.942 --> 03:28.343\n导致的一个局部的淋巴淋巴结的化脓。\n\n03:29.274 --> 03:34.300\n那当机体的免疫系统对某些感染做出反应时呢，\n\n03:34.300 --> 03:39.324\n它可能会引起咽后期淋巴结的一个炎症和脓肿的形成。\n\n03:46.205 --> 03:49.130\n还有就是咽部的异物和外伤，\n\n03:49.130 --> 03:50.430\n当儿童或成人呢，\n\n03:50.430 --> 03:54.281\n不慎吸入小玩具、骨头碎片等异物时呢，\n\n03:54.281 --> 03:56.005\n可能导致咽部的损伤。\n\n03:58.136 --> 03:59.186\n如引发感染。\n\n04:02.576 --> 04:03.477\n就是外伤，\n\n04:03.477 --> 04:05.477\n外伤性的一个损伤啊，\n\n04:05.477 --> 04:06.751\n比方说交通事故，\n\n04:06.751 --> 04:13.102\n或者是体育运动员的撞击等外力的作用可能会导致咽部软组织损伤，\n\n04:13.102 --> 04:15.352\n然后增加脓肿的一个风险。\n\n04:22.967 --> 04:25.368\n耳部的感染和结核感染啊，\n\n04:25.368 --> 04:26.592\n耳部的感染呢，\n\n04:26.592 --> 04:30.018\n可能是个耳部感染引发咽喉脓肿，\n\n04:30.118 --> 04:31.868\n就是耳部感染的，\n\n04:31.868 --> 04:33.442\n如中耳炎未及时治疗，\n\n04:33.442 --> 04:35.518\n可蔓延至咽喉间隙，\n\n04:35.868 --> 04:37.167\n也会形成一个。\n\n04:38.378 --> 04:41.178\n那结核杆菌导致的咽喉脓肿呢，\n\n04:41.178 --> 04:43.104\n就是结核感染呢，\n\n04:43.104 --> 04:46.653\n就可以引起咽喉淋巴结的肿大啊。\n\n04:46.653 --> 04:47.829\n只要形成脓肿，\n\n04:47.829 --> 04:49.579\n这个是需要特别注意。\n\n05:02.032 --> 05:04.132\n咽喉脓肿的一个症状是什么呢？\n\n05:04.333 --> 05:06.608\n急性的症状的话，\n\n05:06.608 --> 05:08.208\n第一个就是寒颤，\n\n05:08.208 --> 05:10.083\n高热寒战的高热，\n\n05:10.333 --> 05:13.933\n那就是患者可能出现高热不退和寒颤，\n\n05:14.132 --> 05:16.433\n这是由于急性感染引发的，\n\n05:16.433 --> 05:18.083\n就是全身性炎症。\n\n05:19.850 --> 05:22.200\n第二个就是吞咽的困难，\n\n05:22.549 --> 05:24.825\n咽喉脓肿急性发作时呢，\n\n05:24.825 --> 05:27.450\n患者会感到吞咽时疼痛加剧，\n\n05:27.649 --> 05:30.200\n甚至是难以进食和饮水。\n\n05:30.450 --> 05:32.075\n还有一个就是第三个呢，\n\n05:32.075 --> 05:33.850\n就是一个颈部的僵硬，\n\n05:34.250 --> 05:35.774\n由于脓肿的压迫啊，\n\n05:35.774 --> 05:38.600\n患者颈部肌肉可能出现僵硬，\n\n05:38.600 --> 05:39.674\n活动受限，\n\n05:39.674 --> 05:41.700\n这也是急性症状之一。\n\n05:46.447 --> 05:48.822\n慢性的慢性型的症状呢，\n\n05:48.822 --> 05:50.697\n就是也是持续性的，\n\n05:50.697 --> 05:52.347\n持续性的一个咽痛，\n\n05:52.597 --> 05:54.298\n慢性咽喉脓肿患者呢，\n\n05:54.298 --> 05:55.347\n可能会出现，\n\n05:56.197 --> 05:58.548\n可能会经历持续性的咽痛，\n\n05:58.548 --> 06:00.097\n这种疼痛呢，\n\n06:00.097 --> 06:02.048\n可能在吞咽时会加剧。\n\n06:02.825 --> 06:05.350\n那还有就是一个低热乏力患者呢，\n\n06:05.350 --> 06:08.024\n可能会有低热和全身乏力的症状，\n\n06:08.274 --> 06:11.774\n这些是慢性炎症反应的一个常见表现。\n\n06:12.567 --> 06:14.018\n还有就是颈部的肿胀。\n\n06:14.067 --> 06:16.967\n慢性咽喉脓肿是可能导致颈部。