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--> 00:08.774\n我们来讲一下间接性肺病和一个鉴别诊断。\n\n00:12.796 --> 00:15.946\n我现在从七个步骤进行讲解。\n\n00:16.610 --> 00:18.510\n第一个是诊断方法，\n\n00:19.059 --> 00:22.459\n还有一个临床表现与症状。\n\n00:24.222 --> 00:27.572\n那个就是病因与发病机制，\n\n00:27.771 --> 00:31.021\n这就是间接性肺病和一个概述，\n\n00:31.572 --> 00:33.222\n这就是一个诊断，\n\n00:34.372 --> 00:36.696\n鉴别诊断治疗策略，\n\n00:36.696 --> 00:38.021\n那个随后。\n\n00:39.083 --> 00:40.034\n预后随访。\n\n00:43.926 --> 00:49.277\n接下来我们从间接性背变一个概述进行下一个讲解。\n\n00:50.012 --> 00:50.212\n嗯。\n\n00:51.136 --> 00:52.535\n什么是间接性肺病，\n\n00:52.636 --> 00:53.285\n然后。\n\n00:54.860 --> 00:57.209\n间质性肺病的一个定义与特点？\n\n01:00.612 --> 01:04.212\n然后间质性肺病的定义跟特点。\n\n01:06.073 --> 01:07.124\n分八个方面，\n\n01:07.924 --> 01:08.549\n第一个，\n\n01:08.549 --> 01:10.124\n间接性肺病的一个定义。\n\n01:10.624 --> 01:13.823\n间接性肺病是一组以。\n\n01:15.461 --> 01:19.311\n肺间质炎症和纤维化为主要特征的一个疾病，\n\n01:20.061 --> 01:21.662\n第二个是常见症状，\n\n01:21.811 --> 01:24.111\n包括呼吸困难、干咳。\n\n01:25.666 --> 01:29.365\n以及可能伴随的疲劳和体重减轻。\n\n01:30.637 --> 01:32.287\n再一个就是影响范围。\n\n01:33.880 --> 01:34.530\n可影响。\n\n01:38.318 --> 01:41.818\n肺泡壁血管和淋巴结等组织结构。\n\n01:41.818 --> 01:45.718\n再一个就是病变发展通常为慢性进展，\n\n01:45.867 --> 01:48.417\n但也存在急性加重的一个情况。\n\n01:49.366 --> 01:51.116\n这就是病理变化，\n\n01:51.317 --> 01:55.616\n主要病理变化包括肺纤维和炎症性细胞。\n\n01:58.234 --> 01:58.634\n请问。\n\n02:00.839 --> 02:02.040\n这就是影像学表现。\n\n02:03.089 --> 02:07.290\n肺部影像呈显示网状或。\n\n02:08.889 --> 02:11.339\n磨玻璃样阴影等一些症状。\n\n02:13.238 --> 02:15.164\n那我们看一下流行病学，\n\n02:15.164 --> 02:19.589\n然后间接性肺病全球地方发病的一个情况。\n\n02:20.539 --> 02:20.789\n嗯。\n\n02:21.462 --> 02:23.011\n以下有六个点，\n\n02:23.561 --> 02:25.311\n第一个是全球发病率，\n\n02:26.011 --> 02:26.787\n据统计，\n\n02:26.787 --> 02:29.712\n全球每年新增超过100万。\n\n02:30.673 --> 02:33.173\n再就是地区差异，\n\n02:33.923 --> 02:39.623\n发达国家和发展中的国家发病率存在显著差异。\n\n02:39.623 --> 02:41.074\n再就是高危人群，\n\n02:41.074 --> 02:43.248\n像吸烟者啊、矿工啊，\n\n02:43.248 --> 02:44.123\n长期暴露。\n\n02:45.210 --> 02:46.384\n暴露的一些工作，\n\n02:46.384 --> 02:50.610\n然后有害化学物质的人群风险。\n\n02:52.800 --> 02:53.401\n水平较高，\n\n02:54.001 --> 02:57.151\n第四个就是年龄与性别分布。\n\n02:59.274 --> 03:01.748\n位于中年性以上人群，\n\n03:01.748 --> 03:04.324\n然后男性发病率高于女性。\n\n03:06.035 --> 03:12.235\n那就是疾病负担对公共系统构成重大负担，\n\n03:12.434 --> 03:15.285\n需加强重视和资源投入。