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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,"上呼吸道感染的临床表现与类型解析","","https://cdn.yishi-tong.com/console/3/RyEvY2wXnaXEMU0jao5kuF383MfkzhjY.png",1,"WEBVTT\n\n00:02.753 --> 00:03.403\n各位同道，\n\n00:03.403 --> 00:04.603\n大家晚上好。\n\n00:06.064 --> 00:08.413\n今天我给大家做一个临床讲座，\n\n00:08.663 --> 00:13.163\n讲座内容是上呼吸道感染的临床表现与类型解析。\n\n00:14.892 --> 00:16.593\n今天讲座的内容呢，\n\n00:16.593 --> 00:18.243\n分为五个部分。\n\n00:18.593 --> 00:19.368\n第一个呢，\n\n00:19.368 --> 00:21.343\n是疾病的概述和定义。\n\n00:21.593 --> 00:22.368\n第二个呢，\n\n00:22.368 --> 00:24.693\n是局部与全身症状的表现。\n\n00:25.142 --> 00:25.917\n第三呢，\n\n00:25.917 --> 00:27.943\n是普通感冒的临床表现。\n\n00:28.343 --> 00:29.267\n第四个呢，\n\n00:29.267 --> 00:32.092\n是急性病毒性咽炎与喉炎。\n\n00:32.393 --> 00:33.042\n第五呢，\n\n00:33.042 --> 00:35.943\n介绍一下急性疱疹性咽颊炎的表现。\n\n00:38.652 --> 00:39.402\n还有呢，\n\n00:39.402 --> 00:42.751\n介绍一下咽结膜热的临床特征，\n\n00:42.852 --> 00:45.201\n细菌性咽扁桃体炎的表现，\n\n00:45.402 --> 00:47.602\n特殊人群和并发症的表现。\n\n00:49.477 --> 00:53.626\n首先介绍一下疾病的概述和定义，\n\n00:53.626 --> 00:55.477\n什么是上呼吸道感染呢？\n\n00:55.626 --> 00:57.176\n上呼吸道感染呢，\n\n00:57.326 --> 01:01.376\n我们是指鼻腔至喉部区域的急性炎症的总称。\n\n01:01.977 --> 01:03.176\n常见的症状呢，\n\n01:03.176 --> 01:06.726\n包括鼻塞、流涕、咽痛、咳嗽等。\n\n01:07.126 --> 01:07.827\n多数呢，\n\n01:07.827 --> 01:09.376\n是可以治自愈的。\n\n01:09.876 --> 01:11.052\n少数的患者呢，\n\n01:11.052 --> 01:14.126\n需要对症治疗或者抗感染的干预治疗。\n\n01:15.607 --> 01:17.056\n上呼吸道感染呢，\n\n01:17.056 --> 01:18.607\n包括普通的感冒，\n\n01:19.156 --> 01:20.531\n包括伤风啊，\n\n01:20.531 --> 01:21.406\n急性鼻炎，\n\n01:21.656 --> 01:25.957\n还有急性病毒性的咽炎、急性病毒性的喉炎，\n\n01:26.207 --> 01:28.156\n急性疱疹性的咽颊炎，\n\n01:28.357 --> 01:32.757\n急性咽结膜炎、急性咽扁桃体炎等多种类型。\n\n01:34.162 --> 01:35.537\n上呼吸道感染呢，\n\n01:35.537 --> 01:39.311\n主要累及我们的头部和气管所属的上呼吸道，\n\n01:39.711 --> 01:42.262\n包括鼻腔、咽喉等部位。\n\n01:43.699 --> 01:45.025\n上呼吸道感染呢，\n\n01:45.025 --> 01:46.750\n可发生于所有的人群，\n\n01:47.099 --> 01:49.650\n它不分年龄、性别、职业和地区。\n\n01:50.250 --> 01:51.025\n病程呢，\n\n01:51.025 --> 01:52.849\n通常要持续3.7天。