\n\n06:20.242 --> 06:20.842\n出现肿胀，\n\n06:20.842 --> 06:24.441\n尤其是在脓脓肿区域附近，\n\n06:24.742 --> 06:26.941\n还有就是声音声音嘶哑。\n\n06:27.242 --> 06:30.867\n由于脓肿对喉部的结构的一个压迫啊，\n\n06:30.867 --> 06:33.141\n可能会出现压迫喉返神经的话，\n\n06:33.441 --> 06:37.092\n就会出现一个声音嘶哑或改变的一个情况。\n\n06:46.950 --> 06:48.825\n病情严重的表现，\n\n06:48.825 --> 06:49.550\n比方说，\n\n06:49.601 --> 06:52.476\n如果是脓肿增大压迫到气管啊，\n\n06:52.476 --> 06:55.776\n那它就会就咽喉脓肿未及时疲劳，\n\n06:55.776 --> 06:58.476\n可能会导致一个呼吸道受压啊，\n\n06:58.476 --> 07:01.151\n会出现严重的一个呼吸困难的症状。\n\n07:02.066 --> 07:02.265\n嗯，\n\n07:02.265 --> 07:05.615\n还有就是吞咽疼痛的一个加剧。\n\n07:05.865 --> 07:07.990\n随着随着病情的恶化呀，\n\n07:07.990 --> 07:12.165\n患者吞咽时的疼痛疼痛感会显著的一个加剧，\n\n07:12.316 --> 07:14.615\n甚至可能完全无法进食。\n\n07:15.528 --> 07:15.727\n嗯，\n\n07:15.877 --> 07:17.203\n那就高烧不退，\n\n07:17.203 --> 07:20.002\n严重的感染会导致持续性高热。\n\n07:20.002 --> 07:21.477\n高烧体温呢，\n\n07:21.477 --> 07:23.328\n可能超过39°C，\n\n07:23.328 --> 07:26.328\n并伴有一个寒颤和全身不适。\n\n07:27.235 --> 07:28.411\n那出现这些症状呢，\n\n07:28.411 --> 07:31.585\n就表现尤其是这个患者的情况呢，\n\n07:31.585 --> 07:33.635\n已经比较严重了。\n\n07:33.635 --> 07:34.286\n这种呢，\n\n07:34.286 --> 07:36.235\n可能就是要马上处理的。\n\n07:39.699 --> 07:41.049\n压迫脓肿的一个诊断呢。\n\n07:41.967 --> 07:43.192\n通过体格检查，\n\n07:43.192 --> 07:46.018\n你可以发现检查患者的颈部呢，\n\n07:46.018 --> 07:50.268\n是否是否有那个肿胀或者是压压痛感，\n\n07:50.567 --> 07:53.717\n这是咽喉脓肿的一个常见的一个体征。\n\n07:54.118 --> 07:54.393\n嗯，\n\n07:54.393 --> 07:55.518\n那吞咽困难，\n\n07:55.717 --> 07:57.667\n评估患者吞咽功能，\n\n07:57.768 --> 08:02.018\n咽喉脓肿常导致吞咽时有疼痛或者困难。\n\n08:03.057 --> 08:06.307\n还有就是发热和全身的症状，\n\n08:06.457 --> 08:08.907\n监测患者的体温和全身症状，\n\n08:08.907 --> 08:10.256\n发热、乏力等，\n\n08:10.457 --> 08:12.856\n这些可能是感染的一个迹象。\n\n08:19.549 --> 08:20.549\n影像学检查呢，\n\n08:20.549 --> 08:21.649\nX线检查呢，\n\n08:21.649 --> 08:24.174\n可以评初步评估咽部后区域，\n\n08:24.274 --> 08:28.274\n帮忙识别脓肿的存在以及其大小和位置。\n\n08:28.475 --> 08:30.549\n还有CT的扫描，\n\n08:30.549 --> 08:35.174\n计算机断层扫描是提供更详细的咽喉脓肿图像，\n\n08:35.424 --> 08:39.924\n有助于精确判断脓肿的范围和邻近结构的一个关系。\n\n08:40.916 --> 08:42.367\n那磁共振成像呢，\n\n08:42.666 --> 08:45.492\n就是能够提供软组织的详细图像，\n\n08:45.492 --> 08:49.692\n这对于复杂病理或者是排除其他性病变呢，\n\n08:49.692 --> 08:51.117\n是非常有用的。\n\n08:56.033 --> 08:56.809\n诊断要点呢，\n\n08:56.809 --> 08:59.533\n主要是通过临床症状分析，\n\n08:59.633 --> 09:03.484\n患者出现咽喉脓肿出现就是。