\n\n03:16.936 --> 03:18.835\n流行病学研究趋势。\n\n03:19.035 --> 03:20.936\n近年来的流行病学。\n\n03:21.869 --> 03:25.470\n逐渐关注和全球因素遗传的一个影响。\n\n03:29.809 --> 03:30.309\n接下来呢，\n\n03:30.309 --> 03:31.708\n从分类分型。\n\n03:32.822 --> 03:37.371\n来说一下间质性肺病的不同类型及特征。\n\n03:38.218 --> 03:39.069\n一切氛围。\n\n03:40.397 --> 03:41.197\n分类方法，\n\n03:41.348 --> 03:46.098\n分类方法就是基于疾病病病理和临床表现的一个分类。\n\n03:46.647 --> 03:48.848\n然后主要类型包括特征。\n\n03:51.444 --> 03:54.343\n发性肺纤维纤维化，\n\n03:54.544 --> 03:57.244\n然后非特异性质变的一个肺炎等，\n\n03:57.643 --> 04:00.244\n那就是特发性肺纤维化。\n\n04:02.395 --> 04:02.796\n嗯，\n\n04:02.796 --> 04:03.845\n病因不明，\n\n04:03.845 --> 04:06.796\n以不可逆的肺纤维化为特征，\n\n04:07.095 --> 04:09.546\n非异性间质性肺炎。\n\n04:10.867 --> 04:14.067\n表现肺部炎症和纤维化病变多样。\n\n04:16.033 --> 04:17.334\n就是继发性情。\n\n04:18.854 --> 04:21.753\n继发性间质性肺炎、肺癌、肺病。\n\n04:23.358 --> 04:26.808\n由已知病因如药物、感染、环境引起，\n\n04:27.157 --> 04:29.407\n那就是遗传性结节肺病。\n\n04:30.799 --> 04:35.850\n遗传因导致的遗传因素导致罕见，\n\n04:35.850 --> 04:36.649\n但需重视。\n\n04:36.649 --> 04:38.774\n然后环境因素相关的什么，\n\n04:38.774 --> 04:40.299\n如失眠。\n\n04:42.261 --> 04:45.462\n煤尘等暴露导致的一个间歇性肺病。\n\n04:48.971 --> 04:52.020\n接下来就是病因发病的一个机制。\n\n04:54.841 --> 04:55.341\nWell being.\n\n04:57.149 --> 04:58.850\n分以下八个。\n\n05:00.425 --> 05:01.925\n一个是环境因素，\n\n05:01.925 --> 05:03.325\n就是长期暴露。\n\n05:04.222 --> 05:06.847\n与石棉硅尘的有害物质。\n\n05:06.847 --> 05:08.273\n第二个是遗传因素。\n\n05:09.506 --> 05:10.156\n某些金。\n\n05:14.785 --> 05:15.934\n某些基因。\n\n05:16.941 --> 05:18.841\n突变增加患者风险，\n\n05:18.841 --> 05:21.140\n然后一个药物因素。\n\n05:22.597 --> 05:26.947\n特定药物如化疗药物可能引发就是感染因素。\n\n05:29.135 --> 05:31.734\n病毒或细胞感染可能触发。\n\n05:32.743 --> 05:34.842\n这就是自身免疫性疾病。\n\n05:36.188 --> 05:36.539\n然后，\n\n05:36.688 --> 05:39.313\n免疫系统异常攻击自身组织，\n\n05:39.313 --> 05:40.289\n然后这就是吸烟。\n\n05:40.289 --> 05:41.838\n有吸烟史的增加，\n\n05:42.088 --> 05:47.188\n患者风险就是职业暴露工作环境中有害化学物质，\n\n05:48.389 --> 05:50.514\n那就下面就是环境污染，\n\n05:50.514 --> 05:52.088\n然后长期暴露于。\n\n05:53.091 --> 05:53.941\n污染空气中。\n\n05:56.837 --> 05:57.587\n患病率较高。\n\n05:59.402 --> 06:01.601\n现上面就是一个发病机制。\n\n06:03.953 --> 06:05.653\n发病机制分。\n\n06:07.979 --> 06:08.829\n八个因素，\n\n06:09.028 --> 06:10.778\n第一个就是炎症反应，\n\n06:10.928 --> 06:12.678\n然后纤维化过程，\n\n06:12.678 --> 06:14.479\n然后细胞因子作用。