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--> 00:02.535\n各位同道。\n\n00:03.410 --> 00:04.260\n各位专家。\n\n00:05.269 --> 00:05.718\n大家好，\n\n00:06.068 --> 00:09.218\n今天和大家一起讨论的题目是？\n\n00:10.027 --> 00:11.277\n上赶的合理用药。\n\n00:12.255 --> 00:13.206\n科学应对，\n\n00:13.305 --> 00:14.906\n健康相随。\n\n00:15.805 --> 00:17.055\n这个题目确实蛮好。\n\n00:23.781 --> 00:25.082\n今天的目录啊，\n\n00:25.082 --> 00:26.531\n主要分三个板块，\n\n00:26.832 --> 00:28.482\n一是上感的概述。\n\n00:29.500 --> 00:31.150\n再就是常用药物的介绍，\n\n00:31.301 --> 00:33.651\n这是三个合理用药的指南。\n\n00:37.901 --> 00:41.351\n上感的感代受指认是上呼吸道感染。\n\n00:42.487 --> 00:44.987\n上感的定义什么叫上呼吸道感染？\n\n00:46.103 --> 00:47.002\n常见的症状。\n\n00:48.353 --> 00:50.502\n就是鼻塞、流涕、咳嗽等。\n\n00:51.215 --> 00:52.316\n上感的主要症状，\n\n00:52.715 --> 00:54.015\n病因的多样性。\n\n00:54.166 --> 00:57.816\n病毒、细菌是引发上感的主要原因。\n\n00:59.259 --> 01:02.259\n高发性大概是常见疾病。\n\n01:03.056 --> 01:04.107\n全年即可发病。\n\n01:04.107 --> 01:05.056\n传染途径，\n\n01:05.507 --> 01:08.707\n通过飞沫传播是上感的主要途径。\n\n01:09.481 --> 01:10.081\n易感人群，\n\n01:10.081 --> 01:12.380\n儿童和老人是上感的易感人群。\n\n01:13.708 --> 01:14.658\n上感的分类，\n\n01:14.708 --> 01:16.109\n不同类型的上感，\n\n01:17.308 --> 01:18.609\n一是普通感冒，\n\n01:18.708 --> 01:21.509\n普通感冒是最常见的上感性类型。\n\n01:22.428 --> 01:23.227\n流行性感冒，\n\n01:23.277 --> 01:25.928\n流感总比普通感冒更严重，\n\n01:25.928 --> 01:26.977\n传染性更强。\n\n01:27.999 --> 01:29.024\n咽扁桃体炎，\n\n01:29.024 --> 01:31.448\n咽症是起主要的症状，\n\n01:31.448 --> 01:32.598\n请及时就医。\n\n01:33.665 --> 01:37.264\n喉炎声音嘶哑是喉炎的典型表现。\n\n01:38.838 --> 01:40.689\n鼻炎鼻腔症状明显，\n\n01:40.689 --> 01:42.039\n如鼻塞、流涕。\n\n01:44.998 --> 01:45.947\n上杆的危害。\n\n01:48.504 --> 01:49.671\n一是影响生活，\n\n01:49.671 --> 01:51.205\n上肝会导致不适，\n\n01:51.205 --> 01:52.455\n影响日常生活。\n\n01:53.266 --> 01:54.192\n引发并发症，\n\n01:54.192 --> 01:56.817\n可能引发支气管炎、肺炎等并发症。\n\n01:57.366 --> 01:58.217\n传染他人，\n\n01:58.217 --> 01:58.616\n伤肝，\n\n01:58.616 --> 01:59.491\n具有传染性，\n\n01:59.491 --> 02:01.016\n易传染给他人。\n\n02:01.913 --> 02:02.712\n加重病情，\n\n02:02.862 --> 02:05.212\n不及时治疗可能加重病情。\n\n02:06.197 --> 02:06.947\n免疫力下降，\n\n02:06.947 --> 02:09.798\n频繁的上感可能导致免疫力下降。\n\n02:11.391 --> 02:12.542\n肝的治疗原则。