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慢性阻塞性肺疾病、支气管哮喘、支气管扩张等呼吸系统常见病的规范诊断与治疗 肺癌的规范诊断与综合治疗；肺癌的规范诊断与综合治疗","上海市东方医院","呼吸内科","主治医师",9,"急性鼻炎全解析:从症状到康复","","https://cdn.yishi-tong.com/console/3/oUm9g48zFUhqwUReirGUnRlgaOCWQC1S.png",1,"WEBVTT\n\n00:02.549 --> 00:02.875\n各位，\n\n00:02.875 --> 00:03.950\n大家晚上好，\n\n00:04.150 --> 00:07.800\n今天给大家进行介绍一个临床讲座。\n\n00:08.149 --> 00:11.399\n讲座的内容是急性鼻炎全解析，\n\n00:11.850 --> 00:13.750\n从症状到康复。\n\n00:16.899 --> 00:19.149\n今天给大家介绍的内容呢，\n\n00:19.299 --> 00:20.750\n分为五个方面。\n\n00:21.399 --> 00:22.575\n第一个部分呢，\n\n00:22.575 --> 00:27.149\n是介绍大家认识一下急性鼻炎这个临床疾病。\n\n00:27.750 --> 00:28.875\n第二个内容呢，\n\n00:28.875 --> 00:32.750\n是介绍一下急性鼻炎的典型症状和鉴别诊断。\n\n00:33.450 --> 00:35.200\n第三个介绍的内容呢，\n\n00:35.200 --> 00:38.349\n是急性鼻炎患者的居家护理要点。\n\n00:39.099 --> 00:40.849\n第四个介绍的内容呢，\n\n00:40.849 --> 00:43.799\n是急性鼻炎急性合理的用药指南。\n\n00:44.500 --> 00:46.099\n第五个介绍的内容呢，\n\n00:46.099 --> 00:48.750\n是急性鼻炎的预防与就医信号。\n\n00:50.680 --> 00:54.530\n接下来介绍一下急性鼻炎这个临床疾病。\n\n00:56.851 --> 00:58.601\n什么是急性鼻炎呢？\n\n00:58.851 --> 01:00.201\n急性鼻炎呢，\n\n01:00.351 --> 01:03.901\n它是鼻粘膜的急性的感染性的炎症。\n\n01:04.450 --> 01:05.325\n通常呢，\n\n01:05.325 --> 01:07.551\n是由病毒感染所引起，\n\n01:08.250 --> 01:12.600\n常见的病毒比如说是鼻病毒、冠状病毒等。\n\n01:13.301 --> 01:15.200\n急性鼻炎这个疾病啊，\n\n01:15.401 --> 01:17.500\n首先是发病急骤，\n\n01:18.100 --> 01:22.100\n常常在受凉疲劳或季节交替以后呢，\n\n01:22.200 --> 01:24.051\n患者突然出现症状，\n\n01:25.350 --> 01:26.500\n急性鼻炎的。\n\n01:26.524 --> 01:28.124\n的主要病因是什么呢？\n\n01:28.124 --> 01:30.223\n最主要的是病毒感染。\n\n01:31.683 --> 01:32.359\n急性鼻炎呢，\n\n01:32.359 --> 01:36.634\n也可以合并细菌感染、受凉、疲劳。\n\n01:36.884 --> 01:39.884\n在人群密集的环境接触呢，\n\n01:39.933 --> 01:41.583\n是最常见的诱因。\n\n01:42.283 --> 01:42.908\n所以，\n\n01:42.908 --> 01:46.984\n对于老年儿童和免疫力低下的人呢，\n\n01:47.283 --> 01:49.433\n更容易得急性鼻炎这个病。\n\n01:51.093 --> 01:57.292\n急性鼻炎的高发人群是儿童、老年人和免疫力低下的患者。\n\n01:58.741 --> 02:01.442\n小朋友鼻腔粘膜比较娇嫩，\n\n02:01.942 --> 02:04.092\n容易得急性鼻炎。