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--> 00:14.486\n今天我们学习一下急性上呼吸道感染。\n\n00:21.288 --> 00:22.587\n从四个方面。\n\n00:24.493 --> 00:25.267\n来学习。\n\n00:25.267 --> 00:25.792\n第一，\n\n00:25.792 --> 00:26.892\n开篇总述，\n\n00:27.443 --> 00:29.343\n二、病因与发病机制，\n\n00:29.743 --> 00:30.218\n第三，\n\n00:30.218 --> 00:31.193\n临床表现，\n\n00:31.343 --> 00:31.943\n第四，\n\n00:32.342 --> 00:33.393\n辅助检查。\n\n00:36.284 --> 00:36.633\n第五，\n\n00:36.833 --> 00:38.484\n诊断与鉴别诊断。\n\n00:38.734 --> 00:39.333\n第六，\n\n00:39.333 --> 00:40.933\n治疗原则与方案。\n\n00:41.915 --> 00:44.415\n第七是预防与健康管理，\n\n00:44.564 --> 00:46.365\n第八总结要点与回顾。\n\n00:48.615 --> 00:49.814\n第一个开篇总数。\n\n00:51.702 --> 00:53.103\n上呼吸道感染的定义。\n\n00:54.477 --> 00:57.626\n首先它的感染部位是主要是涉及到。\n\n00:58.608 --> 01:01.307\n鼻、咽喉等上呼吸道。\n\n01:03.076 --> 01:04.177\n它的病原体类型，\n\n01:04.626 --> 01:07.126\n常见的病原体有病毒、细菌，\n\n01:07.126 --> 01:10.077\n如流流感病毒、肺炎链球菌。\n\n01:10.527 --> 01:17.177\n疾病的性质说明它是鼻腔、鼻腔、咽喉部急性炎症的总称。\n\n01:17.626 --> 01:19.577\n急性起病比较急。\n\n01:26.319 --> 01:31.419\n流行病学特征季节分布冬春季节气温变化大，\n\n01:31.419 --> 01:34.569\n急性上呼吸道感染发病率明显上升。\n\n01:35.942 --> 01:37.491\n第二个是人群的易感性，\n\n01:37.741 --> 01:43.842\n儿童、老人及支原体感、免疫力低下者更易感染急性上呼吸道感染。\n\n01:43.991 --> 01:47.342\n第三个传播途径主要通过飞沫传播，\n\n01:47.541 --> 01:49.342\n如咳嗽、打喷嚏等，\n\n01:49.442 --> 01:51.141\n易造成疾病的扩散。\n\n01:54.240 --> 01:55.691\n临床意义直到。\n\n01:56.948 --> 01:58.049\n主要是指导治疗。\n\n01:59.208 --> 01:59.484\n医生，\n\n01:59.484 --> 02:02.359\n根据感染类型和症状制定。\n\n02:03.607 --> 02:04.332\n治疗方案，\n\n02:04.332 --> 02:06.406\n如流感用抗病毒药物。\n\n02:09.391 --> 02:10.966\n评估病情的严重性，\n\n02:10.966 --> 02:12.591\n判断感染的程度，\n\n02:12.591 --> 02:13.841\n轻症可治愈，\n\n02:13.841 --> 02:15.367\n重症需要住院治疗，\n\n02:15.367 --> 02:16.891\n如肺炎型流感。\n\n02:17.729 --> 02:19.229\n预测疾病的转归，\n\n02:19.729 --> 02:21.479\n预测感染发展，\n\n02:21.729 --> 02:24.005\n普通感冒多治愈，\n\n02:24.005 --> 02:26.380\n少数会引发并发症，\n\n02:26.380 --> 02:27.429\n如中耳炎。\n\n02:29.884 --> 02:30.285\n第二个。\n\n02:31.104 --> 02:32.455\n病因与发病机制。\n\n02:33.662 --> 02:34.962\n它的主要的病原体呢，\n\n02:34.962 --> 02:35.712\n就是病毒。