\n\n02:14.093 --> 02:14.792\n科学治疗，\n\n02:15.343 --> 02:16.192\n合理用药。\n\n02:17.305 --> 02:19.505\n根据症状选择合适的药物。\n\n02:20.854 --> 02:21.455\n对症治疗，\n\n02:21.455 --> 02:22.455\n注意休息。\n\n02:23.591 --> 02:24.791\n隐私等知识资料。\n\n02:25.621 --> 02:27.996\n严格遵照医嘱进行治疗。\n\n02:27.996 --> 02:28.722\n遵医嘱。\n\n02:30.076 --> 02:31.177\n针对病因进行治疗，\n\n02:31.177 --> 02:33.227\n如抗病毒病因治疗。\n\n02:34.197 --> 02:34.871\n增强免疫力，\n\n02:34.871 --> 02:35.647\n预防复发。\n\n02:36.557 --> 02:37.156\n地方文化。\n\n02:42.283 --> 02:43.382\n常用药物的介绍，\n\n02:43.382 --> 02:44.632\n了解上感用药。\n\n02:46.759 --> 02:47.759\n抗病毒药物。\n\n02:48.845 --> 02:49.445\n抑制病毒，\n\n02:49.445 --> 02:50.345\n缩短病程，\n\n02:50.445 --> 02:54.544\n像奥司他韦主要用于治疗流感病毒感染。\n\n02:55.520 --> 02:57.970\n利巴韦伦对多种病毒有抑制作用，\n\n02:58.121 --> 03:01.820\n抗病毒口服液像中成药运用辅助治疗。\n\n03:02.625 --> 03:03.125\n干扰素，\n\n03:03.375 --> 03:04.425\n增强免疫力，\n\n03:04.425 --> 03:05.675\n抑制病毒的复制。\n\n03:06.479 --> 03:07.929\n阿昔洛韦主要治疗。\n\n03:09.356 --> 03:10.507\n疱疹病毒的感染。\n\n03:13.100 --> 03:15.001\n抗生素药物的针对细菌感染。\n\n03:15.826 --> 03:18.576\n像青霉素类细菌感染引起的伤害。\n\n03:19.473 --> 03:19.973\n多孢类。\n\n03:21.315 --> 03:22.166\n广谱抗生素。\n\n03:22.945 --> 03:24.121\n适用于多种感染，\n\n03:24.121 --> 03:26.746\n大环内酯类对支原体感染有效。\n\n03:27.695 --> 03:29.645\n分到同类适用有细菌呢。\n\n03:31.100 --> 03:32.949\n感染需注意副作用。\n\n03:34.102 --> 03:37.003\n氨基糖甙类对某些细菌感染有效，\n\n03:37.552 --> 03:39.003\n但需谨慎使用。\n\n03:43.623 --> 03:44.473\n解热镇痛药，\n\n03:44.572 --> 03:46.623\n缓解发热疼痛。\n\n03:47.680 --> 03:50.880\n像对乙酰氨基酚常用的解热镇痛药，\n\n03:50.930 --> 03:52.031\n副作用较小。\n\n03:52.867 --> 03:55.117\n布洛芬有效的缓解疼痛发热，\n\n03:55.516 --> 03:57.117\n阿司匹林适用成人，\n\n03:57.117 --> 03:57.917\n儿童慎用。\n\n03:58.843 --> 04:02.643\n双氯芬酸强效解热镇痛药需遵医嘱。\n\n04:03.828 --> 04:06.878\n吲哚美辛应用短期使用对于副作用。\n\n04:09.102 --> 04:09.951\n止咳化痰药，\n\n04:10.451 --> 04:11.901\n缓解咳嗽咳痰。\n\n04:12.912 --> 04:14.063\n一个是氨溴索，\n\n04:14.912 --> 04:16.363\n是促进痰液的排出，\n\n04:16.363 --> 04:17.213\n缓解咳嗽，\n\n04:17.662 --> 04:18.963\n又没法沙芬。\n\n04:20.773 --> 04:21.773\n镇咳效果明显。\n\n04:22.644 --> 04:23.644\n更适于干咳。\n\n04:25.377 --> 04:28.777\n喷托韦人适用于各种病因引起的咳嗽，\n\n04:29.226 --> 04:31.377\n休基锌促进痰液稀释，\n\n04:31.377 --> 04:32.226\n易于排除。