\n\n02:04.391 --> 02:05.491\n而老年人呢，\n\n02:05.491 --> 02:07.342\n是因为免疫功能下降，\n\n02:07.842 --> 02:11.542\n抵抗力弱而有有慢性疾病，\n\n02:11.542 --> 02:13.591\n比如说糖尿病啊，\n\n02:13.591 --> 02:16.742\n恶性肿瘤患者这些免疫力低下的人群，\n\n02:17.292 --> 02:20.091\n如果长期服用免疫抑制剂的患者呢，\n\n02:20.091 --> 02:21.292\n也容易感染。\n\n02:22.302 --> 02:24.651\n根据流行病学调查的显示，\n\n02:25.302 --> 02:26.427\n急性鼻炎呢，\n\n02:26.427 --> 02:28.651\n是人类最常见的一个疾病，\n\n02:29.102 --> 02:31.552\n在全球各国都会发病。\n\n02:32.451 --> 02:32.852\n嗯，\n\n02:33.102 --> 02:36.076\n成人通常每年感染急性鼻炎呢，\n\n02:36.076 --> 02:37.102\n要2.5次。\n\n02:37.878 --> 02:38.628\n儿童呢，\n\n02:38.628 --> 02:39.977\n因为抵抗力比较弱，\n\n02:40.378 --> 02:40.753\n嗯，\n\n02:40.753 --> 02:42.578\n根据流行病学调查呢，\n\n02:42.578 --> 02:46.128\n每年急性鼻炎发病要6.10次，\n\n02:46.727 --> 02:49.527\n学龄儿童平均高达每年12次。\n\n02:50.858 --> 02:51.958\n老年人呢，\n\n02:52.158 --> 02:54.608\n发病率也是有所上升的。\n\n02:57.658 --> 02:59.333\n急性鼻炎的病程呢，\n\n02:59.333 --> 03:00.708\n分为三个阶段。\n\n03:01.559 --> 03:02.384\n第一个呢，\n\n03:02.384 --> 03:03.309\n是潜伏期，\n\n03:03.858 --> 03:04.684\n第二个呢，\n\n03:04.684 --> 03:05.509\n是发作期，\n\n03:05.608 --> 03:06.608\n第三个呢，\n\n03:06.608 --> 03:07.509\n是恢复期。\n\n03:08.690 --> 03:10.639\n潜伏期的表现是什么呢？\n\n03:11.451 --> 03:13.102\n急性鼻炎的潜伏期呢，\n\n03:13.151 --> 03:15.602\n一般大概是一到三天。\n\n03:16.451 --> 03:17.251\n患者呢，\n\n03:17.251 --> 03:20.151\n可能感觉到咽干胃寒。\n\n03:20.401 --> 03:21.477\n这个时候呢，\n\n03:21.477 --> 03:24.052\n他没有明显的鼻塞流涕的症状。\n\n03:25.158 --> 03:26.658\n但是大家要警惕，\n\n03:27.207 --> 03:28.932\n在潜伏期的时候啊，\n\n03:28.932 --> 03:31.608\n病毒已经在患者的鼻腔内繁殖，\n\n03:32.057 --> 03:33.408\n但是这个时候呢，\n\n03:33.408 --> 03:36.158\n还没有引起显著的鼻部的炎症。\n\n03:37.658 --> 03:38.858\n第二个阶段呢，\n\n03:38.858 --> 03:39.757\n是发作期，\n\n03:40.257 --> 03:46.007\n患者出现明显的鼻塞、流鼻涕、喷嚏、嗅觉减退的症状，\n\n03:46.557 --> 03:49.158\n鼻涕像清水一样非常非常多，\n\n03:50.257 --> 03:51.108\n持续呢，\n\n03:51.108 --> 03:52.257\n要3.5天。\n\n03:53.899 --> 03:54.649\n然后呢，\n\n03:54.649 --> 03:58.300\n分泌物就是鼻涕逐渐就变粘稠了。