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--> 00:02.602\n大家好，\n\n00:02.602 --> 00:05.027\n今天我们讲一下急性咽炎。\n\n00:05.627 --> 00:06.603\n急性咽炎呢，\n\n00:06.603 --> 00:08.628\n是一个常见的症状，\n\n00:09.477 --> 00:10.777\n患病率非常高。\n\n00:11.512 --> 00:14.211\n我们主要从以下几个方面开始讲解。\n\n00:14.918 --> 00:18.517\n一是急性咽炎的基本概念和发病原因。\n\n00:19.167 --> 00:21.667\n急性咽炎的基本概念呢？\n\n00:23.040 --> 00:30.040\n这就是指咽粘膜粘膜下组织和淋巴组织的急性炎症啊，\n\n00:30.040 --> 00:33.790\n常为呼吸道症状的感染的一部分。\n\n00:33.990 --> 00:38.740\n那临床表现主要表现为咽部干燥、灼热、粗糙感。\n\n00:39.391 --> 00:41.041\n继而有明显的咽痛，\n\n00:41.492 --> 00:44.541\n吞咽的时候这个症状会更加的明显，\n\n00:44.942 --> 00:46.591\n可以放射至耳部，\n\n00:46.891 --> 00:52.141\n有时候还可以伴有发热、头痛以及食欲不振、四肢酸胀等。\n\n00:53.819 --> 00:57.469\n急性咽炎常见的发病原因主要有以下几点，\n\n00:57.769 --> 00:58.918\n一是病毒感染，\n\n00:59.069 --> 01:04.869\n如柯萨奇病毒、腺病毒以及流感病毒、副流感病毒等。\n\n01:05.910 --> 01:10.309\n细菌感染如链球菌、葡萄球菌、肺炎链球菌等，\n\n01:10.510 --> 01:16.209\n其中以A组乙型溶血性链球菌感染的这这种症状呢，\n\n01:16.209 --> 01:17.260\n是最为严重的。\n\n01:18.068 --> 01:19.617\n另外还有环境的因素，\n\n01:20.068 --> 01:23.417\n比如干燥、粉尘、烟雾、有害气体等，\n\n01:23.617 --> 01:25.017\n以及一些生活习惯，\n\n01:25.367 --> 01:28.068\n如过度用嗓、过度烟酒等。\n\n01:29.194 --> 01:32.893\n易感人群主要包括免疫力低下的人，\n\n01:32.994 --> 01:35.793\n以及有鼻部、上呼吸道疾病的人。\n\n01:36.585 --> 01:40.435\n还有一些经常接触有害气体或者粉尘的人。\n\n01:41.136 --> 01:42.435\n预防措施呢，\n\n01:42.786 --> 01:44.085\n主要是通过。\n\n01:45.050 --> 01:46.099\n加强锻炼，\n\n01:46.449 --> 01:47.849\n增加免疫力，\n\n01:48.099 --> 01:49.675\n避免过度用嗓，\n\n01:49.675 --> 01:51.199\n保持口腔卫生。\n\n01:52.055 --> 01:54.305\n避免接触有害气体或者粉尘，\n\n01:54.805 --> 01:58.955\n以及及时治疗鼻及上呼吸道疾病。\n\n02:01.099 --> 02:03.699\n积极经验的诊断方法和标准如下。\n\n02:04.655 --> 02:06.956\n它主要表现通过咽痛，\n\n02:06.956 --> 02:08.380\n咽部干燥、灼热，\n\n02:08.380 --> 02:09.856\n继而出现咽痛，\n\n02:10.205 --> 02:11.705\n吞咽时加重，\n\n02:11.755 --> 02:13.156\n可放射至耳部。\n\n02:14.052 --> 02:14.352\n嗯，\n\n02:14.352 --> 02:16.753\n查体可以见到咽部充血，\n\n02:17.203 --> 02:19.503\n咽部黏膜弥漫性充血，\n\n02:19.953 --> 02:24.453\n咽腭弓、悬雍垂及扁桃体处充血可能更加明显。