\n\n02:36.011 --> 02:39.912\n常见的病毒有鼻病毒、流感病毒，\n\n02:39.912 --> 02:42.761\n像流感季引发的上呼吸道感染。\n\n02:43.587 --> 02:50.438\n细菌如溶血性链球菌等是导致感染的重要的细菌类型。\n\n02:52.389 --> 02:54.740\n它的诱发因素第一个就是季节变化，\n\n02:55.240 --> 02:57.639\n春秋季节气温多变，\n\n02:57.839 --> 03:00.740\n如北京春秋温差大，\n\n03:00.889 --> 03:03.589\n易诱发急性上呼吸道感染，\n\n03:03.789 --> 03:05.389\n第二个是过度的劳累，\n\n03:05.589 --> 03:09.089\n像程序员连续加班后身体的免疫力的下降。\n\n03:09.921 --> 03:11.746\n容易引起病毒的侵袭，\n\n03:11.746 --> 03:12.621\n引发感染。\n\n03:13.022 --> 03:19.972\n环境因素在人员密集、通风差的场所增加感染急性上呼道的几率比较高。\n\n03:21.938 --> 03:22.889\n第二个发病机制。\n\n03:24.753 --> 03:25.552\n病毒的入侵，\n\n03:25.602 --> 03:28.852\n流感病毒入侵呼吸道上上皮细胞，\n\n03:29.253 --> 03:30.727\n引发急性炎症，\n\n03:30.727 --> 03:32.552\n如甲型流感常见。\n\n03:32.902 --> 03:35.102\n二、免疫失衡，\n\n03:35.152 --> 03:37.953\n过度的免疫反应损伤呼吸道组织，\n\n03:38.152 --> 03:41.552\n像感染后咳嗽久治不愈就是例子。\n\n03:41.852 --> 03:43.852\n第三一个就是气道的损伤，\n\n03:44.203 --> 03:46.802\n病毒破坏气道黏膜屏障，\n\n03:47.102 --> 03:48.578\n易诱发细菌感染，\n\n03:48.578 --> 03:50.902\n如感冒后的引发的肺炎。\n\n03:53.145 --> 03:54.095\n临床表现，\n\n03:54.195 --> 03:55.770\n普通的感冒症状，\n\n03:55.770 --> 03:57.070\n以鼻部的症状出现，\n\n03:57.070 --> 03:57.595\n鼻塞啊，\n\n03:57.595 --> 03:58.046\n流涕，\n\n03:58.445 --> 03:59.770\n像过敏性鼻炎，\n\n03:59.770 --> 04:01.195\n发作时鼻子难受，\n\n04:01.296 --> 04:02.246\n影响呼吸。\n\n04:02.496 --> 04:05.395\n咽喉部的不适表现为咽痛、咽干，\n\n04:05.546 --> 04:09.246\n如过度用嗓后咽喉部有刺痛感。\n\n04:09.546 --> 04:10.645\n咳嗽症状，\n\n04:10.645 --> 04:11.470\n多为干咳，\n\n04:11.470 --> 04:12.945\n伴有少量的白痰，\n\n04:13.195 --> 04:15.945\n像吸入冷冷空气后引发的轻咳。\n\n04:16.915 --> 04:19.864\n急性病毒性咽炎、喉炎的表现，\n\n04:20.114 --> 04:22.614\n咽部发痒或者灼热感。\n\n04:22.915 --> 04:24.265\n患者常常。\n\n04:25.529 --> 04:26.730\n感到咽部不适，\n\n04:26.730 --> 04:27.880\n像有小虫爬，\n\n04:28.279 --> 04:30.429\n如普通病毒初期的感冒。\n\n04:31.346 --> 04:32.395\n初期症状，\n\n04:32.596 --> 04:33.096\n咳嗽，\n\n04:33.096 --> 04:34.645\n但无痰或者少痰，\n\n04:34.946 --> 04:36.895\n咳嗽频繁却痰少，\n\n04:37.045 --> 04:40.295\n如流感引起的咽喉炎就有此表现，\n\n04:40.446 --> 04:41.420\n声音嘶哑，\n\n04:41.420 --> 04:42.446\n甚至失声，\n\n04:42.645 --> 04:46.346\n喉炎严重时声音明显的嘶哑。