\n\n03:59.300 --> 04:01.000\n接下来第三个阶段呢，\n\n04:01.000 --> 04:01.899\n是恢复期。\n\n04:02.399 --> 04:03.375\n恢复期呢，\n\n04:03.375 --> 04:04.649\n患者症状减轻，\n\n04:05.199 --> 04:10.250\n鼻涕由清水鼻涕转为粘稠的鼻涕。\n\n04:10.350 --> 04:11.399\n鼻塞啊，\n\n04:11.800 --> 04:13.449\n嗅觉减退的症状呢，\n\n04:13.449 --> 04:15.899\n也是逐渐缓缓解的。\n\n04:16.649 --> 04:17.924\n总的时间呢，\n\n04:17.924 --> 04:19.299\n大概要7到十天，\n\n04:19.350 --> 04:22.200\n患者就症状就明显的减轻了。\n\n04:26.750 --> 04:27.350\n第二个呢，\n\n04:27.950 --> 04:33.250\n介绍一下急性鼻炎的典型症状和鉴别。\n\n04:33.250 --> 04:34.375\n急性鼻炎呢，\n\n04:34.375 --> 04:36.100\n有四个主要的症状，\n\n04:36.649 --> 04:40.149\n鼻塞、流鼻涕、喷嚏和嗅觉下降。\n\n04:41.026 --> 04:43.200\n急性鼻炎的患者的鼻塞呢，\n\n04:43.200 --> 04:45.575\n是交替性、持续性。\n\n04:47.369 --> 04:48.470\n患者的鼻塞呢，\n\n04:48.869 --> 04:49.769\n白天轻，\n\n04:49.769 --> 04:50.869\n夜间明显，\n\n04:51.220 --> 04:51.945\n所以呢，\n\n04:51.945 --> 04:54.619\n严重影响患者的睡眠和呼吸。\n\n04:55.820 --> 04:57.545\n患者的鼻腔黏膜呢，\n\n04:57.545 --> 04:58.470\n充血肿胀，\n\n04:58.769 --> 05:00.170\n鼻腔通气不畅，\n\n05:00.470 --> 05:01.820\n非常非常难受。\n\n05:02.799 --> 05:06.850\n急性鼻炎最严重的症状就是流鼻涕。\n\n05:07.850 --> 05:09.524\n在急性期的时候呢，\n\n05:09.524 --> 05:13.350\n患者流鼻涕是清水样反反复复。\n\n05:14.200 --> 05:15.100\n后期呢，\n\n05:15.100 --> 05:17.149\n可以转为粘液脓性的鼻涕。\n\n05:18.350 --> 05:19.350\n流鼻涕呢，\n\n05:19.350 --> 05:21.850\n是鼻粘膜分泌物增多的表现。\n\n05:23.287 --> 05:25.838\n鼻涕增多导致鼻腔堵塞感，\n\n05:27.588 --> 05:29.613\n急性鼻炎还有个症状呢，\n\n05:29.613 --> 05:34.238\n就是喷嚏患者出现连续性的打喷嚏的表现，\n\n05:34.787 --> 05:35.662\n同时呢，\n\n05:35.662 --> 05:38.338\n会觉得眼痒鼻痒。\n\n05:38.888 --> 05:39.537\n这个呢，\n\n05:39.537 --> 05:43.287\n是由于鼻粘膜受到刺激以后的反射性的反应。\n\n05:44.231 --> 05:47.006\n急性鼻炎第四个主要的症状呢，\n\n05:47.006 --> 05:48.481\n就是个嗅觉下降。\n\n05:49.694 --> 05:51.569\n嗅觉下降的原因呢，\n\n05:51.569 --> 05:56.144\n是因为鼻粘膜的肿胀阻塞了气味分子的通路。\n\n05:57.014 --> 05:58.313\n因为嗅觉下降，\n\n05:58.463 --> 06:00.914\n患者就觉得食物无味，\n\n06:01.114 --> 06:01.813\n这个呢，\n\n06:01.813 --> 06:04.563\n会明显影响患者的生活质量。