\n\n09:04.286 --> 09:04.937\n吞咽困难，\n\n09:04.937 --> 09:05.911\n颈部僵硬，\n\n09:05.911 --> 09:07.312\n还有发热等症状呢，\n\n09:07.312 --> 09:08.937\n需要仔细的询问病史。\n\n09:09.721 --> 09:10.122\n第二个呢，\n\n09:10.122 --> 09:15.872\n就是利用CT或者是磁共振扫描来清晰的显示某肿位置和大小，\n\n09:16.122 --> 09:18.921\n是诊断咽喉脓肿的一个重要手段。\n\n09:19.721 --> 09:22.671\n血液检查可发现白细胞激素升高，\n\n09:22.771 --> 09:25.771\n有助于判断感染程度和指导质量。\n\n09:37.221 --> 09:38.646\n那第五个我们来讲一下，\n\n09:38.646 --> 09:41.921\n就是关于咽喉脓肿的一个治疗。\n\n09:43.568 --> 09:43.744\n嗯，\n\n09:43.744 --> 09:45.343\n就是抗生素治疗，\n\n09:45.343 --> 09:48.968\n就是适当的使用适当的抗生素治疗呢，\n\n09:48.968 --> 09:52.818\n是治疗咽喉脓肿的一个首选方法啊，\n\n09:52.818 --> 09:54.718\n可以有效的控制感染，\n\n09:54.718 --> 09:58.068\n并且防止病情的一个恶化。\n\n09:58.924 --> 10:00.174\n还有止痛药物，\n\n10:00.174 --> 10:02.424\n为了缓解患者的疼痛，\n\n10:02.974 --> 10:04.974\n医生可以开开一些，\n\n10:05.174 --> 10:10.875\n开具一些就是非甾体抗炎药或者是镇痛药来帮助减轻症状。\n\n10:12.218 --> 10:14.568\n根据患者的具体情况，\n\n10:14.619 --> 10:17.369\n可能需要使用辅助药物，\n\n10:17.369 --> 10:23.718\n如抗组胺药物或类固醇来减轻一个就是炎症的一个反应。\n\n10:28.096 --> 10:29.745\n还有就是如果。\n\n10:30.927 --> 10:33.802\n抗生素药物治疗效果不好的话，\n\n10:33.802 --> 10:37.077\n我们就可以采取手术治疗啊。\n\n10:37.077 --> 10:40.702\n通过就是手术切开脓肿并排出脓液，\n\n10:40.702 --> 10:42.427\n减轻局部的压力，\n\n10:42.476 --> 10:43.577\n促进愈合。\n\n10:44.077 --> 10:45.401\n内窥镜辅助治疗，\n\n10:45.401 --> 10:48.952\n辅助手术使用内窥镜技术来进行手术，\n\n10:48.952 --> 10:52.077\n可以减少组织的组织的损伤，\n\n10:52.226 --> 10:55.476\n提高手术精精确度和安全性。\n\n10:56.026 --> 10:57.276\n抗生素配合。\n\n10:58.099 --> 10:58.525\n术后呢，\n\n10:58.525 --> 10:59.599\n配合使用抗生素，\n\n10:59.599 --> 11:01.599\n预防感染的扩散，\n\n11:01.599 --> 11:03.049\n加速恢复，\n\n11:03.250 --> 11:04.549\n恢复恢复过程。\n\n11:17.395 --> 11:19.520\n有一些特殊情况的处理，\n\n11:19.520 --> 11:21.869\n对于就是重症咽喉脓肿患者呢，\n\n11:21.869 --> 11:26.094\n可能需要在ICU进行密切监测和紧紧急干预，\n\n11:26.344 --> 11:28.195\n以防止就是并发症。\n\n11:28.294 --> 11:30.544\n还有长期抗生素的治疗，\n\n11:30.544 --> 11:34.169\n在某些耐药菌感染的特殊情况下，\n\n11:34.169 --> 11:36.794\n可能需要长期使用抗生素治疗，\n\n11:36.895 --> 11:38.695\n以控制感染并发。\n\n11:39.531 --> 11:39.931\n好的，\n\n11:39.931 --> 11:40.931\n并防止复发。\n\n11:42.625 --> 11:43.926\n外科引流术啊，\n\n11:43.926 --> 11:47.575\n就是若脓肿较大或者是药物治疗无效呢，\n\n11:47.575 --> 11:49.676\n可能需要进行外科引流手术，\n\n11:49.875 --> 11:52.325\n以迅速减轻症状和压力。\n\n11:54.091 --> 11:54.440\n最后呢，\n\n11:54.440 --> 11:55.491\n就是再讲一下，\n\n11:55.491 --> 11:58.491\n就是咽喉脓肿的一个预防和护理。