\n\n04:47.371 --> 04:49.371\n歌星用嗓过度也易出现。\n\n04:50.408 --> 04:52.759\n急性扁桃体炎的症状特征？\n\n04:53.493 --> 04:54.144\n咽痛明显，\n\n04:54.144 --> 04:55.743\n患者常感咽部剧痛，\n\n04:55.993 --> 04:57.144\n吞咽时加剧，\n\n04:57.294 --> 04:59.468\n如感冒后咽痛难忍的情况。\n\n04:59.468 --> 05:00.444\n扁桃体的肿大，\n\n05:00.444 --> 05:03.444\n检查可发现扁桃体的充血肿大，\n\n05:03.544 --> 05:04.968\n严重时可影响呼吸，\n\n05:04.968 --> 05:06.044\n像小孩打鼾，\n\n05:06.194 --> 05:07.794\n可能与此也有关系。\n\n05:09.627 --> 05:10.227\n发热症状，\n\n05:10.227 --> 05:11.752\n多数患者伴有发热，\n\n05:11.752 --> 05:13.528\n体温可达38°以上，\n\n05:13.528 --> 05:17.377\n类似流感发热表现特殊人群的表现。\n\n05:19.610 --> 05:20.411\n儿童的表现，\n\n05:20.411 --> 05:23.061\n儿童感染后易高热惊厥。\n\n05:23.411 --> 05:26.110\n如幼儿园常因此。\n\n05:27.903 --> 05:30.653\n类情况发生老年人表现，\n\n05:30.753 --> 05:34.329\n老年人感染后可能诱发基础病加重，\n\n05:34.329 --> 05:37.454\n像患心脏病老人更危险。\n\n05:38.558 --> 05:39.259\n孕妇的表现，\n\n05:39.259 --> 05:42.384\n孕妇感染后可以加重及影响胎儿，\n\n05:42.384 --> 05:44.658\n新闻也有相关的案例。\n\n05:46.222 --> 05:46.822\n辅助检查。\n\n05:47.720 --> 05:48.869\n白细胞的生计数，\n\n05:48.970 --> 05:51.269\n感染细菌后白细胞常升高，\n\n05:51.420 --> 05:53.595\n如链肺炎链球菌的感染，\n\n05:53.595 --> 05:55.670\n病毒感染多正常或降低。\n\n05:55.820 --> 05:57.369\n淋巴细胞比例，\n\n05:57.570 --> 06:01.220\n病毒感染时淋巴细胞的比例常升高。\n\n06:01.220 --> 06:03.869\n如流感病毒感染后可见此症状。\n\n06:04.574 --> 06:04.924\n中信。\n\n06:05.738 --> 06:07.588\n中性粒细胞的比例，\n\n06:07.738 --> 06:12.187\n细菌感染时中性粒细胞比例常增加。\n\n06:12.437 --> 06:15.687\n像金黄色葡萄球菌感染会有。\n\n06:16.947 --> 06:17.798\n这样的表现，\n\n06:18.048 --> 06:21.847\n病原学的检查适用的场景持续，\n\n06:21.947 --> 06:23.497\n症状持续不缓解，\n\n06:23.497 --> 06:28.697\n患者感冒症状持续1周以上未改善，\n\n06:29.097 --> 06:30.997\n需病原学找病。\n\n06:31.347 --> 06:31.997\n病因，\n\n06:31.997 --> 06:34.597\n病情严重会反复高热不退。\n\n06:35.246 --> 06:38.895\n频繁的复发的上感患者应做病原学的检查，\n\n06:38.895 --> 06:39.846\n明确病原。\n\n06:39.996 --> 06:41.520\n特殊人群感染，\n\n06:41.520 --> 06:45.371\n比如说老人、儿童、孕妇等特殊人群感染以后，\n\n06:45.371 --> 06:46.670\n建议病原学检查，\n\n06:46.670 --> 06:47.596\n精准治疗。