\n\n06:15.324 --> 06:15.773\n免疫。\n\n06:17.049 --> 06:18.000\n反应异常，\n\n06:18.600 --> 06:19.649\n遗传因素，\n\n06:20.049 --> 06:21.024\n环境因素，\n\n06:21.024 --> 06:22.399\n然后氧化应激，\n\n06:22.399 --> 06:24.549\n还有细胞凋亡。\n\n06:26.541 --> 06:29.592\n接下来就是病理生理变化，\n\n06:29.891 --> 06:31.441\n也分以下八个。\n\n06:32.291 --> 06:35.717\n第一个是肺组织结构变化，\n\n06:35.717 --> 06:38.242\n然后再就是肺功能受损，\n\n06:39.191 --> 06:40.391\n肺泡壁增厚，\n\n06:40.742 --> 06:43.191\n免疫细胞侵侵润。\n\n06:46.998 --> 06:49.348\n第五个是眼睛介质释放。\n\n06:49.549 --> 06:50.348\n第六个。\n\n06:52.032 --> 06:53.132\n氧化应激增加，\n\n06:53.333 --> 06:53.933\n然后。\n\n06:56.138 --> 06:58.037\n细胞信号传导异常。\n\n07:01.071 --> 07:04.221\n再接二个就是临床表现与症状。\n\n07:05.843 --> 07:06.368\n然后，\n\n07:06.368 --> 07:09.343\n常见症状分以下这八个，\n\n07:09.593 --> 07:11.243\n一个呼吸困难，\n\n07:11.894 --> 07:17.794\n然后干咳、疲劳、体重减轻、胸痛、发热、关节痛。\n\n07:17.993 --> 07:19.493\n这就是发钱。\n\n07:23.915 --> 07:24.966\n呼吸困难呢，\n\n07:24.966 --> 07:27.040\n就是患者感到呼吸急促，\n\n07:27.040 --> 07:28.115\n尤其在活动后。\n\n07:28.115 --> 07:29.341\n然后干咳的话，\n\n07:29.341 --> 07:30.265\n就是持续干咳，\n\n07:30.265 --> 07:31.765\n通常无痰或少痰。\n\n07:32.365 --> 07:33.040\n第三个，\n\n07:33.040 --> 07:33.941\n疲劳的话，\n\n07:33.941 --> 07:37.015\n就是患者常感到疲劳或乏力。\n\n07:37.165 --> 07:37.941\n第四个，\n\n07:37.941 --> 07:38.816\n体重减轻，\n\n07:39.415 --> 07:40.665\n病情进展时呢，\n\n07:40.665 --> 07:42.265\n会出现明显的体重下降。\n\n07:42.980 --> 07:43.980\n有个胸痛，\n\n07:44.529 --> 07:48.130\n有部分患者会感到胸部不适或疼痛的一些症状。\n\n07:48.380 --> 07:48.954\n第6个，\n\n07:48.954 --> 07:49.380\n发热，\n\n07:49.829 --> 07:53.079\n某类型可伴有低热或高热的一些症状，\n\n07:53.329 --> 07:55.079\n一个就是关节痛的，\n\n07:55.429 --> 07:57.255\n可能会出现关节痛啊，\n\n07:57.255 --> 07:57.980\n肌肉痛。\n\n07:58.669 --> 08:00.144\n就是bug，\n\n08:00.144 --> 08:06.093\n就是发现严重病例可出现口唇发紫啊，\n\n08:06.093 --> 08:08.368\n或指甲发青发紫。\n\n08:11.983 --> 08:12.233\n下面呢，\n\n08:12.233 --> 08:13.483\n就从临床特征，\n\n08:14.483 --> 08:19.632\n间质性肺病的一个临床特点分以下这七个。\n\n08:20.526 --> 08:20.901\n第一个呢，\n\n08:20.901 --> 08:22.325\n就是病情进展。\n\n08:22.425 --> 08:24.476\n第二个就是体格检查，\n\n08:24.526 --> 08:25.726\n呼吸困难，\n\n08:27.675 --> 08:31.101\n生活质量影响病情波动性。\n\n08:31.101 --> 08:32.601\n然后一个合并症，\n\n08:32.601 --> 08:34.676\n还有一个病情监测。