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--> 00:02.517\n各位朋友大家好，\n\n00:02.767 --> 00:09.767\n今天我们来学习一下这个急性扁桃炎的这个科普。\n\n00:10.168 --> 00:11.017\n然后呢，\n\n00:11.267 --> 00:14.343\n们现在就是秋秋季冬季一到啊，\n\n00:14.343 --> 00:19.968\n然后那个很多就是耳鼻喉科就多了不少嗓子疼的这个患者。\n\n00:20.068 --> 00:20.693\n其中呢，\n\n00:20.693 --> 00:24.068\n很多人都是因为急性扁桃体炎找上来的。\n\n00:24.218 --> 00:28.568\n然后尤其是小孩和青少年一发烧嗓子疼的吃不下饭，\n\n00:28.667 --> 00:31.118\n孩子们就特家长们就特别着急。\n\n00:31.684 --> 00:32.034\n但是，\n\n00:33.384 --> 00:36.134\n急性扁桃体炎不只是上火这么简单，\n\n00:36.384 --> 00:41.235\n处理不当的时候可能会引发中耳炎、肾炎等等并发症。\n\n00:41.384 --> 00:48.935\n今天我们就利用一些时间把这急性扁桃体炎的识别、应对、预防等等给大家科普一下。\n\n00:49.634 --> 00:50.259\n首先呢，\n\n00:50.259 --> 00:52.534\n我们从以下四个方面进行讲解。\n\n00:52.834 --> 00:55.485\n首先是急性扁桃体炎的解析，\n\n00:55.784 --> 00:56.784\n疾病的定义，\n\n00:56.784 --> 00:59.634\n急性扁桃炎的定义就是急性扁桃体炎，\n\n00:59.634 --> 01:01.634\n是一种常见的上呼吸道疾病。\n\n01:01.826 --> 01:04.676\n主要表现为腭扁桃体的急性炎症。\n\n01:06.022 --> 01:10.022\n常伴随咽黏膜及咽淋巴组织的发炎，\n\n01:10.272 --> 01:12.272\n给患者带来明显的不适。\n\n01:15.192 --> 01:15.391\n嗯。\n\n01:17.175 --> 01:17.775\n我们扁桃，\n\n01:17.775 --> 01:20.050\n我们咽喉哺乳的有两个小卫士，\n\n01:20.050 --> 01:21.574\n一个是腭扁桃体，\n\n01:21.574 --> 01:24.550\n它们一般是位于这个咽部的两侧，\n\n01:24.550 --> 01:27.025\n就像守护呼吸道和消化道的门户，\n\n01:27.275 --> 01:30.125\n平时能帮助抵御细菌病毒的入侵。\n\n01:30.324 --> 01:32.175\n而急性扁桃体炎呢，\n\n01:32.175 --> 01:35.275\n就是这两个小卫士因为感染引发的急性炎。\n\n01:35.275 --> 01:42.275\n炎症常常会连带周围的咽粘膜淋巴结一起淋巴组织一起发炎，\n\n01:42.375 --> 01:45.474\n属于上呼吸道感染的最常见的一个类型。\n\n01:45.675 --> 01:46.925\n简单的说呢。\n\n01:51.071 --> 01:51.622\n简单的，\n\n01:51.622 --> 01:52.597\n简单的说，\n\n01:52.597 --> 01:53.821\n就是，\n\n01:53.921 --> 01:57.022\n我们就是感觉到嗓子两侧疼的厉害，\n\n01:57.122 --> 01:58.421\n吞咽的时候更疼，\n\n01:58.421 --> 02:00.722\n大概率就是扁桃体在报警了。\n\n02:00.772 --> 02:03.671\n这种病在儿童和青少年中高发，\n\n02:03.772 --> 02:07.122\n因为这个年龄段的扁桃体发育较为成熟，\n\n02:07.622 --> 02:10.197\n然后而免疫力又不如成人稳定，\n\n02:10.197 --> 02:14.921\n容易成为这个病菌的攻击的目标。\n\n02:16.906 --> 02:17.156\n嗯，\n\n02:17.156 --> 02:21.705\n它的主要的病因就是乙型溶血性链球菌的感染。\n\n02:21.955 --> 02:22.580\n此外呢，\n\n02:22.580 --> 02:26.705\n葡萄球菌和肺炎链球菌也可能会引发这个疾病。