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--> 00:02.755\n大家好。\n\n00:03.457 --> 00:08.758\n今天我和大家来聊一聊有关百日咳的由来。\n\n00:09.901 --> 00:11.451\n和它的发病资质。\n\n00:14.057 --> 00:14.807\n我们来看一下啊，\n\n00:14.807 --> 00:16.256\n什么是百日咳？\n\n00:16.607 --> 00:17.156\n首先，\n\n00:17.156 --> 00:21.107\n我要从百日咳的概述来讲一下，\n\n00:21.357 --> 00:23.707\n以及它的由来、发病机制。\n\n00:24.565 --> 00:28.864\n临床类型与分期以及它的治疗与预防策略。\n\n00:29.688 --> 00:32.238\n最后做一个总结与展望。\n\n00:33.776 --> 00:34.226\n首先，\n\n00:34.726 --> 00:37.776\n我们来看一下什么是百日咳。\n\n00:39.694 --> 00:40.294\n百日咳，\n\n00:40.645 --> 00:45.694\n它就是由百日咳孢特菌所致的急性。\n\n00:46.451 --> 00:47.352\n呼吸道传染病。\n\n00:48.360 --> 00:52.659\n它是以小于5岁儿童为主。\n\n00:53.816 --> 00:54.465\n病初呢，\n\n00:54.515 --> 01:02.616\n你像感冒具有阵发性痉挛性特征和鸡鸣样吸气吼声等特点。\n\n01:03.116 --> 01:06.615\n病程可长达2.3个月。\n\n01:08.966 --> 01:11.515\n百日咳的发病原因及危险因素呢？\n\n01:12.264 --> 01:14.014\n我先发病原因很明显，\n\n01:14.114 --> 01:16.264\n它就是由百日咳孢特菌。\n\n01:17.178 --> 01:18.277\n感染所引起的。\n\n01:18.963 --> 01:21.414\n常常是通过非物质方式。\n\n01:23.575 --> 01:28.625\n而危险因素就包括没有接种过百日咳的疫苗。\n\n01:29.442 --> 01:33.241\n我觉得就也就是我们现在上海这边所常说的买百货。\n\n01:34.486 --> 01:42.636\n与感染者密切接触、免疫力低下等都是发病的主要危险因素。\n\n01:44.624 --> 01:48.473\n那么百日咳它都有哪些临床表现呢？\n\n01:48.624 --> 01:49.723\n我们可以看一下。\n\n01:50.876 --> 01:51.327\n寒咳。\n\n01:51.527 --> 01:54.476\n它的症状初期类似感冒。\n\n01:55.456 --> 01:56.005\n随后呢，\n\n01:56.206 --> 02:00.106\n会出现阵发性痉挛性的咳嗽，\n\n02:00.555 --> 02:03.805\n以及低能量机气火声。\n\n02:04.773 --> 02:07.123\n严重时可出现呼吸暂停。\n\n02:08.227 --> 02:09.078\n面色发绀，\n\n02:09.277 --> 02:11.677\n那个嘴唇发绀等症状。\n\n02:12.651 --> 02:13.401\n诊断方法呢，\n\n02:13.751 --> 02:20.151\n一般是根据患者的临床表现、核心病学史以及实验室的检查结果。\n\n02:20.878 --> 02:23.078\n和细菌培养一下检测的。\n\n02:23.824 --> 02:25.524\n进行综合的判断，\n\n02:26.524 --> 02:28.074\n然后百日咳的由来。\n\n02:28.826 --> 02:30.776\n他名字到底是怎么来的？\n\n02:33.162 --> 02:33.936\n那古代呢，\n\n02:33.936 --> 02:35.037\n对百日咳呢，\n\n02:35.037 --> 02:36.962\n具有比较丰富的认识。