\n\n06:48.766 --> 06:50.117\n影像学检查的意义，\n\n06:50.217 --> 06:51.816\n判断感染的范围，\n\n06:51.916 --> 06:55.717\n通过影像可清晰的看到肺部等感染区域的大小，\n\n06:55.717 --> 06:58.342\n如肺炎时的炎症边界，\n\n06:58.342 --> 07:00.566\n发现潜在的并发症，\n\n07:00.816 --> 07:02.316\n能及时感觉到，\n\n07:02.316 --> 07:05.166\n察觉到引发的气胸等问题，\n\n07:05.266 --> 07:08.016\n像流感后可能出现的气胸，\n\n07:08.367 --> 07:10.217\n评估病情严重的程度，\n\n07:10.217 --> 07:12.316\n根据影像表现判断。\n\n07:13.432 --> 07:14.106\n感染轻重，\n\n07:14.106 --> 07:18.631\n如轻重症肺炎的肺实不肺实变的情况。\n\n07:19.760 --> 07:22.559\n然后第二、第五个就是诊断与鉴别的诊断。\n\n07:23.427 --> 07:24.177\n诊断的标准，\n\n07:24.677 --> 07:25.726\n症状表现，\n\n07:26.076 --> 07:31.427\n患者出现咳嗽、流涕、咽痛等典型的症状，\n\n07:31.576 --> 07:33.527\n如常见的感冒症状。\n\n07:33.677 --> 07:34.927\n体征检查，\n\n07:35.177 --> 07:36.277\n医生检查。\n\n07:37.187 --> 07:38.937\n发现眼、眼部的充血，\n\n07:39.286 --> 07:41.136\n扁桃体的肿大等体征，\n\n07:41.386 --> 07:44.437\n像感冒时常见的情况。\n\n07:44.786 --> 07:49.337\n实验时的检查血常规显示白细胞等指标变化，\n\n07:49.337 --> 07:52.687\n如病毒感染时淋巴细胞可能升高。\n\n07:54.914 --> 07:59.364\n然后他要鉴别诊断的要点与过敏性鼻炎的鉴别，\n\n07:59.614 --> 08:01.838\n过敏性鼻炎常发的鼻炎喷嚏，\n\n08:01.838 --> 08:04.588\n如花粉季节患者比较明显。\n\n08:04.588 --> 08:07.739\n有流感的流行性感冒的鉴别，\n\n08:07.739 --> 08:10.039\n流行性流感全身症状重，\n\n08:10.039 --> 08:11.014\n如高热、乏力，\n\n08:11.014 --> 08:16.813\n长生群体的发病与咽炎型传染性单核细胞增多症的鉴别，\n\n08:16.963 --> 08:18.463\n该病有发热、咽痛，\n\n08:18.463 --> 08:20.164\n可见颈部淋巴结的肿大，\n\n08:20.414 --> 08:22.414\n如青少年易患。\n\n08:26.299 --> 08:27.575\n治疗原则与方案，\n\n08:27.575 --> 08:29.299\n一般治疗的要点，\n\n08:29.450 --> 08:32.750\n休息调养需患者需要保证充足的睡眠，\n\n08:32.750 --> 08:37.549\n像上班上班族患病后应请假卧床休息，\n\n08:37.700 --> 08:38.549\n补充水分，\n\n08:38.549 --> 08:39.400\n多喝开水，\n\n08:39.400 --> 08:41.049\n如小孩感冒时，\n\n08:41.049 --> 08:43.400\n家长常促督促喝水。\n\n08:43.549 --> 08:44.400\n清淡饮食，\n\n08:44.400 --> 08:45.700\n选择易消化的食物，\n\n08:45.700 --> 08:46.424\n比如老人，\n\n08:46.424 --> 08:48.900\n老人感染后吃米粥、面条。\n\n08:50.947 --> 08:51.997\n对症治疗的因。\n\n08:53.270 --> 08:56.937\n对症治疗药物的应用第一个就是解热镇痛，\n\n08:56.937 --> 08:57.794\n药发，\n\n08:57.794 --> 09:01.945\n对发热、头痛时常用布洛芬对一些氨基酚缓解症状，\n\n09:01.945 --> 09:03.119\n如成人感冒。