\n\n06:06.786 --> 06:07.136\n嗯，\n\n06:07.136 --> 06:09.937\n介绍一下急性鼻炎的鉴别诊断。\n\n06:10.736 --> 06:12.036\n急性鼻炎呢，\n\n06:12.036 --> 06:13.937\n鼻部症状是最重的，\n\n06:14.587 --> 06:16.687\n鼻涕像清水一样，\n\n06:16.687 --> 06:17.886\n然后转为呢，\n\n06:17.886 --> 06:19.036\n粘稠性的鼻涕，\n\n06:19.536 --> 06:20.486\n打喷嚏。\n\n06:21.179 --> 06:21.929\n鼻腔堵塞。\n\n06:23.069 --> 06:24.019\n全身症状呢，\n\n06:24.019 --> 06:26.444\n是比较轻的病程呢，\n\n06:26.444 --> 06:28.694\n可以自限症状呢，\n\n06:28.694 --> 06:31.718\n一般性在7到十天内会缓解。\n\n06:33.019 --> 06:34.669\n而普通感冒呢，\n\n06:34.868 --> 06:37.169\n大家都知道患者呢，\n\n06:37.218 --> 06:38.819\n咽痛低热，\n\n06:39.019 --> 06:40.118\n全身酸痛，\n\n06:40.468 --> 06:41.669\n鼻部症状呢，\n\n06:41.669 --> 06:43.069\n相对来说比较轻。\n\n06:43.769 --> 06:45.519\n普通感冒的病程呢，\n\n06:45.519 --> 06:46.743\n一般来说呢，\n\n06:46.743 --> 06:50.319\n是一周左右症状会逐渐减轻。\n\n06:52.390 --> 06:53.940\n过敏性鼻炎呢，\n\n06:54.839 --> 06:55.614\n患者呢，\n\n06:55.614 --> 06:56.690\n是突发性的，\n\n06:56.690 --> 06:58.089\n阵发性的喷嚏，\n\n06:58.640 --> 07:01.690\n大量的清水的鼻涕，\n\n07:01.690 --> 07:02.290\n眼痒。\n\n07:03.183 --> 07:03.933\n没有发热。\n\n07:04.769 --> 07:05.269\n患者呢，\n\n07:05.269 --> 07:06.769\n常常会告知医生，\n\n07:07.118 --> 07:07.493\n嗯，\n\n07:07.493 --> 07:08.769\n接触了花粉啊，\n\n07:08.769 --> 07:10.669\n尘螨以后会迅速出现。\n\n07:12.437 --> 07:13.338\n还有呢，\n\n07:13.437 --> 07:14.838\n就是要介绍一下，\n\n07:14.838 --> 07:17.838\n就是流行性感冒，\n\n07:17.838 --> 07:18.738\n就是流感。\n\n07:19.187 --> 07:23.888\n它是由流感病毒引起的一种急性的呼吸道传染病，\n\n07:24.187 --> 07:25.787\n传染性非常强。\n\n07:26.537 --> 07:27.238\n患者呢，\n\n07:27.238 --> 07:29.638\n也是有鼻塞、流涕、喷嚏的症状，\n\n07:30.037 --> 07:30.888\n但是呢，\n\n07:30.888 --> 07:33.138\n患者会极其的高热，\n\n07:33.638 --> 07:34.988\n显著的乏力。\n\n07:37.126 --> 07:42.126\n如果有流行性感冒的相对的接触史呢，\n\n07:42.126 --> 07:45.876\n更容易引起医生和患者本人的警惕。\n\n07:46.776 --> 07:50.276\n如果查到流感的核酸检测阳性呢，\n\n07:50.276 --> 07:51.376\n可以确诊的。\n\n07:56.369 --> 07:58.369\n今天讲座的第三个内容呢，\n\n07:58.470 --> 08:02.420\n是介绍一下急性鼻炎的居家护理要点。