\n\n01:53.449 --> 01:57.275\n儿童、老年和免疫力低下的患者呢，\n\n01:57.275 --> 01:58.699\n症状更加明显，\n\n01:58.750 --> 01:59.474\n或者呢，\n\n01:59.474 --> 02:00.349\n病程迁延。\n\n02:02.613 --> 02:04.113\n上呼吸道感染啊，\n\n02:04.113 --> 02:04.963\n大家都知道，\n\n02:04.963 --> 02:06.314\n全年都可以发病。\n\n02:06.664 --> 02:07.689\n冬春季节，\n\n02:07.689 --> 02:09.214\n因气候寒冷干燥，\n\n02:09.363 --> 02:10.764\n室内活动增多，\n\n02:10.813 --> 02:12.764\n会引起流行性的高峰。\n\n02:13.414 --> 02:14.563\n在夏季呢，\n\n02:14.563 --> 02:16.264\n可以因为游泳传播，\n\n02:16.363 --> 02:19.164\n出现咽结膜热等特殊类型的感染。\n\n02:20.065 --> 02:22.164\n上呼吸道感染的病原体呢，\n\n02:22.264 --> 02:24.065\n主要通过飞沫传播，\n\n02:24.714 --> 02:26.714\n包括咳嗽啊、喷嚏呢，\n\n02:26.714 --> 02:28.514\n会释放含病毒的飞沫。\n\n02:28.714 --> 02:29.389\n还有呢，\n\n02:29.389 --> 02:30.514\n就是接触传播。\n\n02:31.014 --> 02:31.565\n比如说，\n\n02:31.565 --> 02:34.014\n患者污染了手或者用具呢，\n\n02:34.014 --> 02:37.240\n接触口鼻在人群拥挤的场所呢，\n\n02:37.240 --> 02:38.365\n会造成扩散。\n\n02:40.285 --> 02:40.686\n嗯，\n\n02:40.936 --> 02:44.186\n儿童、老年人和免疫力低下的患者，\n\n02:44.285 --> 02:46.636\n比如说慢性疾病的患者啊，\n\n02:46.636 --> 02:48.110\n过度劳累的人群啊，\n\n02:48.110 --> 02:51.285\n更容易得上呼吸道感染。\n\n02:51.886 --> 02:52.860\n有些患者呢，\n\n02:52.860 --> 02:54.386\n有慢性呼吸道疾病，\n\n02:54.485 --> 02:57.285\n比如说慢性的鼻窦炎、慢性扁桃体炎，\n\n02:57.835 --> 02:58.936\n这些患者呢，\n\n02:58.936 --> 03:00.985\n感染风险是显著增加的。\n\n03:02.615 --> 03:07.664\n上呼吸道感染病毒表面的抗原容易变异产生新的亚型。\n\n03:08.164 --> 03:09.664\n不同亚型之间呢，\n\n03:09.664 --> 03:10.865\n没有交叉免疫，\n\n03:11.115 --> 03:14.914\n导致患者的个体可以一年内会有多次的感染。\n\n03:15.615 --> 03:16.764\n特定条件下，\n\n03:16.764 --> 03:18.514\n可以引发大规模的流行。\n\n03:21.496 --> 03:23.772\n多数上呼吸道感染的病程呢，\n\n03:23.772 --> 03:25.597\n一般为3天到七天。\n\n03:26.097 --> 03:30.996\n普通感冒急性病毒性咽炎的没有并发症的时候呢，\n\n03:31.097 --> 03:34.046\n患者通常5到七天就会自愈了。\n\n03:34.496 --> 03:36.046\n咽结膜热的病程呢，\n\n03:36.046 --> 03:37.397\n大概要4.6天。\n\n03:37.947 --> 03:40.246\n急性疱疹性咽峡炎的病程呢，\n\n03:40.246 --> 03:41.397\n大概1周左右。\n\n03:43.235 --> 03:46.386\n病毒感染所导致的上呼吸道感染呢，\n\n03:46.436 --> 03:48.285\n大多是自限性的疾病。\n\n03:48.886 --> 03:51.085\n如果患者是免疫力正常的呢，\n\n03:51.085 --> 03:53.436\n可以自行恢复及自愈。\n\n03:54.167 --> 03:57.067\n而合并细菌感染或有基础疾病，\n\n03:57.218 --> 04:00.317\n婴幼儿、老年人和免疫低下的人呢，\n\n04:00.518 --> 04:02.067\n治愈的难度会增加。