\n\n04:33.032 --> 04:33.933\n复方甘草片，\n\n04:34.282 --> 04:35.083\n中成药，\n\n04:35.083 --> 04:36.882\n具有止咳化痰的作用。\n\n04:41.364 --> 04:42.114\n合理用药指南，\n\n04:42.114 --> 04:42.940\n安全用药，\n\n04:42.940 --> 04:43.815\n避免误区。\n\n04:45.428 --> 04:48.229\n用药误区是滥用抗生素。\n\n04:49.160 --> 04:50.959\n抗生素对病毒感染无效，\n\n04:51.010 --> 04:52.010\n过量用药，\n\n04:52.510 --> 04:54.709\n过量用药可能导致不良反应，\n\n04:55.010 --> 04:59.160\n停药未完成疗效可能导致病情反复。\n\n05:00.108 --> 05:00.608\n咨询用药，\n\n05:00.608 --> 05:01.483\n未咨询医生，\n\n05:01.483 --> 05:02.907\n咨询用药的有风险。\n\n05:04.058 --> 05:04.733\n忽视副作用，\n\n05:04.733 --> 05:06.858\n需注意药物的副作用和不良反应。\n\n05:08.963 --> 05:10.562\n用药注意事项，\n\n05:10.562 --> 05:11.412\n安全用药，\n\n05:11.412 --> 05:12.213\n确保疗效。\n\n05:13.290 --> 05:14.540\nC、药物相互作用，\n\n05:14.540 --> 05:16.440\n避免同时使用多种药物。\n\n05:17.200 --> 05:18.026\n特殊人群用药，\n\n05:18.026 --> 05:20.151\n儿童、孕妇、老人需谨慎用药。\n\n05:21.273 --> 05:24.324\n本医嘱药严格按照医嘱进行用药。\n\n05:25.295 --> 05:26.095\n观察不良反应，\n\n05:26.095 --> 05:29.045\n用药期间注意观察身体反应。\n\n05:31.057 --> 05:32.432\n存储用药啊，\n\n05:32.432 --> 05:33.682\n说明书存储药物，\n\n05:33.682 --> 05:34.506\n避免变质。\n\n05:37.355 --> 05:38.454\n预防上感的方式，\n\n05:38.454 --> 05:39.505\n防患于未然。\n\n05:40.565 --> 05:41.540\n一是增强体质，\n\n05:41.540 --> 05:43.315\n通过锻炼提高免疫力。\n\n05:44.209 --> 05:44.859\n注意卫生。\n\n05:46.291 --> 05:46.842\n勤洗手，\n\n05:47.492 --> 05:49.492\n保持环境清洁，\n\n05:49.791 --> 05:51.592\n避免接触传染源，\n\n05:52.092 --> 05:54.291\n并免与感染者密切接触。\n\n05:54.592 --> 05:55.541\n接种疫苗，\n\n05:55.992 --> 05:58.217\n流感季节前接种疫苗，\n\n05:58.217 --> 05:59.092\n合理饮食。\n\n06:00.446 --> 06:01.145\n平衡饮食，\n\n06:01.145 --> 06:02.545\n增强身体抵抗力。\n\n06:06.204 --> 06:07.704\n总结义建议合理用药，\n\n06:07.704 --> 06:08.553\n健康生活。\n\n06:09.501 --> 06:10.901\n正确的认识上感，\n\n06:11.351 --> 06:12.601\n了解上感知识，\n\n06:12.601 --> 06:13.450\n科学应对。\n\n06:14.458 --> 06:15.058\n及时就医，\n\n06:15.058 --> 06:17.083\n症状严重时应及时就医。\n\n06:17.083 --> 06:17.808\n合理用药，\n\n06:18.257 --> 06:20.132\n根据医嘱合理用药。\n\n06:20.132 --> 06:20.933\n预防为主，\n\n06:20.933 --> 06:22.007\n做好预防，\n\n06:22.507 --> 06:23.858\n减少上感的发生。\n\n06:23.858 --> 06:24.733\n健康生活，\n\n06:24.733 --> 06:26.458\n保持良好的生活习惯。\n\n06:27.135 --> 06:27.885\n增强体质。