\n\n11:59.739 --> 12:00.739\n预防的话，\n\n12:00.739 --> 12:04.989\n主要是保持口腔的一个卫生需要定期刷牙，\n\n12:04.989 --> 12:09.140\n使用牙线和漱口水来减少口腔细菌，\n\n12:09.289 --> 12:11.489\n预防咽喉脓肿的发生。\n\n12:11.789 --> 12:14.340\n那还有就是避免过度用嗓，\n\n12:14.590 --> 12:17.414\n长时间的大声说话和唱歌呢，\n\n12:17.414 --> 12:19.539\n可能会导致喉咙过度疲劳，\n\n12:19.640 --> 12:21.140\n增加感染的风险。\n\n12:21.719 --> 12:24.469\n那这个是要适适当休息。\n\n12:25.690 --> 12:26.591\n免疫增强，\n\n12:26.591 --> 12:27.541\n增强免疫力呢，\n\n12:27.541 --> 12:29.716\n就是均衡饮食，\n\n12:29.716 --> 12:32.416\n充足的睡眠和适当的运动呢，\n\n12:32.416 --> 12:35.015\n是可以提高身体抵抗力的啊，\n\n12:35.015 --> 12:37.315\n降低咽喉脓肿的一个发病率。\n\n12:47.223 --> 12:48.198\n护理的要点呢，\n\n12:48.198 --> 12:50.223\n就是要保持口腔卫生。\n\n12:50.573 --> 12:53.499\n就是咽喉脓肿患者呢，\n\n12:53.499 --> 12:57.374\n应该要定期的刷牙漱口、洗。\n\n12:59.203 --> 13:01.228\n使用那个抗菌漱口水，\n\n13:01.228 --> 13:03.103\n以减少口腔内细菌，\n\n13:03.302 --> 13:04.752\n预防感染扩散。\n\n13:05.153 --> 13:08.853\n还有就是适当的休息与营养啊。\n\n13:08.853 --> 13:09.578\n患者呢，\n\n13:09.578 --> 13:12.603\n需要保证充足的一个休息啊，\n\n13:12.603 --> 13:14.427\n避免过度劳累啊。\n\n13:14.427 --> 13:15.078\n同时呢，\n\n13:15.078 --> 13:16.778\n要摄入充足的营养，\n\n13:16.778 --> 13:18.453\n增强身体抵抗力。\n\n13:19.676 --> 13:19.926\n嗯，\n\n13:20.125 --> 13:21.676\n避免刺激性食物，\n\n13:21.825 --> 13:24.726\n避免辛辣、油腻等刺激性食物呢，\n\n13:24.776 --> 13:27.926\n减少对咽部咽喉部位的刺激啊，\n\n13:27.926 --> 13:30.226\n有助于减轻症状和促进。\n\n13:31.020 --> 13:31.221\n可。\n\n13:38.885 --> 13:42.534\n最后一注意事项就是合理的饮食啊。\n\n13:42.534 --> 13:44.335\n咽喉脓肿患者呢，\n\n13:44.335 --> 13:45.960\n在恢复期期间呢，\n\n13:45.960 --> 13:48.734\n应该避免辛辣刺激性食物，\n\n13:48.734 --> 13:51.460\n选择清淡易消化的食物，\n\n13:51.460 --> 13:54.534\n以减少就是头部的刺激。\n\n13:55.245 --> 13:57.195\n还有就是定期的复查。\n\n13:58.091 --> 14:01.265\n患者应该遵循遵守医嘱，\n\n14:01.265 --> 14:02.515\n定期进行复查，\n\n14:02.515 --> 14:04.041\n监测病情变化，\n\n14:04.241 --> 14:06.690\n以及时调整治疗方案，\n\n14:06.841 --> 14:08.841\n防止脓肿的一个复发。\n\n14:10.094 --> 14:11.445\n那避免过度劳累啊，\n\n14:11.445 --> 14:17.195\n咽喉脓肿患者在恢复期应该保证充足的休息，\n\n14:17.695 --> 14:19.070\n避免过度劳累，\n\n14:19.070 --> 14:22.270\n以免就是影响免疫系统功能啊，\n\n14:22.270 --> 14:23.494\n延缓恢复。\n\n14:27.859 --> 14:29.359\n咽喉脓肿这个疾病呢，\n\n14:29.359 --> 14:31.434\n在临床上确实也不多见，\n\n14:31.585 --> 14:35.085\n一般就是见于就是3岁以下的儿童。