\n\n08:39.682 --> 08:39.807\n好，\n\n08:39.807 --> 08:43.432\n下面接下来是症状一个演变，\n\n08:44.432 --> 08:46.932\n间质性肺病的一个动态变化。\n\n08:48.221 --> 08:50.171\n也分以下这八个变化。\n\n08:50.572 --> 08:52.372\n第一个是早期症状。\n\n08:52.771 --> 08:53.921\n早期可能。\n\n08:54.840 --> 08:55.840\n表现比较轻微，\n\n08:55.840 --> 08:56.739\n呼吸困难，\n\n08:56.739 --> 08:58.590\n还有干咳中期症状的，\n\n08:58.940 --> 09:00.440\n随着病情进展，\n\n09:00.690 --> 09:02.989\n症状加重或者活动受限。\n\n09:03.090 --> 09:09.190\n晚期症状到晚期可能会出现严重的呼吸困难和心肺功能衰竭。\n\n09:10.721 --> 09:18.372\n然后肺部波动症状可能会影响肺部感染的环境变化。\n\n09:18.372 --> 09:18.971\n而波动。\n\n09:20.138 --> 09:20.987\n90%。\n\n09:22.396 --> 09:22.997\n合并影响，\n\n09:23.546 --> 09:27.497\n合并症如心血管疾病可能会引起病情加重，\n\n09:27.497 --> 09:28.846\n这就是个体差异，\n\n09:28.846 --> 09:29.846\n然后不同患者，\n\n09:30.596 --> 09:33.197\n不同的患者的症状演变速度。\n\n09:33.197 --> 09:34.247\n然后因。\n\n09:35.395 --> 09:36.145\n个人严重。\n\n09:38.341 --> 09:39.190\n变化来各异，\n\n09:40.140 --> 09:41.591\n那就是治疗反应。\n\n09:41.591 --> 09:44.491\n治疗效果会影响一个演变的进展速度，\n\n09:45.241 --> 09:46.716\n那就是病情监测，\n\n09:46.716 --> 09:51.291\n还有定期监测会有助于发现一个病情的一个变化。\n\n09:52.929 --> 09:54.380\n给几个诊断方法。\n\n09:57.565 --> 09:57.840\n然后，\n\n09:57.840 --> 09:58.864\n影像检查，\n\n09:59.465 --> 10:01.715\n影像检查诊断的一个作用，\n\n10:02.414 --> 10:02.815\n嗯，\n\n10:03.614 --> 10:04.664\n以下这几个，\n\n10:04.664 --> 10:07.065\n第一个是胸部X光啊，\n\n10:07.114 --> 10:08.265\n影像学进展。\n\n10:08.815 --> 10:14.539\n然后这是高分辨率的一个CT影像学检查的一个选择。\n\n10:14.539 --> 10:16.539\n然后影像学随访，\n\n10:16.539 --> 10:17.215\nCT扫描，\n\n10:17.914 --> 10:20.414\n然后影像学的一个评估标准。\n\n10:24.374 --> 10:26.374\n那接下来从肺部功能测试，\n\n10:26.424 --> 10:27.898\n然后肺部功能测试，\n\n10:27.898 --> 10:30.624\n在一个测试的诊断中的一个应用。\n\n10:32.138 --> 10:33.638\n分以下这些应用，\n\n10:33.788 --> 10:36.588\n一个是肺活量测定，\n\n10:37.487 --> 10:39.687\n那就是以上功能检测，\n\n10:39.687 --> 10:41.888\n然后无吸流量测试，\n\n10:42.487 --> 10:44.088\n然后测试结果解读，\n\n10:45.338 --> 10:46.788\n这是注意事项。\n\n10:46.788 --> 10:48.388\n然后肺功能检测，\n\n10:49.187 --> 10:50.538\n测试环境控制，\n\n10:50.588 --> 10:53.487\n然后还有一个就是测试设备的一个校准。\n\n10:56.304 --> 10:57.804\n第二就是病理检查，\n\n10:58.453 --> 11:03.254\n病理检查在诊断中的一个作用有组织活检，\n\n11:03.254 --> 11:06.604\n然后病理检查以下有六个步骤，\n\n11:06.854 --> 11:09.403\n一个是病例诊断标准。\n\n11:09.953 --> 11:11.403\n根据组织特征，\n\n11:11.403 --> 11:11.754\n如。