\n\n04:02.417 --> 04:03.268\n而且呢，\n\n04:03.367 --> 04:05.742\n患者出现上呼吸道感染的时候呢，\n\n04:05.742 --> 04:08.218\n会出现病程迁延或有并发症。\n\n04:10.203 --> 04:13.953\n如果患者的症状持续超过一周没有缓解，\n\n04:14.304 --> 04:17.153\n或者患者高热持续大于3天，\n\n04:17.553 --> 04:21.954\n出现了呼吸困难、脓性痰、耳痛、精神萎靡等表现，\n\n04:22.403 --> 04:23.104\n提示呢，\n\n04:23.104 --> 04:25.153\n可以出现并发症，\n\n04:25.253 --> 04:27.403\n比如说肺炎啊、中耳炎等。\n\n04:27.704 --> 04:28.354\n这时呢，\n\n04:28.354 --> 04:30.454\n需要及时的进行就医干预。\n\n04:34.507 --> 04:36.657\n上呼吸道感染的鼻部症状呢，\n\n04:36.757 --> 04:38.358\n患者表现为鼻塞。\n\n04:39.657 --> 04:40.358\n患者呢，\n\n04:40.358 --> 04:43.407\n因为鼻腔的粘膜充血肿胀导致鼻塞。\n\n04:43.708 --> 04:44.407\n患者呢，\n\n04:44.407 --> 04:45.433\n经常感觉呢，\n\n04:45.433 --> 04:46.308\n呼吸受阻，\n\n04:46.657 --> 04:49.708\n夜间的鼻塞的症状会明显的加重。\n\n04:50.528 --> 04:52.479\n病毒感染引起的鼻塞呢，\n\n04:52.479 --> 04:54.403\n一般性持续3.5天呢，\n\n04:54.403 --> 04:55.528\n可以自行缓解。\n\n04:56.829 --> 04:59.053\n细菌感染导致的鼻塞呢，\n\n04:59.053 --> 05:00.878\n可以持续更长的时间。\n\n05:02.247 --> 05:04.071\n上呼吸道感染的患者呢，\n\n05:04.071 --> 05:05.397\n经常会出现流涕。\n\n05:05.997 --> 05:07.147\n开始的时候呢，\n\n05:07.147 --> 05:09.571\n是清水样的鼻涕。\n\n05:09.571 --> 05:10.596\n2.3天以后呢，\n\n05:10.747 --> 05:12.321\n随着病情的进展呢，\n\n05:12.321 --> 05:15.647\n患者可出现黄色或绿色的粘稠状的脓涕。\n\n05:16.596 --> 05:18.846\n病毒感染所致的流涕呢，\n\n05:18.846 --> 05:20.746\n通常持续一周左右。\n\n05:21.145 --> 05:23.020\n如果患者是细菌感染，\n\n05:23.020 --> 05:25.045\n可导致鼻涕的颜色加深。\n\n05:25.246 --> 05:28.596\n有些患者会自述鼻涕有异味。\n\n05:29.635 --> 05:31.385\n上呼吸道感染的患者呢，\n\n05:31.385 --> 05:33.584\n经常会打喷嚏，\n\n05:33.584 --> 05:36.684\n这是患者鼻粘膜受刺激的典型反应。\n\n05:37.934 --> 05:38.709\n患者呢，\n\n05:38.709 --> 05:41.934\n会出现突发的连续性的打喷嚏的表现。\n\n05:42.535 --> 05:44.160\n普通的感冒呢，\n\n05:44.160 --> 05:45.334\n喷嚏次数较少，\n\n05:45.734 --> 05:47.984\n而过敏性鼻炎发作的时候呢，\n\n05:47.984 --> 05:50.135\n患者喷嚏持续不断。\n\n05:50.385 --> 05:51.010\n这个呢，\n\n05:51.010 --> 05:52.984\n就是我们临床的鉴别要点。\n\n05:55.207 --> 05:56.832\n上呼吸道感染的患者呢，\n\n05:56.832 --> 05:58.006\n常常会觉得咽痛。\n\n05:58.457 --> 06:00.006\n病毒感染的初期呢，\n\n06:00.006 --> 06:02.307\n患者表现为咽部的灼热感，\n\n06:02.557 --> 06:03.207\n咽干。