\n\n06:31.518 --> 06:34.467\n所以说这个对于这个。\n\n06:35.947 --> 06:37.898\n流感来说吧，\n\n06:38.247 --> 06:44.197\n目前这个上感在临床上病人还是蛮多的。\n\n06:45.507 --> 06:48.708\n这就需要我们在平常的时候应该把这些知识。\n\n06:49.723 --> 06:53.773\n好好的应用到这个病人当中去，\n\n06:54.424 --> 06:58.873\n这是我们这个治疗诊断这个。\n\n06:59.924 --> 07:03.023\n并存的最重要的一个关键的环节。\n\n07:04.505 --> 07:09.505\n所以说对上感上呼吸道感染这个疾病，\n\n07:09.554 --> 07:13.404\n我们应该有效的进行合理的进行控制。\n\n07:18.003 --> 07:19.653\n这是很重要很重要的。\n\n07:24.169 --> 07:27.468\n所以说我因为有一点时间。\n\n07:28.364 --> 07:29.914\n我在这讲几个病例啊，\n\n07:30.414 --> 07:32.114\n穿插着讲几个病例。\n\n07:38.675 --> 07:41.075\n对这个上感的。\n\n07:42.808 --> 07:45.259\n这个特点它就是常见症状。\n\n07:46.260 --> 07:46.760\n来了以后，\n\n07:46.760 --> 07:49.061\n在门诊上遇到在线病人。\n\n07:50.078 --> 07:51.377\n他会感觉到鼻塞。\n\n07:53.824 --> 07:55.498\n流涕、咳嗽等。\n\n07:55.498 --> 07:56.174\n这些症状。\n\n07:57.156 --> 07:58.955\n这时候你就可以。\n\n08:00.052 --> 08:04.052\n怀疑他是不是这个得了上感。\n\n08:05.674 --> 08:09.774\n所以说你这样就可以考虑到它是病毒和细菌。\n\n08:10.691 --> 08:12.265\n这两个因素都成这样个因素，\n\n08:12.265 --> 08:14.490\n就是我们在进行处理的时候吧，\n\n08:14.890 --> 08:16.566\n就是因为验血常规，\n\n08:16.566 --> 08:18.390\n同时验个呼吸道病原体。\n\n08:19.092 --> 08:23.542\n像甲流、乙流等等这些腺病毒等。\n\n08:24.540 --> 08:27.640\n这就高发性上感是常见的疾病，\n\n08:27.990 --> 08:29.165\n全年均可爆发。\n\n08:29.165 --> 08:30.841\n但是它一个秋冬季节。\n\n08:32.156 --> 08:32.606\n多一些。\n\n08:33.411 --> 08:36.562\n所以说在这个季节一定要注意上颚的预防。\n\n08:37.625 --> 08:38.276\n传染途径，\n\n08:38.276 --> 08:41.625\n它是通过飞沫传染者是上感的主要途径。\n\n08:43.671 --> 08:44.122\n到时候吧，\n\n08:44.122 --> 08:48.997\n我们应该及时的这个减少这个传染途径，\n\n08:48.997 --> 08:50.322\n比如戴口罩啊。\n\n08:51.156 --> 08:53.257\n保持空气流通等。\n\n08:54.418 --> 08:55.268\n这就易感人群，\n\n08:55.268 --> 08:58.218\n像儿童和老人是上感的易感人群。\n\n08:58.978 --> 08:59.177\n这样，\n\n08:59.177 --> 09:00.728\n我们这些老人和儿童吧，\n\n09:00.728 --> 09:02.578\n注意得到一些保护啊。\n\n09:10.195 --> 09:11.296\n不同类型的上感。\n\n09:12.625 --> 09:14.426\n这个像普通感冒呀，\n\n09:14.476 --> 09:15.776\n这最常见的。\n\n09:16.594 --> 09:17.969\n一般都吃点感冒药就好，\n\n09:17.969 --> 09:23.145\n流行性感冒流感比普通感冒大家都知道是严重的，\n\n09:23.145 --> 09:24.445\n传染性也很强，\n\n09:24.994 --> 09:26.244\n特别像甲流、乙流，\n\n09:26.244 --> 09:27.844\n这个大家都经受住了啊。