\n\n02:26.805 --> 02:29.606\n通常在抵抗力下降的时候更容易发生。\n\n02:30.871 --> 02:32.070\n它的诱发原因呢。\n\n02:33.162 --> 02:34.311\n就是一般因素，\n\n02:34.311 --> 02:35.787\n包括这个受凉啊，\n\n02:35.787 --> 02:36.511\n潮湿啊，\n\n02:36.511 --> 02:37.361\n过度疲劳，\n\n02:37.511 --> 02:38.611\n免疫力下降，\n\n02:38.712 --> 02:41.261\n以及一个邻近器官的感染等等，\n\n02:41.311 --> 02:43.311\n均可能导致细菌的繁殖，\n\n02:43.311 --> 02:44.361\n并发炎症。\n\n02:45.261 --> 02:46.386\n主要的症状呢，\n\n02:46.386 --> 02:49.712\n急性扁桃体炎的主要症状主要为剧烈的一个疼痛，\n\n02:49.912 --> 02:53.162\n通常从一侧开始吞咽的时候加剧，\n\n02:53.311 --> 02:55.662\n可能伴随扁桃体肿大和。\n\n02:56.445 --> 02:57.195\n吞咽困难，\n\n02:58.544 --> 02:59.395\n很多人呢，\n\n02:59.395 --> 03:03.095\n他会把急性扁桃体炎和咽炎普通感冒混为一谈。\n\n03:03.445 --> 03:06.720\n它一般有几个标志性的症状啊，\n\n03:06.720 --> 03:08.570\n一般抓住的话可以快速判断。\n\n03:08.570 --> 03:09.395\n首先是呢，\n\n03:09.395 --> 03:11.994\n局部症状嗓子疼是核心，\n\n03:12.145 --> 03:13.220\n还有这些细节，\n\n03:13.220 --> 03:15.395\n比如说咽部剧剧痛，\n\n03:15.544 --> 03:16.994\n这是最典型的表现。\n\n03:16.994 --> 03:19.945\n疼痛其集中在咽部两侧，\n\n03:20.095 --> 03:21.945\n吞咽时会明显加重，\n\n03:22.044 --> 03:24.095\n甚至会放射到耳后面。\n\n03:25.348 --> 03:25.598\n然后，\n\n03:25.598 --> 03:28.248\n严重时喝水说话都会受影响。\n\n03:28.498 --> 03:29.598\n扁桃体肿大，\n\n03:29.798 --> 03:30.498\n脓肿，\n\n03:30.598 --> 03:32.397\n张开嘴巴照镜子，\n\n03:32.397 --> 03:35.697\n能看到咽喉两侧的扁桃体发红肿胀，\n\n03:35.798 --> 03:40.197\n表面可能会附着一些白色或黄色的小斑点，\n\n03:40.348 --> 03:43.298\n就是脓点或者整片的脓痰。\n\n03:43.498 --> 03:46.548\n这就是细菌感染的一个典型的信号。\n\n03:48.774 --> 03:50.223\n其他的一些症状呢？\n\n03:50.324 --> 03:50.723\n嗯。\n\n03:52.735 --> 03:55.636\n其他的一些症状就是比如说。\n\n03:59.647 --> 04:01.248\n会伴随一个咽干咽痒，\n\n04:01.248 --> 04:02.197\n有异物感，\n\n04:02.298 --> 04:04.697\n可能还会出现一个刺激性的咳嗽。\n\n04:05.048 --> 04:06.223\n部分部分人呢，\n\n04:06.223 --> 04:08.772\n可能会因为扁桃体肿的太厉害了，\n\n04:08.772 --> 04:12.098\n会感觉到呼吸吞咽都有点不畅了。\n\n04:12.348 --> 04:16.398\n像还有一个伴随一个颌下淋巴结的肿大，\n\n04:16.548 --> 04:21.197\n用手摸两侧脖子两侧可能会摸到肿大的小疙瘩，\n\n04:21.247 --> 04:23.097\n按压时可能会有疼痛，\n\n04:23.247 --> 04:25.947\n这是身体对感染的一个免疫的反应。\n\n04:29.816 --> 04:30.015\n嗯，\n\n04:30.665 --> 04:32.566\n他就是全身症状呢。