\n\n06:04.204 --> 06:06.354\n吞咽时的疼痛不是很明显，\n\n06:06.753 --> 06:08.403\n如果细菌感染的时候呢，\n\n06:08.403 --> 06:09.604\n导致明显的咽痛。\n\n06:10.416 --> 06:10.941\n吞咽时呢，\n\n06:10.941 --> 06:11.717\n明显加重。\n\n06:13.838 --> 06:14.588\n患者。\n\n06:15.506 --> 06:17.955\n还觉得有咽干和咽痒的表现。\n\n06:19.437 --> 06:22.037\n由鼻病毒、腺病毒引起的患者呢？\n\n06:23.342 --> 06:26.292\n上呼吸道感染表现为明显的咽部干燥。\n\n06:27.639 --> 06:28.039\n咽痒，\n\n06:28.289 --> 06:29.389\n轻微的灼热。\n\n06:30.170 --> 06:30.420\n嗯。\n\n06:31.546 --> 06:31.846\n嗯。\n\n06:33.674 --> 06:35.399\n急性病毒性喉炎的患者呢，\n\n06:35.399 --> 06:36.774\n常常表现为声嘶。\n\n06:37.841 --> 06:39.990\n讲话困难患者呢，\n\n06:39.990 --> 06:43.091\n就是由于流感病毒、副流感病毒引起。\n\n06:47.070 --> 06:48.019\n严重的患者呢，\n\n06:48.070 --> 06:49.494\n我们医生呢，\n\n06:49.494 --> 06:52.519\n可以听到患者喉部有喘息的声音。\n\n06:53.729 --> 06:56.528\n体检发现喉部有充血水肿的表现。\n\n06:58.263 --> 06:59.713\n上呼吸道感染呢，\n\n06:59.812 --> 07:01.562\n可以出现发热的表现。\n\n07:03.062 --> 07:04.738\n病毒性感染的患者呢，\n\n07:04.738 --> 07:06.838\n多为低热细菌性感染，\n\n07:06.838 --> 07:08.812\n比如说急性咽扁桃体炎呢，\n\n07:08.812 --> 07:10.312\n可以出现高热的表现，\n\n07:10.763 --> 07:13.162\n体温可以高达39°以上。\n\n07:14.691 --> 07:17.592\n部分的患者有胃寒、寒颤的表现。\n\n07:18.653 --> 07:20.253\n上呼吸道感染的时候呢，\n\n07:20.253 --> 07:22.303\n患者常觉全身乏力，\n\n07:22.303 --> 07:23.303\n精神萎靡，\n\n07:23.753 --> 07:24.753\n肌肉酸痛，\n\n07:25.053 --> 07:26.903\n如果是流感病毒感染呢，\n\n07:27.354 --> 07:29.378\n患者的全身症状尤为明显。\n\n07:29.378 --> 07:30.104\n会影响。\n\n07:31.238 --> 07:32.088\n日常的生活。\n\n07:34.102 --> 07:34.477\n嗯，\n\n07:34.477 --> 07:36.227\n普通的上呼吸道感染呢，\n\n07:36.227 --> 07:37.502\n全身症状比较轻，\n\n07:38.053 --> 07:39.852\n一般持续5到七天。\n\n07:40.252 --> 07:42.627\n如果是急性病毒性的咽炎，\n\n07:42.627 --> 07:45.127\n急性病毒性的喉炎患者呢，\n\n07:45.127 --> 07:47.102\n可以患伴有低热啊，\n\n07:47.102 --> 07:47.903\n乏力啊，\n\n07:48.453 --> 07:50.028\n腺病毒感染的时候呢，\n\n07:50.028 --> 07:53.053\n患者的全身症状全身乏力啊，\n\n07:53.053 --> 07:54.752\n肌肉酸痛的症状更明显，\n\n07:54.803 --> 07:56.703\n持续大概要一周左右。\n\n08:00.493 --> 08:02.144\n上呼吸道感染的时候呢，\n\n08:02.144 --> 08:04.194\n患者会有咳嗽的表现。\n\n08:04.593 --> 08:05.718\n感染初期呢，\n\n08:05.718 --> 08:06.743\n表现为干咳。