\n\n02:38.044 --> 02:38.444\n儿咳，\n\n02:38.593 --> 02:42.794\n它在古代被认为是一种严重的儿童疾病，\n\n02:42.994 --> 02:46.893\n因此病程长且咳嗽剧烈而得名。\n\n02:48.242 --> 02:54.242\n历史上的百日咳也曾经在全球范围内广泛的流行过。\n\n02:54.923 --> 02:58.973\n尤其是在未接种疫苗的儿童中更为常见。\n\n03:01.029 --> 03:02.029\n那么在古代呢，\n\n03:02.279 --> 03:05.630\n如果说你的小朋友患上孩子可能。\n\n03:06.332 --> 03:07.582\n那该怎么办呢？\n\n03:08.231 --> 03:08.981\n人们呢，\n\n03:09.182 --> 03:13.531\n就包括采用各种治疗方法去治疗这个感染。\n\n03:14.796 --> 03:19.996\n包括像草药治疗巫术的的效果呢，\n\n03:20.097 --> 03:20.796\n往往。\n\n03:21.533 --> 03:22.134\n比较有限。\n\n03:23.425 --> 03:26.725\n因为它毕竟是一种特殊的病菌所引起，\n\n03:27.126 --> 03:30.225\n还是需要有相应的这种抗菌治疗。\n\n03:31.854 --> 03:37.354\n那百日咳它的病原体包特菌发现的过程是怎么样的呢？\n\n03:38.283 --> 03:40.934\n我们可以看一下百日咳的病原体呢，\n\n03:40.983 --> 03:42.884\n它是百日咳鲍特菌，\n\n03:43.333 --> 03:46.233\n它在19世纪末被科学家发现。\n\n03:47.535 --> 03:51.485\n科学家们通过培养、分离和鉴定。\n\n03:52.309 --> 03:57.458\n最终确认了百日咳的保证金是引起百日咳的病原体。\n\n03:58.380 --> 04:00.080\n并将其归类为道。\n\n04:00.080 --> 04:00.880\n特殊多。\n\n04:02.580 --> 04:03.580\n它的传播途径呢，\n\n04:03.929 --> 04:06.229\n包括飞沫传播。\n\n04:07.162 --> 04:10.662\n在咳嗽时会释放出大量的病原体，\n\n04:11.061 --> 04:13.462\n一肝水吸入后就会感染。\n\n04:15.664 --> 04:15.964\n那么。\n\n04:16.782 --> 04:17.733\n命名原因呢，\n\n04:17.933 --> 04:24.733\n大家你可从字面意义上就很容易去看它的命名，\n\n04:24.733 --> 04:28.282\n以及病程长、咳嗽剧烈密切相关。\n\n04:29.315 --> 04:33.714\n因为他该病通常需要数周甚至数月才能痊愈，\n\n04:34.065 --> 04:36.415\n而咳嗽的症状尤为突出，\n\n04:36.415 --> 04:38.714\n因此得名百日咳。\n\n04:40.884 --> 04:43.384\n百日咳的命名在历史上传播广泛。\n\n04:44.252 --> 04:45.752\n被人们所接受，\n\n04:46.451 --> 04:47.201\n同时呢，\n\n04:47.201 --> 04:50.601\n随着医学的进步和疫苗的普及，\n\n04:51.101 --> 04:53.951\n百日咳的发病率也逐渐的下降。\n\n04:54.252 --> 04:57.802\n但是他的名字仍然被保留了下来，\n\n04:58.101 --> 05:00.951\n以提醒人们注意相应的预防。\n\n05:01.631 --> 05:02.131\n不是的。\n\n05:04.351 --> 05:05.575\n那么我们来看一下，\n\n05:05.575 --> 05:12.700\n为什么感染鲍特菌感染之后会引发如此持久而剧烈的咳嗽。\n\n05:13.475 --> 05:17.625\n那么就跟它的发病机制有非常密切的关系。\n\n05:18.954 --> 05:19.829\n我们可以看一下，\n\n05:19.829 --> 05:23.855\n首先是病原体的侵入一定值。