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--> 00:00.650\n嗯，\n\n00:00.750 --> 00:06.300\n这接下来分享就是免疫战场上的幕后故事。\n\n00:07.644 --> 00:08.644\n他主要，\n\n00:09.043 --> 00:09.644\n现在呢，\n\n00:09.644 --> 00:11.843\n我主要给他分五个大类，\n\n00:12.244 --> 00:13.744\n就是一个呢，\n\n00:13.744 --> 00:16.544\n是别把感冒误，\n\n00:16.544 --> 00:18.493\n把感冒当全部。\n\n00:19.329 --> 00:19.878\n然后。\n\n00:21.291 --> 00:23.891\n二症状是免疫反击，\n\n00:24.291 --> 00:27.891\n三是病原体有个全景图的，\n\n00:27.891 --> 00:29.391\n等一下会一一展示。\n\n00:29.691 --> 00:31.166\n然后呢，\n\n00:31.166 --> 00:34.640\n第四个是现代诊疗思路是怎样治疗。\n\n00:35.282 --> 00:38.231\n还有一个五是一个前沿的冷知识，\n\n00:38.381 --> 00:43.431\n下面我们讲还有一个七预防于红旗症，\n\n00:43.481 --> 00:45.882\n还有一个是总结一下。\n\n00:47.651 --> 00:48.000\n嗯，\n\n00:48.201 --> 00:50.550\n现在我一个个展开来讲，\n\n00:50.800 --> 00:51.201\n嗯，\n\n00:51.500 --> 00:52.800\n第一个概念呢，\n\n00:52.800 --> 00:53.951\n是上感。\n\n00:53.951 --> 00:56.151\n上呼吸道感染其实不等于感冒，\n\n00:56.451 --> 00:58.651\n这是一个被误解的概念。\n\n00:59.453 --> 00:59.804\n嗯，\n\n00:59.903 --> 01:04.079\n急性上呼吸道感染其实是一个大家族，\n\n01:04.079 --> 01:06.253\n里边包含很多种疾病。\n\n01:06.653 --> 01:07.028\n嗯，\n\n01:07.028 --> 01:08.153\n普通感冒呢，\n\n01:08.153 --> 01:11.079\n它其实由鼻病毒引起的症状呢，\n\n01:11.079 --> 01:12.153\n它是最轻的。\n\n01:12.353 --> 01:12.753\n嗯，\n\n01:13.054 --> 01:14.353\n流行性感冒呢，\n\n01:14.353 --> 01:17.753\n它是由流感病毒引起的全身症状很重。\n\n01:18.540 --> 01:22.489\n还有一个疱疹性的疱疹性的咽峡炎，\n\n01:22.639 --> 01:25.589\n它是柯萨奇病毒咽部疱疹引起的。\n\n01:26.389 --> 01:30.089\n还有做一个就是细菌细菌性的扁桃体，\n\n01:30.389 --> 01:32.989\n它是由贝塔链球菌引起的。\n\n01:33.239 --> 01:33.815\n这个呢，\n\n01:33.815 --> 01:34.989\n需要抗生素治疗。\n\n01:36.810 --> 01:37.161\n嗯，\n\n01:37.911 --> 01:40.685\n上呼吸道感染家族症状，\n\n01:40.685 --> 01:43.810\n它主要是普通感冒呢，\n\n01:43.810 --> 01:46.161\n是以流鼻涕啦，\n\n01:46.161 --> 01:47.411\n打喷嚏为主。\n\n01:47.661 --> 01:49.111\n全身症症状呢，\n\n01:49.111 --> 01:50.111\n比较轻微的，\n\n01:50.161 --> 01:52.261\n它是最常见的一个感冒。\n\n01:53.099 --> 01:54.150\n流行性感冒呢，\n\n01:54.150 --> 01:55.300\n是他起病急，\n\n01:55.650 --> 02:00.800\n然后是头痛、高热、肌肉酸痛等全身症状。\n\n02:01.050 --> 02:02.599\n而鼻咽部症状呢，\n\n02:02.599 --> 02:03.650\n相对很轻，\n\n02:03.949 --> 02:05.000\n比较轻的。