\n\n09:28.710 --> 09:29.510\n特别是小孩，\n\n09:29.510 --> 09:33.060\n你看那个在那个儿科里那个甲流乙的疗型，\n\n09:33.460 --> 09:35.361\n这个特别多特别多的啊。\n\n09:36.625 --> 09:37.075\n再就是，\n\n09:37.226 --> 09:38.625\n咽扁桃体炎，\n\n09:38.825 --> 09:39.825\n咽疼时期，\n\n09:39.825 --> 09:42.476\n主要的症状去及时就医。\n\n09:42.776 --> 09:43.176\n哎，\n\n09:43.226 --> 09:44.976\n这个咽喉痛了啊，\n\n09:45.026 --> 09:46.825\n刀片嗓等等这些。\n\n09:47.538 --> 09:47.812\n所以说，\n\n09:47.812 --> 09:50.138\n你得怀疑是不是得了上海。\n\n09:51.072 --> 09:53.171\n及时来医院进行诊断治疗，\n\n09:53.521 --> 09:53.921\n哎，\n\n09:54.322 --> 09:55.372\n喉炎，\n\n09:55.372 --> 09:57.322\n有的病人来门诊上来说吧，\n\n09:57.372 --> 09:57.721\n哎，\n\n09:57.721 --> 09:59.521\n我从昨天晚上开始。\n\n10:00.299 --> 10:01.349\n就声音嘶哑了，\n\n10:01.500 --> 10:01.825\n哎，\n\n10:01.825 --> 10:04.750\n这个是个喉炎的一个典型的表现。\n\n10:05.150 --> 10:10.674\n这时我们应该及时的给他看看那个咽喉部的症状，\n\n10:10.674 --> 10:14.950\n及有没有那个声带的波及。\n\n10:15.049 --> 10:15.450\n哎，\n\n10:15.500 --> 10:17.950\n必要的时候看看耳鼻喉科做个鼻镜。\n\n10:19.135 --> 10:19.435\n鼻炎，\n\n10:19.435 --> 10:20.310\n鼻腔症状明显，\n\n10:20.310 --> 10:20.911\n鼻塞流涕，\n\n10:20.911 --> 10:21.835\n这更别说了，\n\n10:22.036 --> 10:25.286\n这就我们临床上最常见的鼻塞流涕的症状了。\n\n10:28.650 --> 10:29.400\n上感的危害，\n\n10:29.400 --> 10:31.174\n这个大家知道，\n\n10:31.174 --> 10:32.075\n得了上感以后，\n\n10:32.075 --> 10:33.450\n有时候全身酸痛的。\n\n10:34.182 --> 10:35.682\n无力的乏力的。\n\n10:36.831 --> 10:38.682\n这个最常见引发的并发症，\n\n10:38.682 --> 10:40.257\n你特别得了上感以后，\n\n10:40.257 --> 10:41.632\n有时候你不好好控制，\n\n10:41.981 --> 10:43.132\n特别老年人啊，\n\n10:43.132 --> 10:46.307\n小孩、幼儿、婴幼儿很容易继热，\n\n10:46.307 --> 10:47.581\n引起支气管炎，\n\n10:47.581 --> 10:48.281\n还是小事，\n\n10:48.731 --> 10:51.882\n引起肺炎等致并发症传染他人。\n\n10:52.690 --> 10:54.239\n抗感冒具有传染性，\n\n10:54.340 --> 10:55.690\n已传染给其他人。\n\n10:56.669 --> 10:57.320\n加重病情，\n\n10:57.369 --> 10:59.869\n不及时治疗可以加重了病情的啊。\n\n11:01.325 --> 11:03.125\n再就不及时治疗可以加重病情，\n\n11:03.226 --> 11:04.176\n免疫力下降。\n\n11:05.328 --> 11:05.603\n所以说，\n\n11:05.603 --> 11:06.802\n频繁的上感吧，\n\n11:06.802 --> 11:08.778\n使患者更容易发生上感，\n\n11:09.177 --> 11:10.828\n所以他免疫力下降了。\n\n11:15.387 --> 11:16.536\n对于上感的治疗。\n\n11:18.174 --> 11:18.624\n很多，\n\n11:18.973 --> 11:21.398\n这个讲的科学治疗，\n\n11:21.398 --> 11:22.073\n合理用药，\n\n11:22.523 --> 11:24.773\n根据症状选择合适的药物，\n\n11:24.874 --> 11:25.773\n对症治疗。