\n\n05:25.377 --> 05:26.953\n百日咳鲍特菌啊，\n\n05:26.953 --> 05:30.328\n它是一种格兰氏的阴性短杆菌。\n\n05:31.170 --> 05:32.170\n抵抗力比较强，\n\n05:32.320 --> 05:36.170\n在干燥的飞沫中能存活数月。\n\n05:37.216 --> 05:38.365\n那传播途径呢，\n\n05:38.615 --> 05:40.816\n主要包括飞沫传播。\n\n05:41.694 --> 05:41.944\n患者，\n\n05:41.944 --> 05:44.743\n咳嗽、打喷嚏时排出的飞沫，\n\n05:45.243 --> 05:47.993\n感染者吸入后就容易引发感染。\n\n05:49.066 --> 05:50.015\n易感人群呢，\n\n05:50.165 --> 05:52.466\n以小于5岁的儿童为主。\n\n05:53.402 --> 05:54.927\n成人有可能感染，\n\n05:54.927 --> 05:57.902\n但是相对来说症状较轻。\n\n05:59.980 --> 06:02.230\n那么呼吸道的炎症反应过程，\n\n06:02.430 --> 06:04.680\n我们这里再具体好好看一下。\n\n06:05.790 --> 06:06.989\n首先是初期症状。\n\n06:08.278 --> 06:10.128\n病哭的时候类似于感冒。\n\n06:10.906 --> 06:12.506\n就是低热咳嗽。\n\n06:13.451 --> 06:15.201\n打喷嚏流鼻涕的。\n\n06:16.582 --> 06:16.881\n之后呢，\n\n06:16.881 --> 06:19.432\n就会出现痉挛性咳嗽。\n\n06:20.407 --> 06:21.574\n随着病情的发展，\n\n06:21.574 --> 06:24.157\n出现阵发性的痉挛性的咳嗽，\n\n06:24.506 --> 06:27.356\n咳出大量的粘稠样的痰液。\n\n06:28.742 --> 06:30.641\n他的咳嗽的末期呢？\n\n06:31.332 --> 06:34.082\n它会出现机灵一样的气吼声。\n\n06:35.074 --> 06:37.123\n生气时发出鸡鸣一样的吼声，\n\n06:37.123 --> 06:38.973\n是百日咳的典型症状。\n\n06:40.325 --> 06:40.476\n那么，\n\n06:40.476 --> 06:41.575\n病程时间呢，\n\n06:41.575 --> 06:43.376\n可达两到三个月，\n\n06:43.626 --> 06:45.126\n但不一定是两天。\n\n06:45.276 --> 06:46.376\n一般来说呢，\n\n06:46.376 --> 06:47.425\n是4到六周。\n\n06:47.476 --> 06:48.126\n其实呢，\n\n06:48.126 --> 06:53.026\n这个时间也恰好落入到了我们说亚急性咳嗽的这个范畴，\n\n06:53.175 --> 06:54.276\n就是这个病程。\n\n06:56.734 --> 07:00.683\n那百日咳的免疫应答病理生理变化具体是什么样子的呢？\n\n07:00.683 --> 07:01.834\n我们再来看一下。\n\n07:02.983 --> 07:04.132\n感染百日咳后呢，\n\n07:04.333 --> 07:07.433\n人体的免疫系统会产生相应的抗体。\n\n07:08.096 --> 07:11.096\n和免疫细胞来对抗病原体。\n\n07:12.226 --> 07:12.877\n病理变化呢，\n\n07:12.877 --> 07:14.927\n包括呼吸道黏膜受损。\n\n07:15.756 --> 07:16.131\n出血，\n\n07:16.131 --> 07:16.805\n充血。\n\n07:17.696 --> 07:21.346\n水肿、纤毛运动障碍等病理改变。\n\n07:22.759 --> 07:23.209\n并发症呢，\n\n07:23.209 --> 07:23.759\n是包括。