\n\n02:05.099 --> 02:05.500\n嗯，\n\n02:05.750 --> 02:07.574\n疱疹性咽喉炎呢，\n\n02:07.574 --> 02:10.699\n是他咽部可以出现疱疹和溃疡。\n\n02:11.332 --> 02:12.382\n疼痛很明显，\n\n02:12.781 --> 02:13.106\n嗯，\n\n02:13.106 --> 02:16.031\n细菌性咽扁桃体炎呢，\n\n02:16.031 --> 02:17.481\n它是咽痛剧烈，\n\n02:17.832 --> 02:18.231\n嗯，\n\n02:18.731 --> 02:19.332\n比如。\n\n02:20.787 --> 02:22.037\n可以有刀割样的，\n\n02:22.037 --> 02:23.638\n这种扁桃体呢，\n\n02:23.638 --> 02:25.837\n可以见脓性的分泌物。\n\n02:26.619 --> 02:26.919\n嗯。\n\n02:28.809 --> 02:30.009\n二症状呢？\n\n02:31.119 --> 02:31.369\n嗯，\n\n02:31.369 --> 02:35.270\n症状是一个免疫反击症状呢，\n\n02:35.320 --> 02:38.770\n它是比如说打喷嚏了，\n\n02:38.770 --> 02:39.520\n流鼻涕了，\n\n02:39.520 --> 02:43.119\n是其实是身体与病毒的一个战场，\n\n02:43.419 --> 02:43.820\n嗯。\n\n02:44.800 --> 02:47.625\n其那些让你难受的表现呢，\n\n02:47.625 --> 02:50.850\n其实是免疫系统激烈抵抗的战争信号，\n\n02:51.000 --> 02:53.750\n比如流涕加打喷嚏。\n\n02:54.000 --> 02:54.750\n身体呢，\n\n02:54.750 --> 03:01.649\n可以通过分泌和强力排气主动冲洗和驱除上呼吸道的病原体。\n\n03:02.149 --> 03:03.225\n然后发热呢，\n\n03:03.225 --> 03:05.750\n它体温升高可抑制病毒的复制，\n\n03:05.899 --> 03:08.399\n同时增强免疫细胞的活性。\n\n03:08.399 --> 03:10.300\n所以免某种意义上呢，\n\n03:10.300 --> 03:12.649\n发热是一种防御性的反应。\n\n03:13.272 --> 03:13.847\n然后呢，\n\n03:13.847 --> 03:14.796\n是咽痛呢，\n\n03:14.796 --> 03:19.072\n其实是免疫细胞和体液的大量融入，\n\n03:19.072 --> 03:24.022\n它是与病毒作战引发引发了那个局部炎症的反应。\n\n03:24.774 --> 03:25.024\n嗯，\n\n03:25.175 --> 03:25.949\n治疗呢，\n\n03:25.949 --> 03:30.425\n主要是我们是助攻免疫性系统打胜仗呀。\n\n03:30.524 --> 03:33.324\n治疗的目标并非消灭所有的症状，\n\n03:33.375 --> 03:36.274\n而是支持免疫系统并提高舒适度。\n\n03:36.891 --> 03:37.141\n嗯，\n\n03:37.442 --> 03:38.192\n第一个呢，\n\n03:38.192 --> 03:39.141\n是缓解，\n\n03:39.141 --> 03:40.242\n可以缓解不适，\n\n03:40.442 --> 03:42.042\n退热以缓解不适，\n\n03:42.242 --> 03:44.891\n而非追求体温完全正常。\n\n03:45.643 --> 03:47.944\n不能一下子追求，\n\n03:48.044 --> 03:48.643\n然后呢，\n\n03:48.643 --> 03:51.093\n要保证它的能量、补液和休息，\n\n03:51.143 --> 03:54.794\n对免疫系统提供战斗的资源。\n\n03:55.759 --> 03:57.835\n还有一个是要避免呢，\n\n03:57.835 --> 03:58.960\n过度干预，\n\n03:59.210 --> 04:00.259\n盲目镇咳，\n\n04:00.259 --> 04:01.210\n滥用激素。\n\n04:01.559 --> 04:02.660\n它可能跟。