\n\n08:03.369 --> 08:05.070\n急性鼻炎的患者呢，\n\n08:05.070 --> 08:08.769\n反复的流鼻涕、鼻塞、打喷嚏，\n\n08:09.519 --> 08:13.070\n给患者的生活和工作造成了很大的困扰。\n\n08:13.320 --> 08:15.670\n居家护理需要注意些什么呢？\n\n08:16.320 --> 08:17.195\n首先呢，\n\n08:17.195 --> 08:18.470\n建议患者呢，\n\n08:18.470 --> 08:20.869\n要要注重鼻腔的清洁，\n\n08:21.619 --> 08:26.369\n推荐应用0.9%的生理盐水喷雾或者呢。\n\n08:26.648 --> 08:28.497\n温盐水进行鼻腔的冲洗，\n\n08:29.097 --> 08:30.898\n每天2.3次。\n\n08:32.236 --> 08:33.211\n这个治疗呢，\n\n08:33.211 --> 08:36.637\n可以清除患者鼻腔内的病毒和分泌物，\n\n08:37.036 --> 08:39.486\n明显的减轻鼻腔的炎症。\n\n08:40.437 --> 08:41.137\n第二呢，\n\n08:41.137 --> 08:42.836\n急性鼻炎的患者呢，\n\n08:43.036 --> 08:45.836\n对湿度的要求是非常高的。\n\n08:46.336 --> 08:47.961\n室内干燥的话呢，\n\n08:47.961 --> 08:49.937\n患者会反复的打喷嚏，\n\n08:50.986 --> 08:53.336\n鼻腔流涕非常难受。\n\n08:53.736 --> 08:56.312\n所以建议室内的湿度呢，\n\n08:56.312 --> 08:58.986\n保持在50%.60%，\n\n08:59.437 --> 09:01.336\n过度干燥非常难受。\n\n09:01.937 --> 09:02.736\n还有呢，\n\n09:02.786 --> 09:05.036\n室内的温度也要注意一下，\n\n09:05.387 --> 09:06.187\n温度呢，\n\n09:06.187 --> 09:08.812\n在18°C到22°C呢。\n\n09:08.812 --> 09:10.637\n对患者来说是比较舒适，\n\n09:11.387 --> 09:13.086\n过热或过冷。\n\n09:14.341 --> 09:16.091\n对患者都会造成困扰，\n\n09:17.242 --> 09:17.591\n嗯，\n\n09:17.591 --> 09:21.142\n但是还要强调一点建议患者呢，\n\n09:21.192 --> 09:22.966\n如果用空调的话呢，\n\n09:22.966 --> 09:24.392\n要避免空调直吹，\n\n09:24.942 --> 09:27.492\n空调的冷风直接接触患者，\n\n09:27.742 --> 09:30.091\n会导致患者的喷嚏会加重。\n\n09:31.244 --> 09:34.794\n干燥的环境加重鼻腔粘膜的干燥和不适，\n\n09:34.994 --> 09:38.744\n所以室内的温度和湿度要进行管理。\n\n09:40.531 --> 09:41.931\n第三个方面呢，\n\n09:42.731 --> 09:48.181\n急性鼻炎的患者会导致鼻腔的不适和咽部的不适。\n\n09:48.531 --> 09:49.306\n建议呢，\n\n09:49.306 --> 09:51.031\n适量的多喝温水，\n\n09:52.181 --> 09:55.681\n摄入含有维生素C丰富的水果，\n\n09:55.931 --> 09:57.281\n猕猴桃之类。\n\n09:57.830 --> 09:58.580\n还有呢，\n\n09:58.580 --> 10:00.880\n就是患者应该注重休息，\n\n10:01.281 --> 10:03.130\n保证8小时的睡眠，\n\n10:03.181 --> 10:04.181\n避免熬夜。\n\n10:04.531 --> 10:05.281\n这样呢，\n\n10:05.281 --> 10:07.830\n也助于患者提高免疫力，\n\n10:07.880 --> 10:09.031\n促进康复。