\n\n07:24.532 --> 07:24.731\n可以，\n\n07:24.731 --> 07:26.332\n严重的可以并发肺炎，\n\n07:26.631 --> 07:27.981\n儿儿科脑病等等，\n\n07:27.981 --> 07:29.832\n当然现在并不多见，\n\n07:30.032 --> 07:30.807\n因此呢，\n\n07:30.807 --> 07:33.231\n需要及时的诊断和治疗。\n\n07:35.444 --> 07:38.294\n预防措施就包括接种百日咳疫苗。\n\n07:39.070 --> 07:42.470\n这是预防我们百日咳这个疾病最有效的手段。\n\n07:43.407 --> 07:44.108\n同时呢，\n\n07:44.208 --> 07:46.257\n要保持室内的空气流通，\n\n07:46.858 --> 07:50.058\n避免与相应的感染者接触。\n\n07:51.839 --> 07:56.190\n我们之后再来看一看百日咳的临床的风险类型与分析。\n\n07:58.760 --> 07:59.661\n典型的百日咳，\n\n08:00.161 --> 08:01.661\n那么症状表现呢？\n\n08:01.661 --> 08:02.960\n刚才已经说了，\n\n08:03.010 --> 08:04.960\n并发性并发性咳嗽，\n\n08:04.960 --> 08:07.061\n命名样吸气吼声，\n\n08:07.460 --> 08:09.411\n病程咳长达2到三个月。\n\n08:10.160 --> 08:12.209\n病原就是百日咳的孢子菌，\n\n08:13.309 --> 08:15.910\n传播途径主要通过飞沫传播。\n\n08:16.725 --> 08:19.725\n发病的主要年龄集中在小于5岁的儿童。\n\n08:21.036 --> 08:21.187\n嗯，\n\n08:21.187 --> 08:21.636\n但是呢，\n\n08:21.636 --> 08:23.187\n非典型的反人才呢。\n\n08:24.010 --> 08:25.860\n他可能这个病例呢，\n\n08:25.960 --> 08:26.735\n有症状，\n\n08:26.735 --> 08:29.010\n或者只有轻微的咳嗽。\n\n08:29.865 --> 08:31.216\n并且就是有点低热。\n\n08:32.148 --> 08:32.797\n病原体呢，\n\n08:32.797 --> 08:35.247\n当然可以是百日咳的孢子菌，\n\n08:35.797 --> 08:38.747\n也可以是其他的病原体，\n\n08:39.197 --> 08:40.523\n传播途径一样的。\n\n08:40.523 --> 08:41.697\n呼吸道的这种疾病，\n\n08:41.697 --> 08:43.947\n大部分都是飞沫传播。\n\n08:45.135 --> 08:45.885\n诊断难度呢，\n\n08:45.885 --> 08:47.835\n因为它的症状不典型，\n\n08:48.135 --> 08:49.736\n诊断较为困难，\n\n08:50.135 --> 08:53.835\n需要实验室检测进一步的确认。\n\n08:56.271 --> 08:58.372\n那么百日咳它有并发症，\n\n08:58.872 --> 08:59.622\n合并症。\n\n09:01.096 --> 09:04.346\n常见的并发症包括他肺炎、脑病等。\n\n09:05.645 --> 09:06.195\n合并症呢，\n\n09:06.195 --> 09:09.596\n它可能合并有其他呼吸道病原体的感染。\n\n09:10.796 --> 09:13.296\n如流感是杆菌、病毒等。\n\n09:15.356 --> 09:18.156\n高危人群就是小于5岁的儿童，\n\n09:18.505 --> 09:21.130\n没有接种百日咳疫苗的儿童，\n\n09:21.130 --> 09:22.731\n免疫力低下的儿童，\n\n09:22.731 --> 09:23.255\n对不对？\n\n09:24.026 --> 09:24.926\n预防措施呢，\n\n09:25.325 --> 09:27.875\n提到了接种反人口的疫苗，\n\n09:28.325 --> 09:30.625\n保持良好的卫生习惯。