\n\n04:32.566 --> 04:36.091\n扁桃体炎主要通常会表现一个起病急，\n\n04:36.091 --> 04:36.665\n高热，\n\n04:36.765 --> 04:39.216\n最高体温可以达到30°，\n\n04:39.216 --> 04:39.615\n9.40°，\n\n04:39.765 --> 04:40.816\n还有胃寒啊，\n\n04:40.816 --> 04:41.566\n头痛啊，\n\n04:41.665 --> 04:42.890\n食欲减退啊，\n\n04:42.890 --> 04:43.515\n乏力啊，\n\n04:43.515 --> 04:45.216\n还有一个全身的酸痛。\n\n04:45.466 --> 04:51.216\n小孩患者可能会因为出现这个高热而有一个抽搐和呕吐的症状，\n\n04:51.665 --> 04:52.615\n发热呢。\n\n04:53.490 --> 04:54.941\n几乎所有患者都会发烧，\n\n04:54.941 --> 04:55.990\n多为中高热。\n\n04:56.091 --> 04:56.890\n体温呢，\n\n04:56.890 --> 04:57.990\n也刚刚也讲了，\n\n04:57.990 --> 04:59.790\n儿童体温可能会更高，\n\n04:59.890 --> 05:02.091\n甚至出现一个这个高热惊厥。\n\n05:02.591 --> 05:04.740\n所以大家长们一定要特别的注意。\n\n05:04.890 --> 05:05.490\n然后呢，\n\n05:05.490 --> 05:09.441\n还会就是一个全身酸力酸乏力加一个酸痛，\n\n05:09.540 --> 05:10.941\n会感觉到没力气，\n\n05:11.140 --> 05:12.066\n头痛头晕，\n\n05:12.066 --> 05:13.032\n不想吃东西。\n\n05:13.032 --> 05:17.341\n部分人还会出现一个恶心呕恶心呕吐腹痛等症状。\n\n05:17.441 --> 05:19.091\n儿童表现的更为明显。\n\n05:20.410 --> 05:22.934\n这里给大家一个简单的判断标准，\n\n05:22.934 --> 05:26.934\n就是如果出现剧烈咽痛加一个吞咽加重，\n\n05:26.934 --> 05:28.910\n还有发烧加扁桃体有脓肿，\n\n05:29.010 --> 05:32.809\n脓肿基本可以确定是急性扁桃体炎，\n\n05:33.010 --> 05:35.309\n别当成普通的上火来治疗。\n\n05:37.018 --> 05:37.518\n那么，\n\n05:37.518 --> 05:40.618\n为什么我们会得急性扁桃体炎呢？\n\n05:40.667 --> 05:42.917\n首先要找好诱因进行预防。\n\n05:43.368 --> 05:44.993\n急性扁桃体炎的发作呢，\n\n05:44.993 --> 05:48.118\n通常是致病菌的入侵和自身免疫力的下降。\n\n05:48.567 --> 05:49.243\n通常呢，\n\n05:49.243 --> 05:52.243\n细菌就是和病毒是元凶最常见的，\n\n05:52.243 --> 05:53.192\n刚刚我们也讲了，\n\n05:53.192 --> 05:56.092\n是A组贝塔溶血性链球菌，\n\n05:56.092 --> 05:57.518\n就是细菌感染主力菌，\n\n05:57.518 --> 05:59.417\n也是引发并发症的主要原因。\n\n05:59.567 --> 06:01.118\n其次是病毒感染，\n\n06:01.118 --> 06:05.817\n比如说腺病毒、鼻病毒、流感病毒等等常伴随感冒一起发生。\n\n06:06.118 --> 06:07.018\n还有部。\n\n06:07.084 --> 06:09.084\n就是细菌和病毒的混合感染，\n\n06:09.084 --> 06:10.484\n症状会更加严重。\n\n06:11.891 --> 06:12.941\n诱发因素呢，\n\n06:12.941 --> 06:15.066\n还有一些情况就比如说啊，\n\n06:15.066 --> 06:16.141\n免疫力的下降，\n\n06:16.242 --> 06:19.516\n受凉劳累、熬夜过度运动后，\n\n06:19.516 --> 06:20.992\n身体抵抗力减弱，\n\n06:20.992 --> 06:23.391\n扁桃体的预防能力下降，\n\n06:23.541 --> 06:25.441\n病菌就会趁虚而入。