\n\n11:13.552 --> 11:14.903\n炎症细胞啊，\n\n11:15.403 --> 11:20.302\n炎症细胞类型及纤维化程度看严不严重。\n\n11:20.403 --> 11:22.353\n第二个就是病理检查，\n\n11:22.353 --> 11:23.002\n一个风险，\n\n11:23.002 --> 11:25.228\n然后操作可能有点复杂，\n\n11:25.228 --> 11:27.903\n可能出现并发症，\n\n11:27.903 --> 11:29.028\n需谨慎评估。\n\n11:29.028 --> 11:31.903\n第三个是病理检查应用，\n\n11:32.252 --> 11:33.403\n尤其用于。\n\n11:34.895 --> 11:38.046\n难以通过其他方式的一个确诊病例。\n\n11:38.245 --> 11:39.195\n第四个是。\n\n11:40.119 --> 11:42.169\n病理与以这样的一个结合。\n\n11:44.409 --> 11:45.434\n结合影像的结果，\n\n11:45.434 --> 11:47.510\n然后提高诊断的一个准确性。\n\n11:47.960 --> 11:50.510\n第我觉得是病理检查一个局限性，\n\n11:50.809 --> 11:55.359\n可能无法全面反映一个病变的一个范围，\n\n11:55.359 --> 11:56.460\n需要结合临床。\n\n11:57.359 --> 11:59.234\n第六个是病理技术一个进展，\n\n11:59.234 --> 12:01.859\n新技术如什么分子。\n\n12:03.252 --> 12:06.452\n分子病理学提供更精准的一个诊断信息。\n\n12:08.767 --> 12:10.966\n接下来就是鉴别诊断。\n\n12:13.226 --> 12:17.125\n间质性肺病与其他呼吸病的一个鉴别要点。\n\n12:19.138 --> 12:19.687\n接下来从。\n\n12:21.198 --> 12:23.749\n慢性阻塞性肺病的一个鉴别，\n\n12:24.198 --> 12:27.198\n也分一下这八个步骤。\n\n12:28.841 --> 12:30.140\n第一个是经济性。\n\n12:30.140 --> 12:30.640\n分别。\n\n12:32.518 --> 12:33.393\n作为纤维化，\n\n12:33.393 --> 12:40.817\n还有慢阻性气气道阻塞的第二个就是慢阻。\n\n12:43.458 --> 12:43.958\n慢阻肺。\n\n12:46.176 --> 12:46.976\n咳嗽多痰。\n\n12:48.216 --> 12:48.591\n然后，\n\n12:48.591 --> 12:50.966\n间质性肺病为发咳为主，\n\n12:51.617 --> 12:53.466\n这是我们是慢阻肺，\n\n12:53.966 --> 12:55.517\n慢阻肺气肿表现。\n\n12:56.380 --> 12:56.630\n嗯。\n\n12:58.046 --> 12:58.947\n间质性肺病。\n\n13:00.669 --> 13:02.719\n为网状阴影。\n\n13:05.697 --> 13:06.047\n看到。\n\n13:10.677 --> 13:11.028\n开走。\n\n13:14.523 --> 13:15.124\n慢阻肺，\n\n13:15.273 --> 13:17.499\n然后阻塞性系统障碍，\n\n13:17.499 --> 13:18.924\n然后间接性肺病。\n\n13:20.364 --> 13:24.164\n间质性肺病是通常通气保障碍，\n\n13:25.263 --> 13:26.888\n第五个是慢阻性，\n\n13:26.888 --> 13:30.013\n以支气支气管扩张为主。\n\n13:30.263 --> 13:33.614\n然后间质性肺病是需要个体化治疗的，\n\n13:33.614 --> 13:34.314\n慢阻肺。\n\n13:35.291 --> 13:37.091\n慢阻肺病缓慢进展，\n\n13:37.091 --> 13:41.742\n然后间质性肺病可加速恶化，\n\n13:41.742 --> 13:42.692\n恶化比较快。\n\n13:42.692 --> 13:45.492\n然后第7个是慢阻性气道炎症。\n\n13:47.002 --> 13:48.252\n间质性肺病。\n\n13:51.096 --> 13:52.195\n间质性肺病，\n\n13:52.895 --> 13:54.195\n间质纤维化，\n\n13:54.495 --> 13:57.995\n第八个是满足性多于吸烟者呀。\n\n14:00.005 --> 14:00.306\n然后，\n\n14:00.356 --> 14:02.705\n间质性肺病与环境暴露有关。