\n\n10:11.703 --> 10:12.754\n饮食方面呢，\n\n10:13.054 --> 10:13.953\n饮食饮。\n\n10:15.017 --> 10:15.392\n建议呢，\n\n10:15.392 --> 10:16.567\n是清淡饮食，\n\n10:16.617 --> 10:17.767\n消化饮食，\n\n10:18.317 --> 10:22.767\n对于辛辣食物是禁止食用的。\n\n10:23.267 --> 10:25.017\n应该戒烟戒酒。\n\n10:25.908 --> 10:27.484\n过热过冷的食物呢，\n\n10:27.484 --> 10:28.809\n也是不提倡的，\n\n10:29.059 --> 10:30.458\n因为这些食物呢，\n\n10:30.458 --> 10:32.158\n会刺激鼻腔粘膜，\n\n10:32.359 --> 10:35.008\n加重鼻塞流涕的症状。\n\n10:36.236 --> 10:38.387\n建议保持规律的作息，\n\n10:39.236 --> 10:41.736\n如果午休20分钟的话呢，\n\n10:41.786 --> 10:43.637\n可以提升患者的免疫力。\n\n10:44.437 --> 10:45.586\n大家都知道，\n\n10:45.836 --> 10:48.711\n充足的睡眠有利于我们的身体恢复，\n\n10:48.711 --> 10:49.836\n减轻疲劳。\n\n10:51.588 --> 10:53.388\n急性鼻炎的患者呢，\n\n10:53.638 --> 10:55.338\n症状明显的时候呢，\n\n10:55.489 --> 10:56.814\n应该不行。\n\n10:56.814 --> 10:59.638\n剧烈的体育运动建议呢，\n\n10:59.789 --> 11:00.914\n室内拉伸啊，\n\n11:00.914 --> 11:01.664\n散步啊，\n\n11:01.664 --> 11:03.039\n做做瑜伽都可以。\n\n11:03.638 --> 11:04.664\n恢复期呢，\n\n11:04.664 --> 11:06.588\n可以逐步增加有氧活动，\n\n11:06.789 --> 11:07.489\n这样呢，\n\n11:07.489 --> 11:10.189\n可以激活鼻粘膜的纤毛功能。\n\n11:13.418 --> 11:15.067\n今天讲座的第四个内容呢，\n\n11:15.067 --> 11:16.817\n是合理用药的指南。\n\n11:18.218 --> 11:19.867\n急性鼻炎的患者呢，\n\n11:19.867 --> 11:20.817\n鼻塞明显。\n\n11:21.168 --> 11:22.317\n这个时候呢，\n\n11:22.317 --> 11:26.567\n可以选含着去充血剂的鼻喷剂。\n\n11:27.684 --> 11:28.484\n连续使用呢，\n\n11:28.484 --> 11:29.434\n不超过三天。\n\n11:31.034 --> 11:32.034\n这个药物呢，\n\n11:32.034 --> 11:34.784\n可以缓解鼻腔通气不畅的症状。\n\n11:35.755 --> 11:36.330\n患者，\n\n11:36.330 --> 11:38.505\n反复的流鼻涕打喷嚏，\n\n11:38.905 --> 11:39.830\n这时候呢，\n\n11:39.830 --> 11:41.854\n可以口服第二代抗组胺药，\n\n11:42.005 --> 11:44.104\n比如说氯雷他定之类的，\n\n11:44.104 --> 11:46.955\n可以减轻流涕和喷嚏的症状，\n\n11:47.755 --> 11:48.155\n嗯，\n\n11:48.205 --> 11:51.005\n但需注意药物说明书中的禁忌症。\n\n11:52.260 --> 11:55.060\n如果患者有头痛发热的时候呢，\n\n11:55.111 --> 11:57.960\n可以应用口服对乙酰氨基酚。