\n\n09:31.577 --> 09:33.677\n避免接触患者等等，\n\n09:33.776 --> 09:38.927\n那么同时还能保有保持室内的适当的通风等等，\n\n09:39.026 --> 09:40.427\n也是很有效的。\n\n09:41.851 --> 09:46.051\n那么我们之后再来看一下百日咳的治疗与临床策略。\n\n09:48.119 --> 09:49.218\n抗菌的治疗方案，\n\n09:49.468 --> 09:51.968\n儿科首选的红霉素。\n\n09:52.879 --> 09:53.679\n为首选药物，\n\n09:53.879 --> 09:56.179\n疗程不少于10天。\n\n09:56.328 --> 09:57.229\n但是呢，\n\n09:57.229 --> 09:58.679\n要尤其注意的是，\n\n09:58.979 --> 10:02.629\n它可能有潜在的肝功能的损害等副作用。\n\n10:03.715 --> 10:05.465\n相应的还有阿奇霉素，\n\n10:05.515 --> 10:08.315\n那么它是作为红霉素的替代药物。\n\n10:09.059 --> 10:09.710\n疗程更短，\n\n10:10.109 --> 10:13.109\n且不良反应相对来说较少，\n\n10:13.359 --> 10:14.609\n尽量容易获得。\n\n10:15.682 --> 10:16.182\n另外呢，\n\n10:16.231 --> 10:17.932\n还有一种克拉霉素，\n\n10:18.481 --> 10:22.132\n它也是一种大环内酯类的抗生素，\n\n10:22.481 --> 10:24.531\n疗效与红霉素相近。\n\n10:24.831 --> 10:25.632\n但是呢，\n\n10:25.831 --> 10:26.432\n要注意，\n\n10:26.432 --> 10:29.081\n它有可能会有胃肠道的反应。\n\n10:31.302 --> 10:34.401\n对症的支持治疗的方法就包括。\n\n10:35.562 --> 10:36.862\n像止咳祛痰，\n\n10:37.062 --> 10:39.937\n采用物理或药物的方法啊，\n\n10:39.937 --> 10:40.913\n无法吸入啊，\n\n10:40.913 --> 10:42.312\n吸痰等等，\n\n10:42.612 --> 10:44.913\n可以缓解患儿的咳嗽症状。\n\n10:46.056 --> 10:47.505\n还要保持呼吸道的畅通，\n\n10:47.755 --> 10:50.255\n及时的清理鼻腔的分泌物。\n\n10:50.973 --> 10:54.323\n避免患儿因咳嗽导致呼吸暂停。\n\n10:55.606 --> 10:55.981\n氧疗，\n\n10:55.981 --> 11:03.156\n也就是对于出现呼吸困难或低氧血症的患儿应及时的给予氧疗。\n\n11:05.090 --> 11:07.840\n免疫接种及相应的政策的评估，\n\n11:08.390 --> 11:10.039\n就包括啊，\n\n11:10.289 --> 11:11.789\n接种百日咳疫苗。\n\n11:12.517 --> 11:13.905\n它可以有效的白，\n\n11:13.905 --> 11:17.267\n白破里面我们从的名字叫白就是百日咳，\n\n11:17.267 --> 11:18.567\n白就是白喉，\n\n11:18.567 --> 11:20.017\n破就是破伤风。\n\n11:20.883 --> 11:23.283\n那么接种这三种联合的疫苗，\n\n11:23.583 --> 11:26.283\n那么它就可以有效的预防看病。\n\n11:27.078 --> 11:30.578\n它也是我国国家免疫规划的程序，\n\n11:30.578 --> 11:34.328\n那么每个小朋友都会有一个疫苗接种本计划免疫，\n\n11:34.627 --> 11:37.478\n这些都是可以说是必须要知道。