\n\n09:04.864 --> 09:05.263\n常用。\n\n09:06.559 --> 09:07.508\n止咳祛痰药，\n\n09:07.859 --> 09:09.359\n止咳有痰者。\n\n09:10.596 --> 09:15.372\n咳嗽有痰者可用氨溴索乙酰半胱氨酸做痰液的排出。\n\n09:15.372 --> 09:16.646\n像小儿咳嗽。\n\n09:17.409 --> 09:19.710\n第三一个就是减轻鼻充血。\n\n09:20.835 --> 09:22.335\n鼻部充血的药，\n\n09:22.335 --> 09:26.435\n鼻塞时用伪麻黄碱滴鼻液或者口服，\n\n09:26.635 --> 09:27.635\n改善通气。\n\n09:27.786 --> 09:31.835\n如过敏性鼻炎的发作病因治疗用药的规范。\n\n09:32.926 --> 09:35.526\n抗病毒药物的使用针对抗，\n\n09:36.075 --> 09:38.551\n针对病毒感染常用利巴韦林，\n\n09:38.551 --> 09:40.875\n如流感可用奥司他韦。\n\n09:41.125 --> 09:42.500\n抗菌药物的选择，\n\n09:42.500 --> 09:45.676\n细菌感染时依据并启用青霉素或头孢头孢类。\n\n09:46.664 --> 09:48.314\n像肺炎链球菌感染可用。\n\n09:49.333 --> 09:50.607\n后面就是讲一下，\n\n09:50.607 --> 09:51.583\n说一下中医。\n\n09:52.690 --> 09:53.541\n中药治疗。\n\n09:54.461 --> 10:01.411\n中药方剂银翘散常用于风热型急性伤感能辛凉解表辛，\n\n10:01.411 --> 10:02.562\n清热解毒，\n\n10:02.911 --> 10:04.012\n针灸疗法，\n\n10:04.211 --> 10:07.312\n针刺风池、大椎等穴位。\n\n10:08.328 --> 10:10.229\n可有效的缓解上感症状。\n\n10:10.328 --> 10:11.129\n推拿按摩，\n\n10:11.129 --> 10:15.528\n小儿急性上呼吸道感染可以通过推拿特定穴位来改善病情。\n\n10:17.848 --> 10:18.398\n健康与。\n\n10:19.492 --> 10:20.492\n预防管理。\n\n10:22.062 --> 10:24.713\n预防与健康管理日常措施，\n\n10:25.362 --> 10:27.213\n日常的预预防措施，\n\n10:27.213 --> 10:29.062\n保持良好的个人卫生，\n\n10:29.163 --> 10:30.062\n勤洗手，\n\n10:30.062 --> 10:33.263\n避免用手触摸口鼻。\n\n10:33.463 --> 10:36.913\n向医护人员操作前后必须先洗手，\n\n10:37.062 --> 10:38.213\n加强锻炼，\n\n10:38.312 --> 10:39.513\n增强体质。\n\n10:40.322 --> 10:42.296\n坚持每周运动3次以上，\n\n10:42.296 --> 10:43.296\n如跑步、游泳，\n\n10:43.296 --> 10:44.521\n可提升免疫力，\n\n10:44.721 --> 10:46.796\n保持室内空气流通，\n\n10:46.796 --> 10:48.971\n每天开窗通风2.3次。\n\n10:49.122 --> 10:51.971\n教室、办公室等场所尤其的重要。\n\n10:52.271 --> 10:53.921\n传播防控手段，\n\n10:53.921 --> 10:57.521\n保持社交距离公共场所保持1米的距离，\n\n10:57.521 --> 10:59.072\n如商商场、公交，\n\n10:59.372 --> 11:00.896\n减少病毒传播，\n\n11:00.896 --> 11:02.572\n加强环境消毒，\n\n11:02.921 --> 11:05.247\n学校、医院等场所定期消毒，\n\n11:05.247 --> 11:08.021\n向教室病房用消毒剂擦拭。