\n\n11:59.111 --> 11:59.460\n嗯，\n\n11:59.460 --> 12:03.161\n但是如果体温低于38.5°C的时候呢，\n\n12:03.361 --> 12:05.111\n先建议物理降温，\n\n12:05.361 --> 12:06.911\n如降温贴之类，\n\n12:07.260 --> 12:07.935\n这样呢，\n\n12:07.935 --> 12:09.361\n可以避免过度用药。\n\n12:10.460 --> 12:12.611\n刚才我也提提到了，\n\n12:12.710 --> 12:16.411\n急性鼻炎大多都是由于病毒感染所致，\n\n12:16.810 --> 12:17.585\n所以呢，\n\n12:17.585 --> 12:19.861\n如果没有细菌感染的依据呢，\n\n12:19.911 --> 12:22.060\n不主张口服抗生素。\n\n12:22.802 --> 12:30.153\n除非浓鼻涕持续超过十天或者伴高热有细菌感染的依据的时候呢，\n\n12:30.252 --> 12:31.802\n建议应用抗生素。\n\n12:36.369 --> 12:37.570\n刚才也提到了，\n\n12:38.219 --> 12:40.119\n急性鼻炎鼻塞的时候呢，\n\n12:40.119 --> 12:41.869\n我们会使用鼻喷剂。\n\n12:42.270 --> 12:43.119\n但是呢，\n\n12:43.119 --> 12:45.119\n鼻喷剂如果长期使用呢，\n\n12:45.119 --> 12:47.369\n会导致反弹性的鼻塞，\n\n12:47.669 --> 12:50.270\n会加重鼻腔粘膜的充血和肿胀。\n\n12:50.919 --> 12:51.445\n所以，\n\n12:51.445 --> 12:52.645\n一般性鼻喷剂呢，\n\n12:52.645 --> 12:54.520\n一般性使用不超过3天。\n\n12:56.120 --> 12:56.370\n嗯，\n\n12:56.370 --> 13:00.971\n有些患者会应用多种的复方的感冒药，\n\n13:01.570 --> 13:02.320\n这样呢，\n\n13:02.320 --> 13:05.471\n会造成对乙酰氨基酚超量伤肝。\n\n13:05.921 --> 13:06.770\n所以呢，\n\n13:06.820 --> 13:09.820\n避免多种复方感冒药的同时服用。\n\n13:10.963 --> 13:12.362\n刚才也提到了，\n\n13:12.513 --> 13:15.963\n急性鼻炎大多数是由病毒感染所致，\n\n13:16.312 --> 13:17.138\n所以呢，\n\n13:17.138 --> 13:18.812\n不应该滥用抗生素。\n\n13:26.875 --> 13:30.424\n急性鼻炎预防和就医的信号是什么呢？\n\n13:30.674 --> 13:31.375\n首先，\n\n13:31.775 --> 13:36.325\n刚才我也提到了急性鼻炎是一个常见病多发病，\n\n13:36.724 --> 13:38.825\n所以我们平时的时候呢，\n\n13:38.924 --> 13:40.875\n应该勤洗手，\n\n13:41.125 --> 13:42.375\n不共用毛巾。\n\n13:42.924 --> 13:44.575\n如果出门的时候呢，\n\n13:44.575 --> 13:45.900\n如果雾霾天啊，\n\n13:45.900 --> 13:46.924\n流感季啊，\n\n13:46.924 --> 13:48.275\n应该戴上口罩，\n\n13:49.075 --> 13:50.974\n保持居室通风，\n\n13:51.375 --> 13:52.275\n每周呢，\n\n13:52.275 --> 13:53.275\n晒晒被褥。\n\n13:54.856 --> 13:55.456\n这个呢，\n\n13:55.456 --> 13:57.807\n可以有效的减少病毒的传播。\n\n13:59.012 --> 13:59.762\n还有呢，\n\n13:59.911 --> 14:01.937\n适度的冷水洗脸呢，\n\n14:01.937 --> 14:04.161\n可以提高鼻粘膜的耐寒力，\n\n14:04.611 --> 14:06.812\n适量的喝一些温水呢。