\n\n02:25.524 --> 02:27.274\n另外一个就是咽部的分泌物，\n\n02:27.673 --> 02:29.998\n咽后壁淋巴滤泡肿大，\n\n02:29.998 --> 02:33.149\n有黄色分泌物黏着全身，\n\n02:33.149 --> 02:33.973\n症状也可以，\n\n02:33.973 --> 02:37.574\n有发热、头痛、食欲不振、四肢酸痛等。\n\n02:39.016 --> 02:42.565\n我们可以通过实验室检查以及辅助的诊断技术，\n\n02:42.916 --> 02:46.666\n有血常规里面可以看到白细胞计数增高，\n\n02:46.766 --> 02:48.166\n中性粒细胞增多。\n\n02:48.565 --> 02:50.291\n咽拭子培养呢，\n\n02:50.291 --> 02:51.815\n也可以培养出致病菌，\n\n02:51.966 --> 02:55.766\n如溶血性链球菌以及金黄色葡萄球菌等。\n\n02:56.292 --> 02:57.341\n咽拭子涂片，\n\n02:57.891 --> 02:58.266\n嗯，\n\n02:58.266 --> 03:00.567\n革兰染色以后可以发现致病菌，\n\n03:00.567 --> 03:03.542\n如革兰阳性球菌、革兰阴性杆菌等。\n\n03:04.242 --> 03:07.742\n血清学检查也可以检查出特异的抗体，\n\n03:07.841 --> 03:09.841\n也有助于我们的鉴别诊断。\n\n03:10.509 --> 03:18.410\n它诊断标准主要是根据临床表现、实验室检查以及辅助诊断的技术，\n\n03:18.710 --> 03:21.610\n结合流行病学史综合判断。\n\n03:22.666 --> 03:27.065\n主要以要与下面几种疾病相鉴别，\n\n03:27.365 --> 03:35.115\n一个是急性扁桃体炎、咽白喉以及口底蜂窝质炎、咽峡炎等要鉴别诊断。\n\n03:35.416 --> 03:42.166\n鉴别诊断的要点主要是通过观察咽部的症状、体征及实验室检查结果。\n\n03:42.910 --> 03:47.309\n结合患者流行病学史进行综合的分析，\n\n03:47.759 --> 03:49.660\n才能够做出正确的诊断。\n\n03:50.444 --> 03:50.794\n嗯。\n\n03:51.990 --> 03:52.065\n嗯，\n\n03:52.065 --> 03:56.789\n那么急性咽炎治疗方法与药物选择，\n\n03:56.789 --> 03:57.990\n该如何选择呢？\n\n03:58.190 --> 04:02.539\n急性咽炎的治疗方法一个是可以通过漱口，\n\n04:02.740 --> 04:03.414\n漱口呢，\n\n04:03.414 --> 04:05.490\n一般是用温盐水漱口，\n\n04:05.490 --> 04:07.690\n可以缓解喉咙疼痛，\n\n04:07.690 --> 04:10.389\n有利于杀菌消炎。\n\n04:10.789 --> 04:11.440\n第二个呢，\n\n04:11.440 --> 04:12.940\n通过饮食调理。\n\n04:13.610 --> 04:15.809\n避免接触刺激性食物，\n\n04:16.109 --> 04:19.809\n选择清淡易消化的食物，\n\n04:19.809 --> 04:22.010\n保持充足的水分摄入。\n\n04:22.459 --> 04:25.359\n第三个就是要休息充足，\n\n04:26.010 --> 04:28.660\n充分休息有助于身体恢复，\n\n04:28.959 --> 04:30.559\n从而增强免疫力。\n\n04:32.769 --> 04:34.118\n我们药物选择呢，\n\n04:34.468 --> 04:37.644\n主要是有以下几个种类，\n\n04:37.644 --> 04:38.618\n一是抗生素，\n\n04:38.968 --> 04:41.919\n抗生素是主要针对细菌感染，\n\n04:42.569 --> 04:45.669\n一般我们医生会根据药敏试验结果。\n\n04:46.324 --> 04:48.699\n或者我们有时候没有药敏实验结果，\n\n04:48.699 --> 04:50.873\n我们可以根据经验性的用药，\n\n04:51.273 --> 04:53.324\n选择相应的抗生素治疗，\n\n04:53.574 --> 04:54.773\n可以杀灭细菌，\n\n04:54.824 --> 04:55.924\n缓解症状。