\n\n06:25.492 --> 06:26.441\n环境刺激，\n\n06:26.441 --> 06:34.141\n长期在这个干燥的空调房接触粉尘、烟雾、有害气体或者吃太多辛辣过烫的食物，\n\n06:34.242 --> 06:36.191\n饮酒吸烟呀，\n\n06:36.391 --> 06:38.441\n都会刺激到扁桃体的黏膜，\n\n06:38.441 --> 06:39.742\n让它更容易发炎。\n\n06:39.941 --> 06:41.641\n还有就是接触一个感。\n\n06:41.772 --> 06:42.421\n感染的患者。\n\n06:42.471 --> 06:44.747\n急性扁桃体炎具有一定的传染性，\n\n06:44.747 --> 06:47.946\n通过飞沫、共用餐具等传播，\n\n06:47.946 --> 06:51.721\n在学校、幼儿园等人群密集的地方就可以流行。\n\n06:54.356 --> 06:54.557\n嗯，\n\n06:54.557 --> 06:59.481\n那么我们小儿最常见的一个有一个特殊的表现，\n\n06:59.481 --> 07:07.006\n就是小儿在患患者在急性扁桃体炎中通常表现为一个高热引起的抽搐、拒食、呕吐等特殊症状，\n\n07:07.256 --> 07:10.606\n且因为扁扁桃体的肿大可能会导致呼吸困难，\n\n07:10.606 --> 07:12.957\n所以我们需要就是特别的关注。\n\n07:13.973 --> 07:14.873\n诊断方法呢，\n\n07:14.873 --> 07:16.648\n我们可以就是，\n\n07:16.648 --> 07:19.324\n首先就是根据他的病史与症状，\n\n07:19.523 --> 07:23.523\n医生通过询问患者近期是否有受凉等诱因，\n\n07:23.623 --> 07:26.473\n二及出现了一些剧烈疼痛啊，\n\n07:26.473 --> 07:29.674\n吞咽困难等典型症状进行一个初步的判断，\n\n07:29.824 --> 07:32.373\n进行扁桃体的炎炎症的可能性。\n\n07:32.824 --> 07:33.398\n然后呢，\n\n07:33.398 --> 07:35.123\n我们就是要进行一个体格检查，\n\n07:35.373 --> 07:39.924\n检查是就是医生会观察这个扁桃体是否肿大充血，\n\n07:40.123 --> 07:41.723\n可能出现这个啊，\n\n07:41.723 --> 07:42.574\n脓点呀。\n\n07:42.574 --> 07:44.174\n检查这个下颌角淋巴。\n\n07:44.220 --> 07:45.670\n巴结是否肿大和压痛，\n\n07:45.820 --> 07:49.619\n以帮助判断急性扁桃体炎的一个严重程度。\n\n07:51.143 --> 07:52.567\n实验室的检查呢，\n\n07:52.567 --> 07:57.643\n通过就是通常就是通过这个血常规来检测白细胞总数，\n\n07:57.692 --> 08:01.493\n以及中性粒细胞比例的升高，\n\n08:01.643 --> 08:03.542\n以及这个CRP的升高，\n\n08:03.743 --> 08:07.743\n帮助医生进一步确认急性扁桃体的诊断。\n\n08:09.951 --> 08:11.252\n治疗方面的话呢，\n\n08:11.252 --> 08:13.152\n就是我们需要一个科学应对，\n\n08:13.152 --> 08:14.201\n分步骤处理，\n\n08:14.201 --> 08:15.502\n不要盲目的用药。\n\n08:15.652 --> 08:17.627\n遇到急性扁桃体炎的时候呢，\n\n08:17.627 --> 08:19.951\n关键就是及时就医加对症护理，\n\n08:20.101 --> 08:21.302\n然后既不能硬扛，\n\n08:21.302 --> 08:22.277\n也不能乱用药。