\n\n08:07.144 --> 08:07.519\n嗯，\n\n08:07.519 --> 08:11.993\n这个和病毒诱发的上呼吸道传入神经高敏状态有关。\n\n08:12.593 --> 08:13.743\n后期的患者呢，\n\n08:13.743 --> 08:15.294\n可以出现咳痰的表现。\n\n08:15.843 --> 08:18.394\n病毒感染所致的患者的咳嗽呢，\n\n08:18.394 --> 08:20.144\n通常要持续一到两周。\n\n08:20.843 --> 08:22.743\n如果患者是细菌感染，\n\n08:22.894 --> 08:25.944\n可能会出现黄色的绿色的脓痰。\n\n08:26.720 --> 08:27.920\n咳嗽的症状呢，\n\n08:27.920 --> 08:31.519\n夜间加重会影响患者的睡睡眠质量。\n\n08:32.820 --> 08:36.219\n上呼吸道感染部分患者会出现眼部的症状，\n\n08:36.419 --> 08:38.969\n比如说急性咽结膜炎的患者呢，\n\n08:39.020 --> 08:40.895\n表现为畏光啊，\n\n08:40.895 --> 08:41.820\n流泪啊。\n\n08:43.434 --> 08:46.085\n这个多由腺病毒、克塞氏病毒引起，\n\n08:46.434 --> 08:48.309\n病程一般性4.6天，\n\n08:48.309 --> 08:49.335\n夏季多发。\n\n08:50.234 --> 08:52.234\n而腺病毒咽炎呢，\n\n08:52.335 --> 08:54.684\n还可以伴有眼结膜炎，\n\n08:54.934 --> 08:56.434\n患者的结膜充血。\n\n08:57.401 --> 08:59.351\n眼部的分泌物会明显的增多。\n\n09:00.932 --> 09:01.307\n嗯，\n\n09:01.307 --> 09:02.257\n大家都知道，\n\n09:02.257 --> 09:04.882\n咳嗽是上呼吸道感染的常见症状，\n\n09:05.081 --> 09:07.382\n可以反映患者的病情的进展。\n\n09:07.831 --> 09:10.307\n如果患者出现了眼部症状呢，\n\n09:10.307 --> 09:11.581\n提示这个感染呢，\n\n09:11.581 --> 09:12.481\n波及结膜。\n\n09:13.458 --> 09:14.607\n因结膜热呢，\n\n09:14.607 --> 09:16.857\n具有特定的流行病学特征。\n\n09:17.007 --> 09:18.807\n就是我刚才也提出了，\n\n09:18.958 --> 09:21.357\n这个夏季多见游泳传播。\n\n09:22.551 --> 09:22.801\n嗯。\n\n09:24.005 --> 09:26.505\n如果患者的咳嗽和眼部症状呢，\n\n09:26.505 --> 09:27.630\n随着感染的控制呢，\n\n09:27.630 --> 09:28.455\n它会缓解。\n\n09:28.705 --> 09:31.705\n但是如果患者的这个症状的持续加重呢，\n\n09:31.705 --> 09:33.304\n会有我们需要临时，\n\n09:33.405 --> 09:35.905\n就是临床上要警惕有没有并发症。\n\n09:38.973 --> 09:39.374\n嗯，\n\n09:39.523 --> 09:42.424\n介绍一下普通感冒的整体特点，\n\n09:42.723 --> 09:44.273\n上呼吸道感染呢，\n\n09:44.424 --> 09:45.836\n起病比较急。\n\n09:45.836 --> 09:48.924\n病毒感染所导致的上呼吸道感染呢，\n\n09:48.973 --> 09:50.898\n通常在接触病原体后呢，\n\n09:50.898 --> 09:55.924\n会迅速出现咳嗽、咳痰、鼻塞流涕的症状。\n\n09:56.273 --> 09:58.924\n细菌感染或继发于病毒感染以后呢，\n\n09:58.924 --> 10:00.323\n起病也比较快的。\n\n10:00.943 --> 10:05.393\n上呼吸道感染潜伏期一般是1.3天，\n\n10:05.393 --> 10:07.244\n肠病毒潜伏期比较短，\n\n10:07.343 --> 10:11.343\n而腺病毒和呼吸道合胞病毒的潜伏期相对比较长。