\n\n14:06.565 --> 14:08.116\n原来是与肺病一个。\n\n14:10.197 --> 14:11.497\n肺结节病的一个鉴别。\n\n14:12.750 --> 14:13.299\n区分。\n\n14:15.133 --> 14:15.484\n去看。\n\n14:17.552 --> 14:18.353\n区分兼职性。\n\n14:20.283 --> 14:22.533\n间质性肺病与肺结节结论。\n\n14:23.681 --> 14:25.080\n肺结节病的一个要点，\n\n14:25.681 --> 14:27.431\n我分以下这几个。\n\n14:29.138 --> 14:30.088\n病理特征，\n\n14:30.289 --> 14:33.588\n肺结节病与干酪肉样。\n\n14:35.414 --> 14:35.765\n变到。\n\n14:38.302 --> 14:41.101\n像脑样肉芽肿为特征，\n\n14:42.552 --> 14:44.202\n再就是临床表现，\n\n14:44.252 --> 14:46.901\n肺结节病可能会伴有全身症状，\n\n14:46.901 --> 14:49.252\n如皮肤和眼部病变。\n\n14:49.502 --> 14:50.552\n影像学表现，\n\n14:50.702 --> 14:53.252\n肺结节病通常以双侧。\n\n14:54.281 --> 14:55.882\n肺门淋巴结肿大。\n\n14:56.880 --> 14:57.080\n哦，\n\n14:57.080 --> 14:58.205\n这就是实验测试，\n\n14:58.205 --> 15:04.229\n然后血管紧张素转化酶水平在肺结节中可能有所升高。\n\n15:04.580 --> 15:05.929\n然后治疗策略，\n\n15:06.330 --> 15:10.130\n肺结节病可能是用糖皮质激素治疗，\n\n15:10.380 --> 15:13.905\n这就是一个病变进展部分。\n\n15:13.905 --> 15:15.030\n肺结节可以治愈，\n\n15:15.080 --> 15:18.030\n但间接性肺病通常进展较缓慢。\n\n15:19.354 --> 15:20.679\n再就是病理检查，\n\n15:20.679 --> 15:24.929\n通过活性活检可诊断肺结节病，\n\n15:24.929 --> 15:28.754\n而间质性肺病需综合诊断，\n\n15:29.203 --> 15:33.504\n然后患者预后肺结节预后较好。\n\n15:33.604 --> 15:34.804\n间质性肺炎。\n\n15:36.632 --> 15:38.856\n间质性肺病预后较差，\n\n15:38.856 --> 15:40.031\n具有长期观点。\n\n15:41.221 --> 15:41.971\n试一下。\n\n15:43.296 --> 15:45.447\n就是与肺癌的一个鉴别，\n\n15:46.396 --> 15:50.846\n然后间质性肺病与肺癌的区分要点分七个要点，\n\n15:51.296 --> 15:52.947\n第一个是影像表现，\n\n15:53.596 --> 15:54.296\n然后。\n\n15:58.651 --> 16:01.302\n肺癌长期表现为结节或肿块，\n\n16:01.401 --> 16:04.002\n而间质性肺病通常为网状抑郁。\n\n16:04.002 --> 16:05.502\n第二个是临床表现，\n\n16:05.901 --> 16:09.677\n肺癌可能会出现咳血、胸痛等临床症状。\n\n16:09.677 --> 16:13.802\n然后间质性肺病主要以呼吸为呼吸困难为主。\n\n16:14.252 --> 16:15.552\n第三个是病变。\n\n16:17.296 --> 16:17.971\n病理检查，\n\n16:17.971 --> 16:20.271\n通过活检可诊断肺癌，\n\n16:20.271 --> 16:22.546\n然后间质性肺病需多种检查，\n\n16:22.896 --> 16:24.796\n第4个是肿瘤标志物，\n\n16:25.346 --> 16:27.796\n肺癌患者肿瘤标志物可能升高，\n\n16:28.146 --> 16:30.447\n间质性肺病一般不高。\n\n16:31.346 --> 16:32.697\n第5个是治疗策略，\n\n16:32.697 --> 16:34.896\n肺癌需需手术方法。\n\n16:36.013 --> 16:37.439\n放化疗等综合治疗，\n\n16:37.439 --> 16:40.713\n然后间质性肺病以控制症状为主。\n\n16:40.713 --> 16:41.614\n第6个是。