\n\n04:58.311 --> 04:58.411\n嗯，\n\n04:58.411 --> 05:01.460\n另外一个就是重要的一个药物种类，\n\n05:01.460 --> 05:02.710\n就是抗病毒的药物。\n\n05:03.440 --> 05:06.339\n主要是针对一些病毒性感染和流感病毒，\n\n05:06.640 --> 05:09.540\n抗病毒药物可以抑制病毒复制，\n\n05:09.790 --> 05:10.940\n缩短病程。\n\n05:11.739 --> 05:12.565\n另外一个呢，\n\n05:12.565 --> 05:14.190\n是局部的消炎药，\n\n05:14.390 --> 05:16.290\n比如喉片和喷雾。\n\n05:17.000 --> 05:18.750\n可直接作用于咽部。\n\n05:19.695 --> 05:22.894\n减轻咽喉的肿痛症状，\n\n05:23.095 --> 05:24.970\n而且这个局部用药呢，\n\n05:24.970 --> 05:26.045\n一般，\n\n05:26.045 --> 05:28.494\n副反应相对较小一点。\n\n05:30.174 --> 05:30.600\n另外，\n\n05:30.600 --> 05:34.174\n局部用药和全身用药应该是相结合，\n\n05:34.424 --> 05:36.875\n这样可以达到更好的治疗效果。\n\n05:37.524 --> 05:41.825\n局部治疗通过雾化吸入、头部涂药等，\n\n05:41.924 --> 05:43.924\n直接将药物作用于咽部，\n\n05:44.174 --> 05:46.225\n有助于快速缓解症状。\n\n05:46.924 --> 05:48.000\n全身治疗呢，\n\n05:48.000 --> 05:52.424\n主要是根据这个感染的情况选择适合的口服药物。\n\n05:52.864 --> 05:54.313\n或者严重的时候呢，\n\n05:54.313 --> 05:57.164\n我们也可以通过静脉补液治疗，\n\n05:57.713 --> 05:59.864\n能够快速的控制感染，\n\n06:00.264 --> 06:03.364\n促进全身体的愈合。\n\n06:06.171 --> 06:06.372\n嗯，\n\n06:06.421 --> 06:08.471\n我们急性咽炎的并发症。\n\n06:09.484 --> 06:09.734\n嗯，\n\n06:09.734 --> 06:11.484\n预防与处理策略如下，\n\n06:12.035 --> 06:13.334\n常见的并发症，\n\n06:14.135 --> 06:16.934\n一个是中耳炎、急性中耳炎，\n\n06:16.984 --> 06:18.285\n急性咽炎的人呢，\n\n06:18.584 --> 06:20.484\n非常容易引起急性中耳炎，\n\n06:20.734 --> 06:23.184\n严重的时候甚至可以导致听力下降。\n\n06:23.635 --> 06:27.434\n另外一个就是鼻急性的鼻炎以及鼻窦炎。\n\n06:28.214 --> 06:31.015\n急性咽炎引发的急性鼻窦炎呢，\n\n06:31.165 --> 06:32.739\n可以出现鼻塞，\n\n06:32.739 --> 06:33.464\n头痛，\n\n06:33.765 --> 06:35.714\n甚至流脓鼻涕等。\n\n06:37.346 --> 06:39.696\n另外还可以发生急性的喉炎，\n\n06:39.846 --> 06:42.895\n气管炎、支气管炎、急性咽炎，\n\n06:43.496 --> 06:46.545\n向下发展就会引起急性的喉炎。\n\n06:47.276 --> 06:52.825\n气管炎和支气管炎表现为咳嗽、咳痰、声音嘶哑等，\n\n06:53.376 --> 06:57.126\n另外还可能出现一些少见的全身并发症。\n\n06:57.894 --> 07:00.795\n比如急性肾炎、风湿病等。\n\n07:03.971 --> 07:05.721\n那我们的预防措施呢，\n\n07:05.770 --> 07:07.170\n也是相当的重要，\n\n07:07.871 --> 07:09.270\n预防首先呢，\n\n07:09.520 --> 07:12.121\n要保持我们口腔的清洁卫生。