\n\n08:22.277 --> 08:22.927\n第一步呢，\n\n08:22.927 --> 08:25.177\n就是一般治疗患者呢，\n\n08:25.177 --> 08:26.152\n需要卧床休息，\n\n08:26.152 --> 08:26.851\n多饮水，\n\n08:27.201 --> 08:32.052\n带进一些易消化的营养丰富的半流质的饮食，\n\n08:32.252 --> 08:33.601\n比如说米粥啊，\n\n08:33.601 --> 08:34.702\n面条等等，\n\n08:34.702 --> 08:36.202\n保持一个大便的通畅，\n\n08:36.552 --> 08:37.252\n然后呢，\n\n08:37.351 --> 08:37.726\n嗯，\n\n08:37.726 --> 08:38.927\n要及时的就医，\n\n08:38.927 --> 08:39.802\n明确病因。\n\n08:39.995 --> 08:41.120\n这是最关键的一步，\n\n08:41.120 --> 08:42.195\n出现症状后呢，\n\n08:42.195 --> 08:49.445\n尽快去耳鼻喉或呼吸内科医生会通过查体、血常规等判断是否细菌还是病毒感染。\n\n08:49.495 --> 08:52.020\n如果是细菌感染呢，\n\n08:52.020 --> 08:53.895\n白细胞和中性会升高，\n\n08:53.995 --> 08:56.796\n就必须遵循医嘱使用抗生素，\n\n08:56.895 --> 08:58.245\n常用的就是青霉素，\n\n08:58.245 --> 09:01.145\n头孢类的一定要足量足疗程服用。\n\n09:02.301 --> 09:04.351\n不能症状一好转就停药，\n\n09:04.401 --> 09:06.901\n否则可能导致一个感染复发，\n\n09:06.950 --> 09:08.750\n还可能引发一个耐药性。\n\n09:08.950 --> 09:10.825\n如果是病毒感染的话，\n\n09:10.825 --> 09:13.250\n血常规提示一个淋巴结的升高，\n\n09:13.250 --> 09:15.250\n一般以对症治疗为主，\n\n09:15.250 --> 09:16.750\n一周左右可以治愈，\n\n09:16.801 --> 09:18.500\n无需使用抗生素。\n\n09:18.750 --> 09:19.401\n第二步呢，\n\n09:19.401 --> 09:21.500\n就是家庭护理缓解不适，\n\n09:21.851 --> 09:23.351\n在治疗的时候呢。\n\n09:25.484 --> 09:25.883\n嗯，\n\n09:25.934 --> 09:26.908\n要做好护理，\n\n09:26.908 --> 09:29.234\n能帮助身体更快的康复。\n\n09:30.403 --> 09:31.028\n多喝温水，\n\n09:31.028 --> 09:32.953\n少量多次饮用温水，\n\n09:33.203 --> 09:35.502\n保持喉粘膜湿润，\n\n09:35.552 --> 09:36.502\n缓解咽痛。\n\n09:36.502 --> 09:39.502\n也可以喝一些清淡的流质饮品，\n\n09:39.603 --> 09:42.502\n比如说米汤、菜汤、温凉的牛奶。\n\n09:42.603 --> 09:43.653\n饮食调理，\n\n09:43.653 --> 09:46.453\n吃清淡易消化的流质或半流质食物，\n\n09:46.453 --> 09:48.653\n比如说粥啊、烂面条啊，\n\n09:48.802 --> 09:50.653\n跟蒸蛋羹啊。\n\n09:50.653 --> 09:54.052\n避免一个辛辣过烫、坚硬油炸的食物，\n\n09:54.052 --> 09:56.002\n减少对扁桃体的刺激，\n\n09:56.302 --> 09:57.703\n戒烟戒酒。\n\n09:58.544 --> 10:00.494\n还有就是口腔清洁，\n\n10:00.744 --> 10:05.943\n每天需要就是说用温淡盐水漱口三到四次，\n\n10:06.044 --> 10:07.893\n每次含漱30分钟，\n\n10:07.994 --> 10:09.294\n能帮助一个。\n\n10:10.119 --> 10:10.969\n清洁咽部，\n\n10:11.169 --> 10:12.594\n减轻炎症，\n\n10:12.594 --> 10:14.070\n饭后及时漱口，\n\n10:14.169 --> 10:16.469\n避免一个食物的残渣的残留。