\n\n11:26.741 --> 11:28.541\n注意休息、饮食等治疗，\n\n11:28.541 --> 11:29.341\n支持治疗。\n\n11:30.064 --> 11:31.963\n严格按照医嘱进行治疗。\n\n11:31.963 --> 11:32.564\n遵医嘱。\n\n11:33.491 --> 11:34.616\n针对病因进行治疗，\n\n11:34.616 --> 11:35.991\n如抗病毒病因治疗，\n\n11:35.991 --> 11:37.390\n增加机体免疫力，\n\n11:37.890 --> 11:39.091\n预防复发等。\n\n11:43.145 --> 11:45.945\n因为上感的药物最近几年也是蛮多的。\n\n11:47.093 --> 11:47.293\n哎。\n\n11:48.393 --> 11:49.567\n这些抗病毒的药物，\n\n11:49.567 --> 11:51.343\n这个非常常见的，\n\n11:51.643 --> 11:54.418\n我们在临床上也用的比较多，\n\n11:54.418 --> 11:55.543\n奥司他韦吧。\n\n11:56.729 --> 11:59.030\n对那个治疗流感感染。\n\n12:00.148 --> 12:01.947\n这个临床用的比较多见。\n\n12:02.721 --> 12:05.033\n利巴韦林对多种病毒因制作用，\n\n12:05.033 --> 12:05.921\n它是黄谱药，\n\n12:05.921 --> 12:07.320\n抗病毒口服液，\n\n12:07.520 --> 12:09.445\n它是中成药，\n\n12:09.445 --> 12:11.171\n它用于辅助治疗。\n\n12:11.883 --> 12:12.484\n干扰素，\n\n12:12.484 --> 12:14.033\n增强机体免疫力，\n\n12:14.033 --> 12:15.484\n抑制病毒的复制。\n\n12:15.484 --> 12:18.633\n阿昔洛韦主要治疗疱疹病毒的感染。\n\n12:20.455 --> 12:24.505\n所以对这些抑制病毒双难病存的这些药，\n\n12:24.554 --> 12:27.479\n奥斯他韦我们的临床上用的比较多见，\n\n12:27.479 --> 12:28.455\n还有目前来说，\n\n12:28.455 --> 12:29.554\n对甲流、乙流的，\n\n12:29.804 --> 12:31.104\n我们那个苏福达。\n\n12:33.831 --> 12:35.231\n也是比较有效的，\n\n12:35.682 --> 12:37.531\n在临床上我们用的比较多。\n\n12:40.073 --> 12:42.523\n抗生素药物针对细菌感染。\n\n12:43.424 --> 12:45.799\n抗生素在临床上用的还是比较多的，\n\n12:45.799 --> 12:48.374\n特别有白细胞增高的啊，\n\n12:48.374 --> 12:49.023\n这样的。\n\n12:49.773 --> 12:51.124\n这个青霉素类，\n\n12:51.374 --> 12:52.549\n这个最常见了，\n\n12:52.549 --> 12:53.924\n只要不过敏就可以用。\n\n12:54.942 --> 12:56.992\n可以用于细菌感染引起的伤害。\n\n12:57.812 --> 12:58.812\n再就是头孢类，\n\n12:58.861 --> 12:59.312\n黄酮，\n\n12:59.312 --> 13:01.262\n抗生素多种感染都可以的。\n\n13:01.711 --> 13:05.012\n大环内酯类最好得支原体感染。\n\n13:06.156 --> 13:08.856\n不料同类的这一个18岁以上的才能用啊。\n\n13:09.877 --> 13:11.127\n它适用于细菌感染，\n\n13:11.228 --> 13:12.328\n注意副作用。\n\n13:14.343 --> 13:15.518\n这个细菌感染，\n\n13:15.518 --> 13:22.317\n这个它对那个变链球菌、流感实验菌、菌卡他莫拉菌、衣原体、支原体、军团菌，\n\n13:22.317 --> 13:23.492\n它都有作用。\n\n13:24.484 --> 13:26.559\n但是大家知道它的使用局限，\n\n13:26.559 --> 13:28.234\n18岁以上的才能用。