\n\n07:12.960 --> 07:17.411\n养成定期刷牙漱口的好习惯，\n\n07:17.460 --> 07:21.161\n然后才能够减少口腔内细菌的滋生。\n\n07:22.010 --> 07:22.911\n另外一个，\n\n07:23.061 --> 07:24.911\n我们要通过饮食调理，\n\n07:25.360 --> 07:28.010\n避免辛辣刺激的饮食。\n\n07:28.848 --> 07:32.648\n多食用一些富含维生素的水果和蔬菜，\n\n07:33.598 --> 07:36.123\n第三就是要增强免疫力。\n\n07:36.123 --> 07:37.898\n通过加强锻炼，\n\n07:38.148 --> 07:40.648\n保证保证充足的睡眠，\n\n07:40.949 --> 07:43.498\n从而能够提高我们的身体免疫力。\n\n07:44.470 --> 07:46.619\n最后是就是要避免交叉感染。\n\n07:46.970 --> 07:51.269\n当家庭里面有一个成家庭成员患病以后，\n\n07:51.420 --> 07:52.720\n要适当的注意，\n\n07:52.820 --> 07:55.119\n避免密切接触啊，\n\n07:55.119 --> 07:56.220\n注意个人卫生。\n\n07:57.027 --> 07:59.627\n减少家庭成员之间的相互传染。\n\n08:01.346 --> 08:02.895\n那么出现并发症以后，\n\n08:03.096 --> 08:05.346\n我们应该要怎么处理呢？\n\n08:06.227 --> 08:06.453\n嗯，\n\n08:06.453 --> 08:07.127\n一旦来，\n\n08:07.127 --> 08:07.828\n一般来讲，\n\n08:07.828 --> 08:10.377\n一旦出现并发症比较严重的，\n\n08:10.627 --> 08:12.678\n建议及时的就医。\n\n08:12.928 --> 08:16.377\n那通过医生进行专业的诊断和治疗。\n\n08:17.282 --> 08:17.631\n嗯，\n\n08:17.682 --> 08:18.356\n另外一个呢，\n\n08:18.356 --> 08:19.432\n就是我们轻症的，\n\n08:19.432 --> 08:22.432\n我们可以用一些局部治疗。\n\n08:22.432 --> 08:24.082\n针对咽炎的局部症状，\n\n08:24.332 --> 08:27.282\n比如说咽痛、咽干等，\n\n08:27.631 --> 08:32.182\n可以用雾化吸入、口服含片等治疗。\n\n08:33.330 --> 08:34.156\n药物治疗呢，\n\n08:34.156 --> 08:39.681\n就是我们可以根据并发症的类型选用合适的药物，\n\n08:40.181 --> 08:41.681\n比如说，\n\n08:41.681 --> 08:44.231\n抗生素、抗病毒的药物等。\n\n08:45.181 --> 08:45.598\n另外，\n\n08:45.598 --> 08:48.031\n在治疗的观察过程当中，\n\n08:48.031 --> 08:49.931\n要密切观察他的病情变化。\n\n08:50.281 --> 08:55.231\n如果说有这种病情加重或者全身症状加重的。\n\n08:55.788 --> 08:57.937\n应该要及时调整治疗方案。\n\n09:01.161 --> 09:01.260\n嗯，\n\n09:01.260 --> 09:02.760\n另外一个就是我们这个。\n\n09:03.658 --> 09:05.158\n急性咽炎的康复期，\n\n09:05.708 --> 09:06.109\n嗯，\n\n09:06.109 --> 09:10.658\n也是需要进行管理和生活调整建议的。\n\n09:11.528 --> 09:13.927\n康复期的主要注意事项呢？\n\n09:14.731 --> 09:22.630\n康复期我们尽量也避免大声的喊叫、长时间说话或者唱歌等过度用嗓的行为。\n\n09:24.254 --> 09:26.453\n第二个就是要保持口腔卫生。\n\n09:27.377 --> 09:29.577\n定期刷牙漱口，\n\n09:30.127 --> 09:32.177\n保持口腔清洁，\n\n09:32.627 --> 09:34.327\n减少细菌滋生。