\n\n10:17.833 --> 10:20.482\n最重要的就是我们还要一个休息的保暖，\n\n10:20.583 --> 10:22.333\n保证足够的睡眠，\n\n10:22.482 --> 10:23.482\n避免劳累，\n\n10:23.533 --> 10:24.632\n减少说话，\n\n10:24.783 --> 10:27.083\n让喉咽和身体都能休息。\n\n10:27.283 --> 10:28.232\n注意保暖，\n\n10:28.232 --> 10:31.283\n避免再次受凉退热护理的话，\n\n10:31.283 --> 10:33.458\n如果就是体温超过38°五，\n\n10:33.458 --> 10:36.533\n可以在医生的指导下使用一个退烧药，\n\n10:36.632 --> 10:39.732\n比如说布洛芬、对乙酰氨基酚。\n\n10:40.033 --> 10:41.732\n儿童要严照，\n\n10:41.833 --> 10:44.658\n严格按照年龄体重给药，\n\n10:44.658 --> 10:45.458\n避免过度。\n\n10:45.458 --> 10:46.083\n第三呢，\n\n10:46.083 --> 10:47.932\n就是警惕并发症出现。\n\n10:48.012 --> 10:51.012\n现这些情况以及复诊，\n\n10:51.611 --> 10:53.312\n如果治疗不及时呢，\n\n10:53.312 --> 10:57.437\n或不彻底的急性扁桃体炎可能会引发一个严重的并发症，\n\n10:57.437 --> 10:59.687\n一定要警惕局部的并发症呢，\n\n10:59.687 --> 11:00.111\n包括。\n\n11:01.205 --> 11:02.856\n中耳炎啊，\n\n11:03.455 --> 11:04.255\n鼻窦炎，\n\n11:05.406 --> 11:06.255\n扁桃体。\n\n11:07.510 --> 11:09.335\n扁桃体周围脓肿啊，\n\n11:09.335 --> 11:12.585\n会导致单侧的咽痛剧烈伤口困难，\n\n11:12.585 --> 11:13.210\n喉啊，\n\n11:13.210 --> 11:15.810\n喉炎等等全身并发症，\n\n11:16.010 --> 11:17.435\n风热风湿热，\n\n11:17.435 --> 11:19.010\n急性肾小球肾炎，\n\n11:19.010 --> 11:20.111\n心肌炎等等，\n\n11:20.111 --> 11:23.236\n这些可能会并发一个可能影响心脏，\n\n11:23.236 --> 11:25.861\n肾脏功能危害更大。\n\n11:26.161 --> 11:27.560\n如果出现以下情况，\n\n11:27.560 --> 11:30.911\n需要立即复诊或者就医用药三天后呢，\n\n11:30.911 --> 11:32.286\n发热的症状没有缓解，\n\n11:32.286 --> 11:33.060\n甚至加重。\n\n11:35.643 --> 11:37.742\n出现一个张口困难，\n\n11:37.742 --> 11:38.492\n呼吸困难，\n\n11:38.492 --> 11:39.343\n吞咽困难，\n\n11:39.543 --> 11:40.593\n耳朵疼痛，\n\n11:40.843 --> 11:41.518\n流脓，\n\n11:41.518 --> 11:44.192\n或出现一个关节痛、胸闷、血尿等症状。\n\n11:44.992 --> 11:45.393\n嗯，\n\n11:45.492 --> 11:46.567\n特殊人群的话，\n\n11:46.567 --> 11:47.593\n儿童和成人的话，\n\n11:47.593 --> 11:49.093\n差异是比较大的。\n\n11:49.192 --> 11:49.617\n然后，\n\n11:49.617 --> 11:51.218\n我们儿童急性扁桃体炎呢，\n\n11:51.218 --> 11:52.643\n它会更重更急，\n\n11:52.843 --> 11:53.843\n出现，\n\n11:53.843 --> 11:54.718\n高热惊厥。\n\n11:54.718 --> 11:56.918\n家长所以要密切监测体温，\n\n11:56.918 --> 11:58.093\n发热时啊，\n\n11:58.093 --> 11:59.692\n及时物理降温和用药。\n\n11:59.742 --> 12:02.317\n孩子可能因为咽痛拒绝饮食，\n\n12:02.317 --> 12:03.643\n喝水要啊，\n\n12:03.643 --> 12:04.992\n耐心引导。