\n\n11:08.679 --> 11:11.729\n规范的处理污污染物对患者的痰意，\n\n11:11.830 --> 11:16.130\n其中污染物密封后按医疗废物处理。\n\n11:17.690 --> 11:20.541\n患者教育内容一疾病知识的讲解，\n\n11:20.591 --> 11:23.741\n向患者介绍急性上呼吸道感染的病因症状，\n\n11:23.741 --> 11:26.815\n如流感病毒引起的高热等。\n\n11:26.815 --> 11:31.991\n第二个用热指导说明告知患者正确使用方法，\n\n11:32.390 --> 11:33.591\n制剂量，\n\n11:33.690 --> 11:35.366\n像退热药说说明，\n\n11:35.366 --> 11:37.341\n按说明书服用心理。\n\n11:37.961 --> 11:38.861\n调试建议，\n\n11:38.911 --> 11:40.812\n鼓励患者积极的心态。\n\n11:42.189 --> 11:44.689\n你焦虑时可以听音乐来缓解。\n\n11:44.989 --> 11:46.638\n总结与回顾要点，\n\n11:46.638 --> 11:48.439\n回顾核心诊疗逻辑，\n\n11:48.588 --> 11:50.939\n明确诊断依据。\n\n11:51.039 --> 11:57.088\n通过症状、体征及血常规等检查明确是否为上呼吸道感染，\n\n11:57.239 --> 11:58.689\n选择治疗方案，\n\n11:58.739 --> 12:00.338\n轻症对症治疗，\n\n12:00.439 --> 12:01.439\n如退烧药，\n\n12:01.439 --> 12:04.388\n重症可以抗病毒或者抗菌治疗。\n\n12:04.539 --> 12:06.388\n关注病情变化，\n\n12:06.388 --> 12:09.088\n留意体温症状缓解情况，\n\n12:09.088 --> 12:10.888\n若加重及时调。\n\n12:11.596 --> 12:12.695\n等治疗方案。\n\n12:13.096 --> 12:14.046\n临床误区，\n\n12:14.046 --> 12:15.495\n规避滥用抗生素，\n\n12:15.495 --> 12:17.645\n很多患者感冒就用抗生素，\n\n12:17.645 --> 12:18.445\n如阿奇霉素，\n\n12:18.445 --> 12:20.145\n实则上多数无需无。\n\n12:21.112 --> 12:23.713\n上感无需用过度输液治疗，\n\n12:23.713 --> 12:25.588\n有些人稍有症状就要求输液，\n\n12:25.588 --> 12:27.963\n像头孢普通上感多。\n\n12:28.888 --> 12:34.288\n可口服并发症早期早期识别耳部症状的差觉。\n\n12:34.638 --> 12:37.237\n若出现耳痛、耳鸣，\n\n12:37.338 --> 12:38.288\n可能是。\n\n12:39.622 --> 12:47.723\n中耳炎并发症早期如儿童易发生心脏不适的预警，\n\n12:47.723 --> 12:51.372\n心悸胸闷要警惕可能是并发性心肌炎，\n\n12:51.422 --> 12:53.297\n心壮年如此风险，\n\n12:53.297 --> 12:55.023\n脑部异常表现，\n\n12:55.072 --> 12:55.473\n头。\n\n12:56.637 --> 12:57.262\n痛、嗜睡，\n\n12:57.262 --> 12:58.986\n需留意可能并发脑膜炎，\n\n12:59.486 --> 13:01.086\n请及时的检查。\n\n13:02.900 --> 13:04.025\n大家常说的感冒，\n\n13:04.025 --> 13:04.650\n喉咙痛，\n\n13:04.650 --> 13:07.150\n很多时候就是急性上呼吸道感染，\n\n13:07.349 --> 13:08.650\n这个病在换季，\n\n13:08.650 --> 13:10.549\n它天气冷的时候特别多，\n\n13:10.549 --> 13:11.500\n不管大小，\n\n13:11.700 --> 13:13.700\n大人小孩都容易中招。