\n\n14:09.101 --> 14:11.851\n对于鼻腔粘膜是有好处的，\n\n14:12.500 --> 14:16.051\n平时建议摄入富含维生素C的食物，\n\n14:16.250 --> 14:17.950\n比如说猕猴桃之类。\n\n14:18.200 --> 14:18.875\n这样呢，\n\n14:18.875 --> 14:20.750\n有助于增强我们的抵抗力。\n\n14:22.500 --> 14:25.500\n流感季节到来之前呢，\n\n14:25.500 --> 14:29.051\n我们建议高危人群要接种流感疫苗。\n\n14:31.192 --> 14:32.793\n肺炎球菌疫苗呢，\n\n14:33.043 --> 14:36.192\n可以降低细菌感染的风险，\n\n14:36.343 --> 14:39.343\n尤其是于免疫力低下的患者。\n\n14:44.476 --> 14:46.776\n何时必须就医和复诊呢？\n\n14:47.776 --> 14:50.927\n急性鼻炎有哪些并发症呢？\n\n14:51.577 --> 14:56.827\n急性鼻炎如果感染直接蔓延或不恰当的处理方法，\n\n14:56.827 --> 14:59.776\n有些患者就是用力擤鼻涕，\n\n15:00.077 --> 15:02.427\n感染会向邻近器官扩散，\n\n15:02.627 --> 15:04.476\n产生各种的并发症。\n\n15:05.304 --> 15:07.955\n比如说引起急性鼻窦炎啊，\n\n15:08.354 --> 15:09.955\n急性中耳炎啊，\n\n15:10.205 --> 15:11.554\n急性咽炎啊，\n\n15:11.554 --> 15:12.955\n急性喉炎啊，\n\n15:13.155 --> 15:14.655\n急性支气管炎，\n\n15:14.804 --> 15:16.104\n急性肺炎等。\n\n15:16.955 --> 15:22.054\n所以如果急性鼻炎的患者高热超过38.5°C，\n\n15:22.054 --> 15:22.905\n持续3天，\n\n15:23.455 --> 15:28.804\n有单侧面部的剧痛、肿胀、视力改变、意识模糊的时候，\n\n15:28.955 --> 15:30.505\n必须立刻就医。\n\n15:32.085 --> 15:34.036\n急性鼻炎我刚才也提到了，\n\n15:34.036 --> 15:35.435\n一般性的病程呢，\n\n15:35.435 --> 15:37.335\n一般性7到十天左右，\n\n15:37.736 --> 15:41.286\n如果患者的脓鼻涕持续超过十天不减少，\n\n15:41.635 --> 15:44.135\n而且出现了反复的鼻出血，\n\n15:44.335 --> 15:45.435\n听力下降。\n\n15:46.114 --> 15:47.164\n症状缓解以后，\n\n15:47.164 --> 15:48.715\n又再度加重的时候呢，\n\n15:48.715 --> 15:50.265\n需要及时的复诊。\n\n15:54.169 --> 15:56.169\n今天的讲座内容就到这儿，\n\n15:56.320 --> 15:58.570\n感谢大家的聆听和观看。\n\n","v0d47cg10004d70d932ljht8448hp7l0",967,681,"2026-01-26 11:14:47"," 高清MP4视频下载 - e03193dc00062cbe045c9e2e8107ed0e.mp4  "," MP4视频下载, 高清视频, 免费视频资源, e03193dc00062cbe045c9e2e8107ed0e, 在线观看MP4  "," 提供e03193dc00062cbe045c9e2e8107ed0e.mp4高清MP4视频免费下载，支持流畅在线观看，适用于多种设备播放。","2026-04-24 21:30:00",[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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