\n\n12:05.317 --> 12:07.416\n提供这个温凉易吞食的食物，\n\n12:07.416 --> 12:09.841\n保证一个水分的摄入，\n\n12:09.841 --> 12:10.892\n遵医嘱用药，\n\n12:10.892 --> 12:13.642\n尤其是抗生素要严格按照剂量服用，\n\n12:13.642 --> 12:15.817\n不用擅自增减。\n\n12:16.017 --> 12:20.567\n如果孩子反复发生这个扁桃体炎或出现这个睡眠打鼾暂停，\n\n12:20.567 --> 12:24.791\n建议就是一定要咨询医生是不是有手术啊。\n\n12:24.791 --> 12:28.692\n然后就是对于一些结急性扁桃体炎反复发作，\n\n12:28.692 --> 12:31.517\n或已成为其他脏器病变的啊，\n\n12:31.517 --> 12:34.716\n或者伴有扁桃体过过度肥大。\n\n12:35.244 --> 12:37.544\n防咽妨碍吞咽呼吸等情况，\n\n12:37.544 --> 12:41.544\n可能在这个急性扁桃炎消退后两到三周啊，\n\n12:41.693 --> 12:43.544\n进行一个扁桃体切除术。\n\n12:43.994 --> 12:44.468\n那么，\n\n12:44.468 --> 12:45.343\n预防的话呢，\n\n12:45.343 --> 12:47.143\n我们就是要加强锻炼，\n\n12:47.143 --> 12:48.044\n增强体质。\n\n12:48.971 --> 12:51.471\n提高一个免疫机体能力。\n\n12:53.846 --> 12:55.346\n成人急性扁桃体炎呢，\n\n12:55.346 --> 12:57.671\n就是免疫力相对较强，\n\n12:57.671 --> 13:01.546\n但长期吸烟、饮酒、用嗓过度的人群容易复发。\n\n13:04.247 --> 13:07.796\n治疗期间要避免熬夜、过度劳累啊，\n\n13:07.796 --> 13:09.771\n暂停吸烟饮酒，\n\n13:09.771 --> 13:10.947\n减少用嗓，\n\n13:11.096 --> 13:14.171\n避免加重咽喉的负担啊。\n\n13:14.171 --> 13:15.872\n若伴随胃食管反流，\n\n13:15.872 --> 13:17.572\n需要同时治疗反流的问题，\n\n13:17.572 --> 13:20.146\n否则扁桃体炎可能会反复发作。\n\n13:21.239 --> 13:21.640\n嗯，\n\n13:21.640 --> 13:23.690\n预防的话就是治疗，\n\n13:23.690 --> 13:25.940\n就是说比预防更重要，\n\n13:26.039 --> 13:27.465\n预防比治疗更重要。\n\n13:27.465 --> 13:28.190\n做好这几点，\n\n13:28.190 --> 13:31.440\n能大概减低一些发病的概率。\n\n13:31.489 --> 13:33.039\n首先就是增强免疫，\n\n13:33.090 --> 13:34.340\n然后规律作息，\n\n13:35.039 --> 13:36.239\n然后避免熬夜。\n\n13:36.489 --> 13:36.864\n嗯，\n\n13:36.864 --> 13:38.265\n坚持适度的运动，\n\n13:38.265 --> 13:39.440\n比如说散步啊，\n\n13:39.539 --> 13:40.414\n慢跑啊，\n\n13:40.414 --> 13:41.190\n游泳啊，\n\n13:41.289 --> 13:42.289\n均衡饮食，\n\n13:42.489 --> 13:43.765\n多吃蔬菜水果，\n\n13:43.765 --> 13:44.739\n补充维生素，\n\n13:44.890 --> 13:46.690\n少吃辛辣刺激的食物。\n\n13:46.840 --> 13:47.465\n第二呢，\n\n13:47.465 --> 13:49.190\n就是要保护咽喉，\n\n13:49.489 --> 13:51.190\n避免长时间的大声。\n\n13:51.247 --> 13:55.547\n说话喊叫用嗓过度及及时休息。