\n\n04:03.658 --> 04:03.833\n嗯，\n\n04:03.833 --> 04:05.458\n干扰免疫进程，\n\n04:05.908 --> 04:06.283\n嗯，\n\n04:06.283 --> 04:06.858\n第三，\n\n04:06.858 --> 04:07.259\n嗯，\n\n04:07.809 --> 04:09.283\n它病原体的，\n\n04:09.283 --> 04:09.658\n嗯，\n\n04:09.958 --> 04:11.259\n那个全景图。\n\n04:12.134 --> 04:12.684\n病毒呢，\n\n04:12.684 --> 04:19.309\n是90%以上的急性上呼吸道感染是由病毒引起的。\n\n04:19.309 --> 04:21.684\n它主要是有四个病毒啊，\n\n04:21.684 --> 04:23.035\n是一般是有四个，\n\n04:23.084 --> 04:24.484\n一个是鼻病毒，\n\n04:24.734 --> 04:26.684\n普通感冒的头号元凶，\n\n04:26.934 --> 04:28.785\n有100多种类型。\n\n04:29.667 --> 04:36.868\n然后冠状病毒包括普通冠状病毒和SR、SARS、COV二。\n\n04:37.610 --> 04:38.411\n腺病毒呢，\n\n04:38.411 --> 04:41.835\n主要是引可引起咽结膜热，\n\n04:41.835 --> 04:44.710\n特征为高热、咽痛、结膜炎。\n\n04:45.161 --> 04:47.036\n其他还有流感病毒了，\n\n04:47.036 --> 04:50.210\n呼吸道合胞病毒、柯萨奇病毒等等。\n\n04:51.325 --> 04:52.075\n还有一个呢，\n\n04:52.075 --> 04:55.875\n是细菌与就是非典型性病原体。\n\n04:57.045 --> 05:00.895\n第一个主要是A组乙型溶血性淋球菌，\n\n05:01.246 --> 05:03.545\n可引起化脓性的扁桃体炎，\n\n05:03.696 --> 05:05.196\n它需抗生素治疗，\n\n05:05.295 --> 05:08.295\n以防止风湿风湿热等并发症。\n\n05:08.645 --> 05:09.045\n嗯，\n\n05:09.395 --> 05:12.395\n还有一个是支原体和衣原体，\n\n05:12.545 --> 05:16.670\n它是介于病毒和细菌之间引起的咳嗽，\n\n05:16.670 --> 05:19.145\n往往更剧烈持久。\n\n05:21.338 --> 05:21.638\n嗯，\n\n05:22.187 --> 05:22.937\n病毒呢，\n\n05:22.937 --> 05:25.937\n它入入侵细胞一般。\n\n05:27.221 --> 05:30.171\n可以劫持入侵细胞的劫持，\n\n05:30.272 --> 05:31.971\n它有一个七个步骤。\n\n05:32.171 --> 05:32.571\n嗯，\n\n05:32.571 --> 05:34.872\n病毒一般自身的无法繁殖的，\n\n05:34.872 --> 05:38.921\n必必须劫持劫持宿主细胞的生产线。\n\n05:39.171 --> 05:39.721\n第一个，\n\n05:39.721 --> 05:44.122\n它是刺突蛋白钥匙对接受体锁孔，\n\n05:44.122 --> 05:47.122\n然后它注入遗传物质。\n\n05:47.786 --> 05:49.386\n然后接管细胞工厂，\n\n05:49.437 --> 05:51.036\n大量复制性病毒，\n\n05:51.486 --> 05:52.661\n然后细胞破裂，\n\n05:52.661 --> 05:53.536\n释放感染。\n\n05:54.265 --> 05:54.566\n嗯，\n\n05:55.066 --> 05:56.240\n第四个部分呢，\n\n05:56.240 --> 05:58.790\n是我们现在的诊疗思路呢，\n\n05:58.790 --> 06:00.316\n一般是，\n\n06:00.365 --> 06:01.341\n现在诊疗呢，\n\n06:01.341 --> 06:07.091\n一般是先辨辨别那个病原再谈干预医生的核心任务呢，\n\n06:07.091 --> 06:08.165\n不是立即开药，\n\n06:08.316 --> 06:10.216\n而是精准识别对手。