\n\n09:36.015 --> 09:37.965\n第三个是要定期的随访。\n\n09:39.020 --> 09:39.344\n嗯，\n\n09:39.344 --> 09:41.169\n根据医生的要求，\n\n09:41.419 --> 09:43.719\n定期到医院进行复查，\n\n09:44.169 --> 09:45.770\n了解康复的情况。\n\n09:46.820 --> 09:49.070\n并且根据这些具体的情况，\n\n09:49.469 --> 09:52.469\n能够及时的调整治疗方案。\n\n09:56.361 --> 09:58.812\n第四个就是遵守医嘱，\n\n09:59.111 --> 10:02.262\n严格按照医生的指示进行治疗，\n\n10:02.911 --> 10:05.161\n不要随意的停药。\n\n10:05.875 --> 10:06.276\n或者。\n\n10:07.411 --> 10:09.062\n更改药物的剂量。\n\n10:11.372 --> 10:12.546\n生活方式的调整，\n\n10:12.546 --> 10:13.271\n建议呢，\n\n10:13.771 --> 10:16.421\n我们一般是要建议大家，\n\n10:16.822 --> 10:18.271\n急性咽炎的患者呢，\n\n10:18.271 --> 10:20.872\n是尽量是要戒烟限酒，\n\n10:21.771 --> 10:25.072\n吸烟和饮酒都会刺激咽部的黏膜。\n\n10:26.002 --> 10:26.302\n嗯，\n\n10:26.302 --> 10:28.202\n这个加重它的炎症反应。\n\n10:29.004 --> 10:30.354\n包括你的咽干咽痛。\n\n10:31.403 --> 10:32.903\n如果是发作期间，\n\n10:32.953 --> 10:35.653\n你喝酒了就会加重。\n\n10:36.103 --> 10:38.502\n如果说康复期间你喝酒了，\n\n10:38.502 --> 10:40.403\n有可能会再次发作。\n\n10:40.752 --> 10:41.377\n因此呢，\n\n10:41.377 --> 10:43.802\n我们要建议戒烟戒酒。\n\n10:44.731 --> 10:47.130\n第二个是要规律的作息，\n\n10:47.880 --> 10:50.330\n要保证充足的睡眠。\n\n10:51.304 --> 10:52.254\n避免熬夜。\n\n10:53.437 --> 10:56.437\n这样才能够就是提高我们的免疫力，\n\n10:56.887 --> 11:00.036\n能够促进促进我们尽快的康复。\n\n11:01.155 --> 11:02.955\n第三个是适当的运动。\n\n11:04.398 --> 11:04.922\n适当的运动，\n\n11:04.922 --> 11:05.322\n就是说，\n\n11:05.322 --> 11:07.898\n你适当运动强度要适中，\n\n11:08.047 --> 11:08.973\n不能过大，\n\n11:08.973 --> 11:09.797\n也不能过小。\n\n11:10.398 --> 11:11.372\n适当的运动呢，\n\n11:11.372 --> 11:13.348\n可以增强我们的体质，\n\n11:14.247 --> 11:15.348\n提高免疫力。\n\n11:17.005 --> 11:17.455\n另外一个，\n\n11:17.455 --> 11:18.255\n还有就是说，\n\n11:18.255 --> 11:20.755\n我们的心理调适也非常重要，\n\n11:21.406 --> 11:22.806\n保持愉快的心情，\n\n11:23.156 --> 11:26.406\n避免过度焦虑和压力啊，\n\n11:26.406 --> 11:29.955\n有利于我们的这个病情的康复。\n\n11:31.885 --> 11:35.934\n另外下面我们看一下饮食健康与急性咽炎的关系。\n\n11:37.218 --> 11:38.018\n饮食方面呢，\n\n11:38.518 --> 11:41.718\n非常重要的就是要避免刺激性的食物。