\n\n14:35.385 --> 14:37.885\n那儿童发生这种情况，\n\n14:37.885 --> 14:40.434\n其实相对来是比较严重的，\n\n14:40.434 --> 14:43.010\n尤其是囊肿，\n\n14:43.010 --> 14:44.010\n它比较大的话，\n\n14:44.010 --> 14:44.784\n压迫气道，\n\n14:44.784 --> 14:47.984\n它是可以导致一个急性的一个气道阻塞。\n\n14:49.080 --> 14:49.304\n嗯，\n\n14:49.304 --> 14:50.380\n碰到这种情况，\n\n14:50.380 --> 14:53.979\n大家还是要尤为尤为尤为重视。\n\n14:55.216 --> 14:56.640\n小孩子的代偿能力呢，\n\n14:56.640 --> 14:57.591\n它是比较弱的。\n\n14:57.591 --> 14:58.841\n万一出现气道梗阻，\n\n14:58.841 --> 15:01.216\n很容易发生就是紫癜啊，\n\n15:01.216 --> 15:02.315\n到后面昏迷啊，\n\n15:02.315 --> 15:04.716\n这种的一些悲剧产生。\n\n15:04.815 --> 15:05.491\n所以呢，\n\n15:05.491 --> 15:06.866\n就是在。\n\n15:07.940 --> 15:09.539\n儿童突然发现就是咽痛，\n\n15:09.539 --> 15:11.440\n然后气气道高热，\n\n15:11.489 --> 15:12.340\n吞咽困难，\n\n15:12.340 --> 15:14.690\n然后进而出现一个。\n\n15:16.434 --> 15:17.885\n气道堵塞的一个表现呢，\n\n15:17.885 --> 15:20.085\n大家就是要要想到这个疾病，\n\n15:20.385 --> 15:20.734\n好，\n\n15:20.734 --> 15:21.784\n今天就讲到这里，\n\n15:21.784 --> 15:22.434\n谢谢大家。\n\n","v0347cg10004d61acbaljht93no5bnag",924,647,"2026-01-24 23:23:04","咽喉脓肿概述 - 症状、病因、诊断与治疗方法  ","咽喉脓肿, 咽喉感染, 脓肿症状, 咽喉肿痛, 脓肿治疗, 咽喉疾病, 细菌感染  ","咽喉脓肿是一种由细菌感染引起的咽喉部化脓性疾病，常见症状包括剧烈咽痛、发热和吞咽困难。本文详细介绍了咽喉脓肿的病因、典型症状、诊断方法及治疗方案，帮助您了解如何预防和应对这一疾病。","2026-04-03 16:00:00",[38],{"menuId":39,"menuName":40,"parentId":17,"orderNum":41,"path":42,"component":43,"isFrame":44,"isCache":45,"menuType":46,"visible":27,"status":17,"createDept":6,"remark":25,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"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,"儿童疾病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/863104/7c1d2488-ac06-4648-856b-9b90583352e0.tmp?a=0&auth_key=1789021847-0cfcb6320a894a20b754aaca643c038c-0-7a71b994a30eeddb4b8678535e202ae7&br=381&bt=381&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=4&eid=v0347cg10004d61acbaljht93no5bnag&er=0&l=2026081104152061B33C133788F3048FFA&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=anE4cTxrb2VkOTczNGY3M0ApZGVyNndtZGY0ZzMzajo2eWdeX2wwcWdeYC5hLS1kNDBzc2RrMms2ZWlfXjMxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":58,"message":6,"data":6,"success":59},{"code":9,"msg":10,"message":6,"data":62,"success":59},{"pageNo":27,"pageSize":63,"result":64,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":66,"success":59},{"authors":67,"appraiseDimensionScoresVos":68},[],[]]