\n\n06:10.816 --> 06:11.640\n第一步呢，\n\n06:11.640 --> 06:13.716\n是详细问诊与查体，\n\n06:13.915 --> 06:16.915\n主要是仔细观察咽部扁桃体。\n\n06:17.654 --> 06:19.804\n听诊肺部，\n\n06:20.005 --> 06:20.355\n嗯，\n\n06:20.355 --> 06:22.079\n获取关键的线索，\n\n06:22.079 --> 06:24.454\n然后是快速的病原检测，\n\n06:24.954 --> 06:29.255\n一般是流感新冠抗原或核酸检测等。\n\n06:29.554 --> 06:31.554\n指指导精准用药。\n\n06:31.605 --> 06:32.579\n实验室中呢，\n\n06:32.579 --> 06:34.755\n主要是血常规还有C。\n\n06:35.760 --> 06:37.010\nC反应蛋白啦，\n\n06:37.010 --> 06:37.811\n等等可以。\n\n06:38.674 --> 06:39.424\n辅助判断，\n\n06:39.424 --> 06:43.024\n这是病毒和细菌感染治疗核心呢，\n\n06:43.024 --> 06:44.399\n我们一般是，\n\n06:44.399 --> 06:46.700\n循环对症提升舒适，\n\n06:46.700 --> 06:48.674\n提升舒适度。\n\n06:48.674 --> 06:49.250\n一般呢，\n\n06:49.250 --> 06:50.875\n如果是发热或疼痛呢，\n\n06:50.875 --> 06:54.774\n我们首选布洛芬会对乙酰基氨基酚。\n\n06:55.475 --> 06:55.625\n嗯，\n\n06:55.625 --> 06:57.350\n然后鼻塞加流涕呢，\n\n06:57.350 --> 06:59.725\n一般我们是生理盐水喷鼻子，\n\n06:59.825 --> 07:03.274\n或短期内用用碱充血剂，\n\n07:03.725 --> 07:04.125\n嗯。\n\n07:05.514 --> 07:06.264\n咳嗽呢，\n\n07:06.264 --> 07:08.713\n干咳一般我们可以用右美沙芬。\n\n07:09.708 --> 07:12.108\n1岁以上的儿童可服用蜂蜜，\n\n07:12.358 --> 07:13.382\n核心原则呢，\n\n07:13.382 --> 07:15.657\n就是所有对症治疗的目的呢，\n\n07:15.708 --> 07:17.308\n都在于提升输出度，\n\n07:17.407 --> 07:19.358\n而非消灭病毒本身。\n\n07:20.341 --> 07:23.540\n一般要严格遵循说明书或医嘱用药。\n\n07:23.841 --> 07:24.890\n医嘱用药。\n\n07:25.699 --> 07:25.949\n嗯，\n\n07:26.348 --> 07:27.648\n一般抗生素呢，\n\n07:27.648 --> 07:29.424\n我们说了抗生素呢，\n\n07:29.424 --> 07:30.949\n对细菌感染有效，\n\n07:31.049 --> 07:33.648\n对病毒其实是完全无效的。\n\n07:33.799 --> 07:35.199\n滥用不仅无益，\n\n07:35.299 --> 07:38.248\n而反而会破破坏肠道菌群，\n\n07:38.398 --> 07:39.598\n导致耐药性。\n\n07:40.566 --> 07:41.615\n静脉输液呢，\n\n07:41.615 --> 07:44.466\n一般是属于已经属于非常规手段，\n\n07:44.615 --> 07:47.066\n绝大多数上感无需输液的，\n\n07:47.115 --> 07:52.015\n仅适用于严重脱水无法口服或需静脉给药的症状情况。\n\n07:52.365 --> 07:55.216\n口服口服补液其实是最佳方式。\n\n07:56.088 --> 07:56.338\n嗯。\n\n07:58.484 --> 07:59.259\n第五个呢，\n\n07:59.259 --> 08:03.433\n我们一般还有一个就是前沿冷知识啊，\n\n08:03.783 --> 08:05.584\n着凉真的会感冒吗？\n\n08:05.634 --> 08:06.709\n直接原因呢，\n\n08:06.709 --> 08:07.783\n当然是病毒。