\n\n16:43.401 --> 16:44.026\n病程进展，\n\n16:44.026 --> 16:45.401\n肺癌进展迅速，\n\n16:45.752 --> 16:46.851\n需及时干预。\n\n16:46.851 --> 16:50.752\n间质性肺癌相对较缓慢体型的是。\n\n16:51.794 --> 16:52.895\n影像学随访。\n\n16:54.474 --> 16:55.775\n肺癌需密切。\n\n16:57.887 --> 17:03.986\n并且影像学随访间质细肺癌需定期监测一个病情变化。\n\n17:07.364 --> 17:09.063\n接下来是治疗策略。\n\n17:11.160 --> 17:12.410\n要是药物治疗，\n\n17:13.109 --> 17:14.609\n问一下这几个。\n\n17:15.672 --> 17:17.873\n第一个是糖皮激素治疗，\n\n17:17.873 --> 17:19.973\n然后纤维化药物。\n\n17:21.493 --> 17:22.843\n抗纤维化药物治疗，\n\n17:22.843 --> 17:24.917\n然后药物副作用一个管理，\n\n17:24.917 --> 17:26.593\n然后联合用药策略，\n\n17:26.993 --> 17:28.292\n再就是免疫。\n\n17:31.722 --> 17:33.472\n免疫抑制剂，\n\n17:34.072 --> 17:35.572\n这就是个体化用药，\n\n17:35.572 --> 17:36.746\n新药的一个研发，\n\n17:36.746 --> 17:38.722\n然后长期用药的一个计划。\n\n17:40.235 --> 17:41.635\n以下是非药物治疗，\n\n17:41.635 --> 17:42.885\n好像，\n\n17:42.936 --> 17:44.036\n以下八个，\n\n17:44.086 --> 17:45.336\n第一个是氧疗，\n\n17:45.836 --> 17:47.436\n第二个是康复训练，\n\n17:47.436 --> 17:48.911\n第三个是营养支持，\n\n17:48.911 --> 17:50.135\n第四个是心理支持，\n\n17:50.135 --> 17:52.885\n第五个无创通气就是。\n\n17:54.541 --> 17:55.217\n环境控制，\n\n17:55.217 --> 17:57.291\n还有就是生活方式的一个调理，\n\n17:57.291 --> 17:58.842\n这就是定期监测。\n\n18:01.840 --> 18:04.840\n近期进行肺部监测和影像检查，\n\n18:04.890 --> 18:06.840\n然后以评估病情的一个变化。\n\n18:09.822 --> 18:11.822\n下面就是新型疗法。\n\n18:14.022 --> 18:15.223\n分以下这几个，\n\n18:15.373 --> 18:18.047\n一个是基因治疗，\n\n18:18.047 --> 18:22.123\n还有一个是临床试验生物标志一个。\n\n18:23.202 --> 18:33.001\n研究再就是靶向治疗、干细胞治疗、个体化医疗、免疫治疗和环境干预。\n\n18:33.251 --> 18:34.276\n基础治疗呢，\n\n18:34.276 --> 18:35.202\n就是针对。\n\n18:36.447 --> 18:40.672\n特性疾病特性基因突变的一个治疗方法，\n\n18:40.672 --> 18:41.797\n临床试验，\n\n18:42.947 --> 18:46.397\n新疗法在临床试验中的一个探索和应用，\n\n18:46.397 --> 18:48.297\n然后生物标志研究，\n\n18:48.297 --> 18:51.822\n通过生物标志指导治疗选择，\n\n18:51.822 --> 18:53.047\n然后靶向治疗，\n\n18:53.598 --> 18:54.697\n针对特定。\n\n18:56.201 --> 19:01.250\n分子靶点的一个精准干预干细胞治疗呢，\n\n19:01.250 --> 19:05.600\n就是使用干细胞修复受损肺组织。\n\n19:06.401 --> 19:09.850\n然后个体化治疗就是基于患者的一个特征，\n\n19:10.100 --> 19:12.600\n精准治疗的一个策略。\n\n19:15.005 --> 19:16.305\n或者是免疫疗法。\n\n19:16.655 --> 19:18.005\n利用免疫系统。\n\n19:18.821 --> 19:20.171\n调节炎症的一个反应，\n\n19:20.421 --> 19:22.171\n这就是环境干预，\n\n19:22.720 --> 19:24.446\n就是改善生活环境嘛，\n\n19:24.446 --> 19:25.720\n然后以辅助治疗。