\n\n13:29.440 --> 13:30.164\n再就是呢，\n\n13:30.164 --> 13:31.789\nQT间隙隐藏的不能用，\n\n13:31.789 --> 13:33.390\n有癫痫的不能用啊。\n\n13:34.732 --> 13:35.607\n这个要注意，\n\n13:36.007 --> 13:42.158\n目前呼吸类、喹诺同类的等临床最常用最常用的就是氧氟沙星和莫西沙星。\n\n13:43.781 --> 13:45.981\n这两个药物都是时间依赖性的。\n\n13:46.719 --> 13:49.544\n在临床上可以浓度依赖性的，\n\n13:49.544 --> 13:51.619\n在正常上可以用一次一天。\n\n13:52.815 --> 13:55.916\n像莫西沙星吧是零点四。\n\n13:57.025 --> 13:58.125\n氧氟沙星，\n\n13:58.125 --> 13:58.625\n0.51天。\n\n14:01.278 --> 14:02.979\n大家还注意它的一些副作用。\n\n14:03.807 --> 14:05.456\n像氧氟沙星这个药物，\n\n14:05.456 --> 14:08.257\n它是经过肾脏排泄的，\n\n14:08.257 --> 14:10.007\n所以你肾功能不好的病人，\n\n14:10.106 --> 14:11.307\n你尽早别用。\n\n14:12.239 --> 14:15.690\n莫西他上性主要通过胆囊胆系排泄的。\n\n14:16.344 --> 14:18.294\n所以说他这在临床上应用吧。\n\n14:19.205 --> 14:19.556\n作用呢，\n\n14:19.556 --> 14:22.556\n胆囊胆系感染也是可以用的，\n\n14:22.556 --> 14:23.705\n肺部感染可用的，\n\n14:23.856 --> 14:25.606\n但是有肝功能异常的病人，\n\n14:25.606 --> 14:27.306\n那就用的要悠着点了，\n\n14:27.356 --> 14:28.906\n不要用的过多。\n\n14:30.081 --> 14:31.632\n要注意氨基糖这类的，\n\n14:31.632 --> 14:33.807\n它对某些细菌感染有效啊，\n\n14:33.807 --> 14:34.856\n但是谨慎饮用，\n\n14:34.856 --> 14:37.956\n为什么氨基糖这类的它副作用比较多，\n\n14:37.956 --> 14:40.281\n你肾功能还有耳毒性等等。\n\n14:40.914 --> 14:43.789\n所以说是必须要用的时候，\n\n14:43.789 --> 14:45.914\n一定要注意这些副作用。\n\n14:47.627 --> 14:48.403\n感热镇痛药，\n\n14:48.403 --> 14:49.677\n这个大家都知道了，\n\n14:49.677 --> 14:51.252\n特别瑞发烧的病人，\n\n14:51.252 --> 14:54.302\n我们用布洛芬这个乙酰氨基酚，\n\n14:54.302 --> 14:56.078\n阿司匹林这个用的蛮多的。\n\n14:56.078 --> 14:57.177\n吲哚美辛三纲。\n\n14:58.078 --> 14:59.677\n这个有，\n\n14:59.677 --> 15:01.328\n但是它的副作用大家要知道。\n\n15:02.184 --> 15:04.708\n容易引起那个大量的出汗，\n\n15:04.708 --> 15:07.234\n电解质紊乱及血压下降啊。\n\n15:10.539 --> 15:10.715\n咳，\n\n15:10.715 --> 15:11.265\n化痰药，\n\n15:11.265 --> 15:12.914\n这几种药物大家都知道，\n\n15:12.914 --> 15:15.090\n在临床上用的比较多。\n\n15:16.184 --> 15:17.984\n也可以很好的效果啊。\n\n15:23.179 --> 15:24.379\n对于这个药物的应用吧，\n\n15:24.379 --> 15:27.429\n我们也用合伦药的指南进行参考啊。\n\n15:28.267 --> 15:29.992\n所以说一些误区，\n\n15:29.992 --> 15:30.966\n大家看一下，\n\n15:31.367 --> 15:33.166\n你验个血常规以后，\n\n15:33.216 --> 15:34.567\n你发现白细胞不高，\n\n15:34.567 --> 15:35.966\n就不用抗生素嘛。