\n\n08:10.259 --> 08:11.259\n当然是病毒，\n\n08:11.408 --> 08:16.459\n但着凉确实可能降低局部防御力。\n\n08:17.313 --> 08:17.539\n嗯，\n\n08:17.539 --> 08:20.164\n它可以让病毒有机可乘。\n\n08:21.246 --> 08:21.545\n嗯，\n\n08:21.846 --> 08:22.895\n局部寒冷，\n\n08:23.246 --> 08:24.696\n嗯，\n\n08:25.096 --> 08:26.696\n着凉就是局部寒冷。\n\n08:26.996 --> 08:27.696\n比如说，\n\n08:27.746 --> 08:28.145\n嗯，\n\n08:28.246 --> 08:30.096\n局部寒冷可以导致呢，\n\n08:30.346 --> 08:32.945\n鼻腔血管可以收缩的。\n\n08:33.575 --> 08:36.075\n然后可以防御减少，\n\n08:36.325 --> 08:39.424\n减少免疫细胞和抗病毒蛋白，\n\n08:39.775 --> 08:42.474\n比如干扰素的输送。\n\n08:43.867 --> 08:44.168\n嗯，\n\n08:44.768 --> 08:46.518\n病病毒得逞的话呢，\n\n08:46.518 --> 08:48.468\n局部防御力要下降的。\n\n08:48.718 --> 08:49.117\n嗯，\n\n08:49.117 --> 08:52.643\n然后潜伏或新接触的病毒呢，\n\n08:52.643 --> 08:53.468\n更易定植。\n\n08:55.406 --> 09:00.307\n然后我们现在都在想办法前沿探索，\n\n09:00.356 --> 09:02.656\n就是营养与肠道菌群。\n\n09:03.580 --> 09:03.830\n嗯，\n\n09:04.630 --> 09:06.580\n一般常规补充呢，\n\n09:06.580 --> 09:08.630\n不能预防普通人感冒的，\n\n09:08.780 --> 09:10.380\n但是维生素C呢，\n\n09:10.630 --> 09:11.255\n它呢，\n\n09:11.255 --> 09:14.929\n对大运动量的人群可能。\n\n09:15.713 --> 09:17.013\n确实是有益的。\n\n09:17.791 --> 09:18.067\n嗯，\n\n09:18.067 --> 09:19.242\n还有一个是锌，\n\n09:19.892 --> 09:20.291\n嗯，\n\n09:20.642 --> 09:24.517\n在症状出现的20小24小时，\n\n09:24.517 --> 09:26.192\n也就是一天一夜之内呢，\n\n09:26.192 --> 09:28.492\n它可以补充心定剂，\n\n09:28.942 --> 09:32.492\n它可以轻微的缩短病程。\n\n09:32.492 --> 09:34.867\n比如说七天的，\n\n09:34.867 --> 09:38.642\n它可以减少到五六天这种稍微减轻一点，\n\n09:38.642 --> 09:39.192\n病程。\n\n09:39.968 --> 09:40.117\n嗯，\n\n09:40.117 --> 09:41.143\n肠道菌群呢，\n\n09:41.143 --> 09:44.043\n其实我们其实最大的身，\n\n09:44.043 --> 09:46.742\n身体最大的免疫器官呢，\n\n09:46.742 --> 09:47.367\n是肠道。\n\n09:48.237 --> 09:48.588\n它呢，\n\n09:48.588 --> 09:50.187\n高纤维的饮食呢，\n\n09:50.388 --> 09:53.388\n它有助于增强呼吸道抵抵抗力的。\n\n09:54.710 --> 09:55.010\n嗯。\n\n09:55.955 --> 09:56.179\n嗯，\n\n09:56.179 --> 09:59.405\n还有现在我们讲预防与红旗症。\n\n10:00.260 --> 10:00.559\n嗯，\n\n10:01.010 --> 10:02.934\n一般预防呢，\n\n10:02.934 --> 10:04.659\n一共其实有三大件。\n\n10:05.473 --> 10:05.723\n嗯。