\n\n11:38.700 --> 11:39.551\n这种时间呢，\n\n11:39.601 --> 11:45.601\n一般来说是在婴儿出生后的三四五月里进行基础免疫。\n\n11:46.260 --> 11:47.361\n在18月里，\n\n11:47.361 --> 11:49.760\n他在打一针是加强的。\n\n11:51.633 --> 11:51.934\n那么，\n\n11:51.934 --> 11:54.633\n如何评估疫苗接种的效果呢？\n\n11:55.387 --> 11:59.387\n往往是通过监测接种后抗体的水平，\n\n11:59.786 --> 12:01.486\n观察疫苗保护的效果，\n\n12:01.486 --> 12:08.887\n以及疫情就是发生的时候情况来评估有能力接种一个效果。\n\n12:10.541 --> 12:13.892\n那么我最后给大家做一个总结。\n\n12:16.557 --> 12:17.283\n百日咳呢，\n\n12:17.283 --> 12:20.458\n当前也存在了一些问题和挑战。\n\n12:21.307 --> 12:22.158\n首先呢，\n\n12:22.507 --> 12:24.458\n百日咳的发病机制呢，\n\n12:24.607 --> 12:26.408\n尚未有完全明确。\n\n12:27.354 --> 12:31.703\n尽管我们已经发现了百日咳的鲍特菌。\n\n12:32.755 --> 12:35.554\n是引起百日咳的病原体。\n\n12:36.406 --> 12:36.755\n但是呢，\n\n12:36.755 --> 12:41.705\n它确切的发病机制仍然有待进一步的深入研究。\n\n12:41.955 --> 12:46.056\n它到底因为百日咳鲍特菌分泌的毒素呢，\n\n12:46.156 --> 12:49.005\n而本身这些荚膜抗体啊，\n\n12:49.306 --> 12:53.005\n或者说机体引发的这种一型过敏反应啊，\n\n12:53.005 --> 12:54.931\n或者说这种一型三型啊，\n\n12:54.931 --> 12:56.606\n过敏反应导致的疼嗽。\n\n12:57.354 --> 13:00.304\n这些东西都有待进一步的去探讨，\n\n13:00.653 --> 13:05.854\n以及为什么它会引起如此剧烈的咳嗽和持久的咳嗽。\n\n13:06.619 --> 13:09.768\n那么这个其实也是它一个有利的西，\n\n13:10.119 --> 13:13.869\n那么它这个特性能否应用到一些其他的。\n\n13:14.557 --> 13:18.658\n就是说就是试驾上面这个也有待我们进一步的去探索。\n\n13:19.585 --> 13:20.286\n另外呢，\n\n13:20.286 --> 13:24.486\n也就是说我们目前的疫苗接种也是存在一定的漏洞。\n\n13:25.492 --> 13:29.392\n尽管已经广泛实施了百日咳疫苗的接种，\n\n13:29.692 --> 13:30.317\n但是呢，\n\n13:30.317 --> 13:33.341\n其实还有一些漏网仍然存在。\n\n13:33.341 --> 13:34.591\n有它漏洞。\n\n13:35.565 --> 13:35.765\n哎，\n\n13:35.815 --> 13:37.664\n免疫失败等问题，\n\n13:38.065 --> 13:40.065\n这些就会导致百日咳，\n\n13:40.065 --> 13:41.989\n可能会在某些地区啊，\n\n13:41.989 --> 13:46.065\n或者人群中仍然会有一个流行的一个态度。\n\n13:47.328 --> 13:47.754\n另外呢，\n\n13:47.754 --> 13:50.379\n就是早期诊断和治疗的困难。\n\n13:51.021 --> 13:52.171\n白日咳嗽早期的症状，\n\n13:52.221 --> 13:54.221\n它与普通感冒非常相似，\n\n13:54.721 --> 13:56.721\n容易误诊漏诊。\n\n13:57.072 --> 13:57.971\n并且呢，\n\n13:58.021 --> 13:58.671\n它的。