\n\n13:56.666 --> 13:57.317\n多饮水，\n\n13:57.567 --> 14:00.317\n保持这个湿润喉部的湿润，\n\n14:00.367 --> 14:03.517\n避免接触粉尘、烟雾、有害气体。\n\n14:03.567 --> 14:06.666\n在空调房内加强使用加湿器，\n\n14:06.716 --> 14:09.867\n保持空气湿度在50%.60%。\n\n14:10.067 --> 14:10.692\n第三呢，\n\n14:10.692 --> 14:11.916\n就注意个人卫生，\n\n14:12.067 --> 14:12.841\n勤洗手，\n\n14:12.841 --> 14:14.517\n避免用手触摸口鼻。\n\n14:14.716 --> 14:19.166\n流感感冒高发期尽量减少去人群密集的公共场所，\n\n14:19.466 --> 14:21.367\n必要时佩戴口罩，\n\n14:21.466 --> 14:24.492\n不与他人共用餐具、水杯，\n\n14:24.492 --> 14:25.817\n防止交叉感染，\n\n14:26.067 --> 14:26.867\n及时呢。\n\n14:26.966 --> 14:28.565\n治疗基础病，\n\n14:28.616 --> 14:32.015\n如有慢性鼻炎、鼻窦炎、胃食管反流等问题，\n\n14:32.065 --> 14:33.416\n需要及时的治疗。\n\n14:33.565 --> 14:38.265\n然后避免分泌物或胃酸刺激扁桃体炎引发炎症。\n\n14:38.515 --> 14:40.265\n然后要定期体检，\n\n14:40.565 --> 14:42.716\n每年要进行一次体检，\n\n14:42.866 --> 14:44.866\n关注这个咽喉部的健康。\n\n14:45.166 --> 14:49.466\n如果就是发现一个扁桃体的这个反复的炎症，\n\n14:49.616 --> 14:50.966\n嗯的发作，\n\n14:51.065 --> 14:53.216\n或者就是扁桃体有异常，\n\n14:53.416 --> 14:54.091\n需要啊，\n\n14:54.091 --> 14:55.916\n立刻要咨询医生。\n\n14:57.111 --> 14:58.637\n那么我们总结一下呢，\n\n14:58.637 --> 15:00.111\n就是记住这三句话。\n\n15:01.768 --> 15:03.443\n应对不慌啊，\n\n15:03.443 --> 15:04.893\n首先就是急性扁桃体炎，\n\n15:04.893 --> 15:07.693\n就是咽痛剧烈加吞咽加重，\n\n15:07.693 --> 15:09.143\n加发烧加脓肿，\n\n15:09.143 --> 15:10.369\n这是典型的信号。\n\n15:10.619 --> 15:11.218\n第二呢，\n\n15:11.218 --> 15:16.468\n就是应对关键就先就辨别细菌还是病毒啊，\n\n15:16.468 --> 15:17.568\n要遵循医嘱。\n\n15:18.710 --> 15:19.109\n然后，\n\n15:19.109 --> 15:19.609\n第三呢，\n\n15:19.609 --> 15:21.460\n就是护理预防要多喝水，\n\n15:21.460 --> 15:22.335\n也要多漱口，\n\n15:22.335 --> 15:23.260\n清淡饮食，\n\n15:23.409 --> 15:24.284\n增强免疫，\n\n15:24.284 --> 15:25.210\n远离刺激。\n\n15:25.510 --> 15:26.659\n我的讲解完了，\n\n15:26.659 --> 15:27.409\n谢谢各位，\n\n15:27.409 --> 15:28.309\n感谢聆听。\n\n","v0d47cg10004d625esiljhtekd3e7mkg",929,753,"2026-01-26 10:50:47","急性扁桃体炎症状、原因及治疗方法 - 专业指南  ","急性扁桃体炎,扁桃体发炎症状,扁桃体炎治疗,喉咙痛原因,抗生素治疗扁桃体炎  ","急性扁桃体炎是一种常见的咽喉感染，表现为喉咙痛、发热和吞咽困难。本文详细介绍其病因、典型症状、家庭护理及医疗治疗方案，帮助您快速缓解不适并预防并发症。","2026-04-19 21:00:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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