\n\n10:06.762 --> 10:10.161\n还有一个是怎么样打疫苗，\n\n10:10.161 --> 10:13.461\n疫苗的策略的最有效的预防手段呢，\n\n10:13.461 --> 10:16.736\n往往其实也是最经济最基础的，\n\n10:16.736 --> 10:18.411\n也是效果其实最好的。\n\n10:18.979 --> 10:20.429\n一个是三大件呢，\n\n10:20.429 --> 10:22.380\n主要就是一个就是洗手。\n\n10:23.494 --> 10:24.443\n还有一个呢，\n\n10:24.443 --> 10:26.518\n就是戴口罩，\n\n10:26.518 --> 10:28.643\n一般多通风的地方。\n\n10:30.088 --> 10:35.088\n然后我们现在一般是接种流感疫苗与新冠疫苗。\n\n10:38.791 --> 10:39.416\n现在呢，\n\n10:39.416 --> 10:44.815\n我们一般是打造那个免疫储蓄日常生活的，\n\n10:44.815 --> 10:49.291\n让它平衡一下长期维持健康的生活方式。\n\n10:49.341 --> 10:53.190\n是肯定增强呼吸道防御能力的关键，\n\n10:53.190 --> 10:55.291\n这个是绝对是关键的。\n\n10:56.310 --> 10:57.210\n有好几种，\n\n10:57.210 --> 10:58.861\n一一个是，\n\n10:58.911 --> 11:00.460\n我们要补充睡眠。\n\n11:01.669 --> 11:02.268\n每晚呢，\n\n11:02.268 --> 11:05.218\n最最起码要7.8小时的高质量的睡眠。\n\n11:06.028 --> 11:08.877\n还有一个三餐需要均衡饮食，\n\n11:09.328 --> 11:09.728\n嗯，\n\n11:10.427 --> 11:11.627\n三餐规律，\n\n11:11.627 --> 11:16.002\n然后保证蛋白质与蔬果的摄入，\n\n11:16.002 --> 11:17.028\n充分摄入，\n\n11:17.228 --> 11:17.877\n对吧？\n\n11:18.526 --> 11:20.575\n然后要一个适度运动，\n\n11:20.575 --> 11:21.950\n我们一般每周呢，\n\n11:21.950 --> 11:27.875\n最起码要150分钟以上的有氧加利，\n\n11:28.176 --> 11:29.426\n比如，\n\n11:29.726 --> 11:31.526\n慢跑、散步。\n\n11:32.638 --> 11:32.864\n还有，\n\n11:32.864 --> 11:34.338\n有的时候也可以，\n\n11:34.338 --> 11:35.539\n也可以撸个铁啦。\n\n11:35.539 --> 11:37.838\n这种在健身房这种。\n\n11:39.135 --> 11:39.435\n嗯。\n\n11:40.948 --> 11:44.698\n识别红旗症状何时必须就医。\n\n11:45.989 --> 11:47.664\n如果出现以下症状呢，\n\n11:47.664 --> 11:49.315\n我们可能提示呢，\n\n11:49.315 --> 11:51.390\n可能已经存在严重的并发症了，\n\n11:51.739 --> 11:53.940\n需要马上到医院里面去了。\n\n11:54.140 --> 11:55.739\n一个是，\n\n11:55.940 --> 11:57.989\n高热持续大于三天。\n\n11:58.844 --> 12:01.344\n然后体温大于39°，\n\n12:01.544 --> 12:02.544\n但寒颤。\n\n12:03.341 --> 12:05.642\n甚至有的时候有惊厥之类的，\n\n12:05.892 --> 12:08.192\n这种症状一定要马上送医院。\n\n12:10.068 --> 12:10.744\n第二个呢，\n\n12:10.744 --> 12:11.968\n是呼吸困难，\n\n12:12.369 --> 12:14.169\n然后出现了胸痛啦，\n\n12:14.268 --> 12:15.619\n口唇发紫啦，\n\n12:15.768 --> 12:20.068\n发干这种局部缺氧的这种症状，\n\n12:20.068 --> 12:24.318\n需要马上甚至120急救车上医院。\n\n12:25.067 --> 12:28.018\n然后就是一个出现精神萎靡，\n\n12:28.367 --> 12:29.768\n嗯意识模糊，\n\n12:30.117 --> 12:37.367\n嗯上面说过的抽搐等等惊厥这种一定要马上超过送医院。