\n\n11:42.117 --> 11:43.067\n康复期间，\n\n11:43.817 --> 11:46.567\n像这种辛辣油腻烧烤呢。\n\n11:47.281 --> 11:48.880\n就尽量不能够食用了，\n\n11:48.981 --> 11:50.481\n以免加重病情。\n\n11:51.330 --> 11:55.580\n第二个就是要多食用一些新鲜的蔬菜和水果。\n\n11:57.067 --> 11:59.017\n补充一些维生素和矿物质，\n\n11:59.216 --> 11:59.892\n这样呢，\n\n11:59.892 --> 12:02.567\n也可以促进粘部黏膜的修复，\n\n12:03.166 --> 12:05.716\n加速我们的病情的康复。\n\n12:06.729 --> 12:08.979\n第三是要保持饮食的均衡。\n\n12:09.776 --> 12:10.776\n饮食均衡呢，\n\n12:11.026 --> 12:12.276\n就是要不偏食，\n\n12:12.676 --> 12:13.976\n不要暴饮暴食，\n\n12:14.776 --> 12:18.026\n那这样也可以有助于我们提高免疫力。\n\n12:18.791 --> 12:19.892\n预防病情复发，\n\n12:20.742 --> 12:21.966\n第四个也很重要，\n\n12:21.966 --> 12:23.392\n就是要适当的饮水，\n\n12:23.841 --> 12:25.742\n保持充足的水分摄入，\n\n12:26.041 --> 12:29.791\n有助于缓解咽部的干燥和不适感，\n\n12:29.992 --> 12:31.841\n和促进康复。\n\n12:34.216 --> 12:34.567\n嗯。\n\n12:38.405 --> 12:39.830\n下其实最重要的一点呢，\n\n12:39.830 --> 12:42.755\n我就是我们再讲一下这个用药的情况，\n\n12:44.405 --> 12:48.405\n说不是所有的这个急性咽炎的病情呢，\n\n12:48.405 --> 12:49.755\n都要用抗生素。\n\n12:52.098 --> 12:52.299\n嗯，\n\n12:52.348 --> 12:54.174\n只针抗生素的使用呢，\n\n12:54.174 --> 12:55.848\n其实是针只针对一些。\n\n12:57.333 --> 12:59.633\n细菌感染的这些症状。\n\n13:00.531 --> 13:00.831\n嗯，\n\n13:00.831 --> 13:01.307\n一般呢，\n\n13:01.307 --> 13:03.106\n是通过检验，\n\n13:03.106 --> 13:05.581\n检查明确了有细菌感染，\n\n13:05.781 --> 13:09.481\n那么我们医生会根据检查的结果，\n\n13:10.231 --> 13:10.606\n嗯，\n\n13:10.606 --> 13:13.581\n选择性的用一些敏感的抗生素。\n\n13:14.193 --> 13:14.627\n并且，\n\n13:14.627 --> 13:15.643\n在用了以后，\n\n13:15.843 --> 13:17.693\n会做及时的做一个评估，\n\n13:17.994 --> 13:18.393\n嗯，\n\n13:18.544 --> 13:19.994\n根据评估的情况，\n\n13:20.593 --> 13:24.143\n决定是否继续使用或者更改抗生素。\n\n13:25.685 --> 13:27.385\n好多就是，\n\n13:27.385 --> 13:28.635\n一些咽炎的，\n\n13:28.635 --> 13:30.060\n其实病毒感染引起的，\n\n13:30.060 --> 13:31.260\n那么这种情况，\n\n13:31.260 --> 13:32.585\n我们就不能够用抗生素，\n\n13:32.736 --> 13:35.935\n而是要用用一些抗病毒的药物。\n\n13:36.536 --> 13:36.812\n嗯，\n\n13:36.812 --> 13:37.361\n这样呢，\n\n13:37.361 --> 13:42.086\n抗病的药物针对一些流感病毒的。\n\n13:42.843 --> 13:43.218\n其实，\n\n13:43.218 --> 13:45.568\n我们这个是医院里面，\n\n13:45.568 --> 13:49.044\n在市面上也有好多这种抗病的药物在卖。