\n\n15:37.479 --> 15:40.554\n1他用量量应该要知道它的量是多少。\n\n15:40.655 --> 15:42.455\n你用的量多了，\n\n15:42.455 --> 15:44.005\n病人就会出现不良反应。\n\n15:44.844 --> 15:45.719\n这个随意停药，\n\n15:45.719 --> 15:46.820\n未完成诊疗，\n\n15:46.820 --> 15:48.445\n可能导致病情的反复。\n\n15:49.260 --> 15:49.809\n自行用药，\n\n15:50.409 --> 15:50.809\n哎，\n\n15:51.109 --> 15:52.784\n我未经医生风险，\n\n15:52.784 --> 15:53.835\n自己去买了药吃，\n\n15:53.835 --> 15:54.760\n这有风险。\n\n15:55.994 --> 15:59.294\n这就注意药物的副作用和不良反应在极其重要的啊。\n\n16:05.062 --> 16:06.338\n再就是确保疗效，\n\n16:06.338 --> 16:07.963\n注意药物的相互作用。\n\n16:08.921 --> 16:11.122\n再一是不良反应和推出药物，\n\n16:11.122 --> 16:11.447\n哎，\n\n16:11.447 --> 16:12.896\n你放的时间长了，\n\n16:12.896 --> 16:14.021\n变质了怎么办呢？\n\n16:15.286 --> 16:16.560\n预防也很重要的，\n\n16:16.560 --> 16:18.260\n包括各种增强体质，\n\n16:18.260 --> 16:19.210\n注意卫生啊，\n\n16:19.210 --> 16:20.411\n对外接触员接种，\n\n16:20.411 --> 16:20.736\n抗苗，\n\n16:20.736 --> 16:21.435\n合理饮食。\n\n16:22.528 --> 16:24.177\n那这都很重要的。\n\n16:25.041 --> 16:25.291\n哎。\n\n16:27.531 --> 16:29.556\n对于那个健康的生活，\n\n16:29.556 --> 16:33.106\n这个总结建议你只要认识上感了，\n\n16:33.106 --> 16:34.630\n才能了解上感的知识，\n\n16:34.630 --> 16:35.380\n科学应对，\n\n16:35.380 --> 16:36.031\n及时就医。\n\n16:36.031 --> 16:36.981\n症状严重时。\n\n16:37.924 --> 16:38.299\n当然，\n\n16:38.299 --> 16:39.375\n马上来医院看，\n\n16:39.375 --> 16:40.224\n合理用药，\n\n16:40.325 --> 16:41.174\n根据医嘱，\n\n16:41.174 --> 16:41.750\n合理用药，\n\n16:41.750 --> 16:42.625\n预防为主，\n\n16:43.025 --> 16:43.799\n做好预防，\n\n16:43.799 --> 16:45.025\n减少上感的发生，\n\n16:45.075 --> 16:45.924\n健康生活，\n\n16:45.924 --> 16:47.375\n保持良好的生活习惯，\n\n16:47.375 --> 16:50.200\n增强体质啊，\n\n16:50.200 --> 16:52.250\n我结合了一下临床的一些经验，\n\n16:52.250 --> 16:56.275\n和大家又分享了一些治疗的一些经验。\n\n16:56.525 --> 16:56.924\n好，\n\n16:57.375 --> 16:58.375\n对于这个课件，\n\n16:58.375 --> 16:59.525\n今天就讲到这儿，\n\n16:59.525 --> 17:01.724\n谢谢大家的耐心观看。\n\n17:02.414 --> 17:02.815\n谢谢。\n\n","v0247cg10004d61i01iljht3er2jrmm0",1024,635,"2026-01-25 02:58:34","上呼吸道感染合理用药指南 - 安全用药与治疗建议  ","上感用药,上呼吸道感染治疗,合理用药指南,感冒药选择,抗生素使用,症状缓解,儿童上感用药  ","本文提供上呼吸道感染(上感)的合理用药指导，包括症状识别、药物选择原则、抗生素使用规范、儿童及特殊人群用药注意事项，帮助患者科学治疗并避免药物滥用。","2026-04-10 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