\n\n12:37.768 --> 12:38.192\n然后，\n\n12:38.192 --> 12:39.218\n然后还最后一个呢，\n\n12:39.218 --> 12:40.968\n还有就是咽痛超过五天。\n\n12:41.638 --> 12:42.989\n他一直如刀割一样的，\n\n12:42.989 --> 12:44.588\n比如说一点不缓解的，\n\n12:44.689 --> 12:49.638\n还有它还有局部的咽部可以出现化脓了，\n\n12:49.638 --> 12:52.138\n黄白色的出现黄白色的脓了，\n\n12:52.289 --> 12:55.088\n脓点这种一定要一定要送医。\n\n12:59.645 --> 13:01.395\n然后我们总结一下，\n\n13:01.695 --> 13:02.096\n嗯。\n\n13:03.289 --> 13:04.015\n核心总结呢，\n\n13:04.015 --> 13:09.840\n就是感冒是一场免疫系统的正面交锋，\n\n13:09.840 --> 13:10.390\n对吧？\n\n13:10.690 --> 13:11.890\n急性上感呢，\n\n13:11.890 --> 13:14.190\n是免疫系统与病原体的战争。\n\n13:14.590 --> 13:17.164\n医疗与自我管理的价值呢，\n\n13:17.164 --> 13:19.789\n在于是为免疫争取时间与资源。\n\n13:21.150 --> 13:21.400\n嗯，\n\n13:21.400 --> 13:23.025\n他的那个症状呢，\n\n13:23.025 --> 13:25.450\n就是好比战争中的一个战况。\n\n13:26.254 --> 13:26.504\n嗯。\n\n13:27.862 --> 13:28.487\n敌人呢，\n\n13:28.487 --> 13:29.338\n就是病原，\n\n13:29.338 --> 13:31.362\n病原体就是敌人，\n\n13:31.413 --> 13:32.013\n对吧？\n\n13:32.112 --> 13:35.862\n然后我们治疗就是管好他的后勤后勤部门。\n\n13:36.841 --> 13:37.741\n打仗的，\n\n13:37.940 --> 13:39.065\n然后预防呢，\n\n13:39.065 --> 13:40.241\n就是等于练兵了。\n\n13:41.780 --> 13:42.130\n嗯。\n\n13:42.895 --> 13:43.945\n一般我们的。\n\n13:45.203 --> 13:46.403\n如果换了上感呢？\n\n13:46.403 --> 13:49.104\n我们应对应该怎样应对呢？\n\n13:49.911 --> 13:50.211\n嗯。\n\n13:51.982 --> 13:54.557\n一般怎么应对呢？\n\n13:54.557 --> 13:58.382\n就是可以要做到五个做、5做和三不做。\n\n13:59.361 --> 14:00.562\n我做核酸不做。\n\n14:01.846 --> 14:03.046\n一个是打疫苗，\n\n14:03.046 --> 14:06.245\n现在我们流行的打疫苗，\n\n14:06.445 --> 14:08.346\n我们每每年接种流，\n\n14:08.445 --> 14:10.346\n要接种流感疫苗的，\n\n14:10.346 --> 14:11.895\n有的人一直在问呢，\n\n14:11.895 --> 14:16.895\n我怎么怎么感冒的时候能不能打流感疫苗呢？\n\n14:16.895 --> 14:19.846\n一般是感冒完全好之后三天，\n\n14:20.096 --> 14:22.745\n一般我们建议可以接种流感疫苗。\n\n14:23.439 --> 14:24.439\n然后做防护，\n\n14:24.588 --> 14:25.539\n勤洗手。\n\n14:25.689 --> 14:26.739\n这个勤洗手，\n\n14:26.989 --> 14:28.239\n还有戴口罩，\n\n14:28.239 --> 14:30.138\n然后要多。\n\n14:32.452 --> 14:34.651\n通风的地方都要多去。