\n\n13:14.000 --> 13:15.075\n首先说症状，\n\n13:15.075 --> 13:17.275\n一般刚开始会鼻子的不舒服，\n\n13:17.275 --> 13:17.900\n打喷嚏，\n\n13:18.049 --> 13:18.900\n流鼻涕。\n\n13:20.356 --> 13:21.856\n接着可能喉咙干痛。\n\n13:22.806 --> 13:23.705\n说话都费劲，\n\n13:23.806 --> 13:24.806\n还会咳嗽，\n\n13:24.806 --> 13:26.056\n有些时候有低烧，\n\n13:26.255 --> 13:27.356\n浑身没力气，\n\n13:27.356 --> 13:29.630\n这些症状通常持续一周左右，\n\n13:29.630 --> 13:31.106\n多数人不用太担心，\n\n13:31.406 --> 13:33.181\n它主要是病毒感染引起的，\n\n13:33.181 --> 13:34.205\n比如说鼻涕病毒。\n\n13:35.020 --> 13:38.820\n冠状病毒通过飞沫或者是接接触的传播，\n\n13:39.120 --> 13:41.421\n像跟生病的人说话，\n\n13:41.570 --> 13:44.620\n共用杯子摸了摸污染的门把手，\n\n13:44.620 --> 13:45.620\n再揉鼻子，\n\n13:45.620 --> 13:47.520\n眼睛都可能被污染。\n\n13:47.570 --> 13:50.570\n少数情况也会合并细菌感染，\n\n13:50.671 --> 13:52.520\n那症状可能更严重，\n\n13:52.620 --> 13:55.870\n比如浓鼻涕、咳黄痰、高烧不退。\n\n13:56.171 --> 13:57.270\n应对的时候，\n\n13:57.270 --> 13:58.695\n重点是休息和补水，\n\n13:58.695 --> 13:59.520\n多喝温水，\n\n13:59.520 --> 14:00.421\n少多睡觉，\n\n14:00.570 --> 14:03.421\n让身体自己对抗病毒。\n\n14:04.710 --> 14:06.861\n让身身体自己对抗病毒，\n\n14:06.960 --> 14:09.310\n发烧喉咙痛的时的话，\n\n14:09.310 --> 14:13.361\n能吃点常见的退烧药、止痛药缓解一下不适，\n\n14:13.361 --> 14:14.585\n如果怀疑细菌感染，\n\n14:14.585 --> 14:15.460\n得去看医生，\n\n14:15.611 --> 14:17.611\n可能需要开抗生素，\n\n14:17.661 --> 14:18.510\n但千万。\n\n14:19.343 --> 14:22.143\n自己不能随便的乱用抗生素。\n\n14:22.343 --> 14:23.393\n对病毒还。\n\n14:24.895 --> 14:25.544\n要有副，\n\n14:25.594 --> 14:27.645\n因为病毒对病毒没用，\n\n14:27.645 --> 14:28.695\n还会有副作用。\n\n14:30.130 --> 14:31.431\n预防方面也简单，\n\n14:31.431 --> 14:32.830\n平时勤洗手，\n\n14:32.931 --> 14:34.830\n尤其是饭前便后，\n\n14:34.830 --> 14:38.231\n出门回来用洗手液好好搓洗，\n\n14:38.431 --> 14:40.281\n少去人多的拥挤的地方，\n\n14:40.281 --> 14:42.431\n戴口罩能减少传染，\n\n14:42.431 --> 14:43.130\n多锻炼，\n\n14:43.181 --> 14:44.306\n保证睡眠，\n\n14:44.306 --> 14:45.380\n增强免疫力。\n\n14:45.431 --> 14:49.130\n天气变的时候请及时加添加衣服，\n\n14:49.380 --> 14:50.106\n别着凉，\n\n14:50.106 --> 14:52.281\n这样就能少得这种病了。\n\n14:55.401 --> 14:56.052\n谢谢大家。\n\n","v0247cg10004d76c4piljht9ipqqgad0",904,891,"2026-01-26 11:48:48"," 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