\n\n13:59.640 --> 14:02.190\n它的卵壳期治疗难度较大，\n\n14:02.491 --> 14:04.841\n需要特效药物和对症治疗。\n\n14:05.716 --> 14:08.065\n那么往往我们在诊断的时候呢，\n\n14:08.216 --> 14:10.815\n就需要像运用这种PVR啊，\n\n14:10.815 --> 14:12.866\n或者说这种抗原的检测，\n\n14:13.216 --> 14:16.515\n有些地区可能并具备这样的条件，\n\n14:16.815 --> 14:18.041\n就在诊断的时候呢，\n\n14:18.041 --> 14:20.065\n只能通过一些新的啊，\n\n14:20.065 --> 14:21.065\n尤其就是儿童。\n\n14:22.033 --> 14:23.432\n家长也会比较担忧。\n\n14:24.190 --> 14:25.890\n那么未来发展趋势呢？\n\n14:26.091 --> 14:28.341\n主要我想集中在以下几个方面，\n\n14:28.741 --> 14:30.741\n首先是新型疫苗的研发，\n\n14:30.991 --> 14:33.241\n随着这个生物技术的不断发展，\n\n14:33.491 --> 14:37.690\n未来可能会研发出更加安全有效的儿童疫苗。\n\n14:38.559 --> 14:40.859\n预防和控制还是可的流程。\n\n14:41.815 --> 14:42.265\n第四呢，\n\n14:42.265 --> 14:44.265\n就是主要导致整个的业绩。\n\n14:44.966 --> 14:47.190\n通过研究有它的发病机制啊，\n\n14:47.190 --> 14:49.065\n可能会发现更加敏感，\n\n14:49.065 --> 14:51.315\n特意导致什么样的方法。\n\n14:51.997 --> 14:54.497\n提高百日抗战潜在消费。\n\n14:55.606 --> 14:55.955\n最后呢，\n\n14:55.955 --> 14:58.356\n就是对治疗进行优化。\n\n14:59.195 --> 15:01.145\n随着对百日咳的深入的研究，\n\n15:01.544 --> 15:06.494\n可能会发现更加疗效更好的治疗方案和药物，\n\n15:06.744 --> 15:09.044\n以减轻患者的病痛，\n\n15:09.544 --> 15:13.395\n提高相应的百日咳的这个治愈率。\n\n15:14.359 --> 15:16.859\n那么我想做到以上几点呢，\n\n15:16.909 --> 15:20.609\n应该就能有效的控制百日咳的流行。\n\n15:20.809 --> 15:21.234\n那么，\n\n15:21.234 --> 15:25.510\n将百日咳的这患病率发病率进一步的下降，\n\n15:25.809 --> 15:26.835\n那最后呢，\n\n15:26.835 --> 15:30.309\n还就是提高公众认知度重视程度。\n\n15:31.059 --> 15:32.010\n加强健康教育，\n\n15:32.109 --> 15:34.559\n增强家长防范意识，\n\n15:35.210 --> 15:35.609\n好，\n\n15:35.760 --> 15:37.484\n这就是我今天的分享，\n\n15:37.484 --> 15:38.359\n谢谢大家。\n\n","v0247cg10004d61faialjht3nv1m48a0",939,974,"2026-01-25 00:35:04"," 百日咳的由来与发病机制解析 | 症状、病因及预防  \n"," 百日咳, 百日咳由来, 百日咳发病机制, 百日咳症状, 百日咳预防, 百日咳病因  \n"," 本文详细解析百日咳的由来与发病机制，包括其病因、典型症状及预防措施。了解百日咳如何由百日咳杆菌引起，以及其传播途径和治疗方法，帮助有效防控这一呼吸道传染病。","2026-04-06 23:00:00",[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 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