\n\n14:36.034 --> 14:39.760\n然后一般要要要要做到多休息，\n\n14:39.760 --> 14:42.184\n反正一般要保证充足睡眠，\n\n14:42.284 --> 14:44.585\n一般最起码要7.8个小时，\n\n14:44.934 --> 14:45.409\n对吧，\n\n14:45.409 --> 14:49.085\n它让可以让免疫系统全力工作。\n\n14:49.950 --> 14:50.250\n嗯，\n\n14:51.099 --> 14:54.325\n然后如如一般呢，\n\n14:54.325 --> 14:57.049\n可以使用药物缓解不舒，\n\n14:57.150 --> 14:58.224\n如咽痛呢，\n\n14:58.224 --> 15:01.950\n现在我们有蓝芩口服液啦，\n\n15:02.299 --> 15:02.625\n嗯，\n\n15:02.625 --> 15:03.825\n裸花紫珠颗粒啊，\n\n15:03.825 --> 15:12.099\n这种药药物可以十分有效的减轻咽部疼痛的效果。\n\n15:14.336 --> 15:15.812\n如果要发热呢，\n\n15:15.812 --> 15:18.086\n一般我们可以使用布洛芬等等。\n\n15:18.820 --> 15:18.945\n嗯，\n\n15:18.945 --> 15:19.546\n咳嗽呢，\n\n15:19.546 --> 15:21.020\n我们一般可以一般的，\n\n15:21.471 --> 15:23.120\n比如强力枇杷剂啦，\n\n15:23.171 --> 15:24.171\n强基枇杷啦，\n\n15:24.171 --> 15:25.421\n这种症状，\n\n15:25.421 --> 15:27.120\n这种药物都可以使用的。\n\n15:27.471 --> 15:27.971\n然后，\n\n15:27.971 --> 15:31.070\n一般要密密切关注病情变化的，\n\n15:31.270 --> 15:33.020\n要识别红旗症状的，\n\n15:33.171 --> 15:37.120\n如果有几大高热惊厥什么的，\n\n15:37.120 --> 15:38.721\n你一定要速速就医。\n\n15:40.489 --> 15:40.864\n还有，\n\n15:40.864 --> 15:44.664\n他要做到在感冒的时候上感的上呼吸道感染，\n\n15:44.664 --> 15:46.231\n要做到什么三不做，\n\n15:46.231 --> 15:47.289\n一个是呢，\n\n15:47.638 --> 15:50.539\n他不不不滥用抗生素。\n\n15:51.346 --> 15:52.296\n他们其实啊，\n\n15:52.296 --> 15:54.046\n对病毒根本无要的，\n\n15:54.046 --> 15:59.245\n一般现在老百姓都是头孢要要用头孢什么，\n\n15:59.245 --> 16:00.645\n其实根本不需要的。\n\n16:01.479 --> 16:02.604\n而且还有一个呢，\n\n16:02.604 --> 16:04.580\n就不要盲目的输液。\n\n16:04.880 --> 16:05.205\n嗯，\n\n16:05.205 --> 16:06.679\n他一般口服补液，\n\n16:06.679 --> 16:08.179\n其实通常已经足够了。\n\n16:08.828 --> 16:09.054\n嗯，\n\n16:09.054 --> 16:11.179\n还有一个是要充分休息，\n\n16:11.479 --> 16:11.828\n嗯，\n\n16:11.828 --> 16:13.528\n它是最好的恢复良药，\n\n16:13.729 --> 16:15.278\n不要带病硬撑。\n\n16:16.809 --> 16:17.309\n对吧。\n\n16:18.203 --> 16:18.677\n好的，\n\n16:18.677 --> 16:19.653\n谢谢大家。\n\n","v0347cg10004d70h93qljht2glkm1t6g",985,571,"2026-01-26 11:19:47"," 上感：免疫战场的幕后故事 - 揭秘人体免疫系统与病毒对抗的全过程  \n"," 上感, 免疫系统, 病毒对抗, 人体防御机制, 免疫战场, 健康科普, 病毒感染, 免疫反应  \n"," 探索《上感：免疫战场的幕后故事》这部科普视频，深入了解人体免疫系统如何与病毒展开激烈对抗。揭示免疫细胞的工作原理、病毒的入侵策略以及身体防御机制的奥秘，带您走进这场看不见的微观战争。","2026-05-03 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