\n\n","v0247cg10004d714an2ljht4754gich0",1173,813,"2026-01-26 11:39:47"," Meeting 02 Highlights: Key Discussions and Action Items  "," meeting 02, team meeting, business discussions, meeting summary, action items, collaboration, project updates  "," Watch the highlights from Meeting 02, covering key discussions, decisions, and action items. Stay updated on team progress and next steps for your projects.","2026-05-02 16:00:00",[34],{"menuId":35,"menuName":36,"parentId":17,"orderNum":37,"path":38,"component":39,"isFrame":40,"isCache":41,"menuType":42,"visible":21,"status":17,"createDept":6,"remark":15,"createTime":43,"children":44,"columnImage":45,"columnLogo":46,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":47,"seoKeywords":48,"seoDescription":49,"contentNum":6,"promotionalPoster":50,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":51,"routerPath":38,"componentInfo":39},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 10:31:58",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:40/0d7fcb56-3dc4-4dcb-99ca-a5d5c438378e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:43/958efac7-dd02-4681-b8fd-0dd84b1bbf42.png","健康科普视频大全,了解你的健康生活","健康科普视频, 戒烟视频, 饮食健康视频, 胸痛科普, 用药知识, 职业健康视频, 贫血科普, 眼健康视频","精选健康科普视频,涵盖戒烟、胸痛、饮食、用药与职业健康等多个主题,让你轻松获取科学健康知识,提升生活质量。","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:09:45/fa8fe113-deaa-4454-8105-d629769963dd.png","Video",2,4,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/871848/f605ab9f-6004-4c7c-9e18-f15bcfa56acd.tmp?a=0&auth_key=1789028065-ef88b035294f436ab16e4323ae3d81bf-0-4ae64e10a02ae334bb254ae8b7351eb5&br=319&bt=319&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d714an2ljht4754gich0&er=0&l=2026081105545329D2B63B72D21605394A&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M2ZqODdrb3E3OjczNGY3M0Apa2w3OndtNWQ0ZzMzajo1eWdlZjE0cWcvXi5hLS1kNC9zcy1gZDIxZWlrMTQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":54,"message":6,"data":6,"success":55},{"code":9,"msg":10,"message":6,"data":58,"success":55},{"pageNo":21,"pageSize":59,"result":60,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":62,"success":55},{"authors":63,"appraiseDimensionScoresVos":64},[],[]]