\n\n13:50.831 --> 13:53.831\n我们可以根据就是不同的症状，\n\n13:54.231 --> 13:54.632\n嗯，\n\n13:54.781 --> 13:55.331\n病症，\n\n13:55.331 --> 13:57.382\n然后选择合适的。\n\n13:58.286 --> 14:00.335\n一些抗病毒药物。\n\n14:03.226 --> 14:04.726\n然后就是局部治疗的时候，\n\n14:05.125 --> 14:05.526\n嗯。\n\n14:07.068 --> 14:08.669\n我们的治疗原则呢，\n\n14:08.669 --> 14:11.443\n一般是能如果能够通过局部治疗啊，\n\n14:11.443 --> 14:12.843\n就能够缓解症状呢。\n\n14:12.843 --> 14:16.318\n我们就尽量减少全身用药。\n\n14:16.986 --> 14:17.760\n因为局部治疗呢，\n\n14:17.760 --> 14:19.135\n它可以用药简单，\n\n14:19.486 --> 14:19.885\n嗯，\n\n14:19.885 --> 14:20.635\n然后呢，\n\n14:21.085 --> 14:22.786\n你作用直接，\n\n14:23.185 --> 14:25.236\n症状缓解的比较快。\n\n14:26.846 --> 14:27.145\n一般。\n\n14:28.077 --> 14:29.226\n这个静脉输液呢，\n\n14:29.327 --> 14:30.427\n用的比较少。\n\n14:31.252 --> 14:32.502\n用在什么情况下呢，\n\n14:33.002 --> 14:35.677\n就是说这个症状比较重，\n\n14:35.677 --> 14:37.151\n特别是有全身症状，\n\n14:37.502 --> 14:38.952\n包括发热啊，\n\n14:39.351 --> 14:40.177\n头痛啊，\n\n14:40.177 --> 14:41.552\n肌浑身肌肉酸痛，\n\n14:42.101 --> 14:42.502\n嗯，\n\n14:42.901 --> 14:44.252\n食欲下降啊，\n\n14:44.302 --> 14:45.202\n这种情况，\n\n14:45.552 --> 14:45.952\n嗯，\n\n14:46.002 --> 14:46.401\n要。\n\n14:47.236 --> 14:49.935\n需要通过这个静脉输注抗生素。\n\n14:50.921 --> 14:51.521\n能够。\n\n14:52.463 --> 14:55.213\n能迅速的控制病症。\n\n14:56.369 --> 14:59.119\n减轻患者的痛苦啊，\n\n14:59.169 --> 15:04.468\n能够达到一个促进身体快速康复的一个目的。\n\n15:05.528 --> 15:06.328\n一般来讲，\n\n15:06.828 --> 15:10.828\n门诊上其实应用静脉输液的这个比例还是不多的。\n\n15:10.879 --> 15:11.729\n大多数呢，\n\n15:11.729 --> 15:13.929\n我们还是通过一些，\n\n15:14.229 --> 15:19.729\n局部用药或者口服用药就可以达到很好的治疗效果。\n\n15:21.552 --> 15:21.953\n嗯。\n\n15:23.882 --> 15:25.932\n那今天我们就讲到这边。\n\n15:26.739 --> 15:27.015\n嗯，\n\n15:27.015 --> 15:27.840\n谢谢大家。\n\n","v0247cg10004d70d9o2ljhte229p74l0",938,556,"2026-01-26 11:15:18","急性咽炎症状、治疗与预防指南 - 专业视频解析  ","急性咽炎, 咽炎症状, 咽炎治疗, 喉咙痛, 咽喉炎预防, 呼吸道感染, 咽炎家庭护理  ","本视频详细讲解急性咽炎的常见症状（如喉咙肿痛、发热）、科学治疗方法（药物与家庭护理）及有效预防措施，帮助您快速识别咽炎并采取正确应对方式。适用于成人与儿童，包含医生专业建议和实用缓解技巧。","2026-04-27 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