\n\n10:12.093 --> 10:13.619\n不同类型的感染呢，\n\n10:13.619 --> 10:14.943\n起病是不一样的。\n\n10:15.044 --> 10:16.744\n普通感冒起病急，\n\n10:16.744 --> 10:20.818\n急性病毒性咽炎、急性病毒性的喉炎起病急，\n\n10:20.818 --> 10:23.994\n急性疱疹性咽颊炎的患者起病急，\n\n10:24.794 --> 10:27.193\n细菌性咽扁桃体炎的患者呢，\n\n10:27.193 --> 10:28.343\n起病非常急骤。\n\n10:30.252 --> 10:32.002\n呼吸道上呼吸道感染，\n\n10:32.202 --> 10:33.377\n鼻部症状呢，\n\n10:33.377 --> 10:37.901\n一开始的时候是清水样的流涕喷嚏、鼻塞。\n\n10:38.151 --> 10:39.252\n到中期呢，\n\n10:39.601 --> 10:41.476\n病程两到三天以后呢，\n\n10:41.476 --> 10:42.502\n鼻涕变稠，\n\n10:43.052 --> 10:44.302\n症状会加重。\n\n10:44.601 --> 10:46.151\n到恢复期的时候呢，\n\n10:46.351 --> 10:47.952\n鼻部症状逐渐减轻，\n\n10:48.151 --> 10:49.627\n鼻塞就缓解了，\n\n10:49.627 --> 10:51.601\n鼻涕量也减少了。\n\n10:51.601 --> 10:54.101\n整体的病程一般是5.7天。\n\n10:56.596 --> 10:57.796\n上呼吸道感染，\n\n10:57.796 --> 10:59.171\n我们医生体检呢，\n\n10:59.171 --> 11:02.247\n会发现患者的鼻腔粘膜充血水肿，\n\n11:02.346 --> 11:03.296\n有分泌物。\n\n11:03.596 --> 11:04.346\n咽部呢，\n\n11:04.346 --> 11:07.221\n充血病毒感染的时候呢，\n\n11:07.221 --> 11:08.572\n可见咽部呢，\n\n11:08.572 --> 11:10.296\n有疱疹或浅表的溃疡。\n\n11:10.596 --> 11:12.046\n细菌感染的时候呢，\n\n11:12.046 --> 11:15.796\n可见患者的扁桃体肿大和黄色的脓性分泌物。\n\n11:16.518 --> 11:17.268\n喉部呢，\n\n11:17.268 --> 11:18.168\n充血水肿，\n\n11:19.168 --> 11:23.817\n普通感冒和多数病毒性感染的病程一般性5.7天。\n\n11:24.518 --> 11:26.817\n如果没有并发症的时候呢，\n\n11:27.218 --> 11:30.367\n如果患者一般条件情况可以的话呢，\n\n11:30.367 --> 11:32.117\n一般性是可以治愈的。\n\n11:33.896 --> 11:37.697\n但是如果患者是老年、年幼的患者，\n\n11:37.697 --> 11:39.947\n或者有慢性疾病的患者，\n\n11:39.997 --> 11:41.247\n病程会迁延。\n\n11:45.120 --> 11:45.370\n嗯。\n\n11:46.064 --> 11:47.513\n急性病毒性咽炎呢，\n\n11:47.513 --> 11:49.588\n介绍一下患者呢，\n\n11:49.588 --> 11:53.213\n就是经常以咽痒和灼热感为主要表现。\n\n11:54.064 --> 11:57.588\n部分病毒如果是流感病毒、腺病毒感染的时候呢，\n\n11:57.588 --> 11:59.963\n患者出现发热乏力的全身表现。\n\n12:01.064 --> 12:05.414\n体检我们会发现患者的咽部会明显的充血水肿。\n\n12:06.859 --> 12:09.109\n急性病毒性喉炎的患者呢，\n\n12:09.158 --> 12:11.208\n患者表现为明显的声嘶，\n\n12:11.258 --> 12:13.383\n讲话困难，\n\n12:13.383 --> 12:14.609\n可以伴有发热。\n\n12:14.609 --> 12:15.758\n部分患者呢，\n\n12:15.758 --> 12:18.408\n就是全身无力，\n\n12:18.508 --> 12:19.559\n肌肉酸痛。\n\n12:20.109 --> 12:20.883\n体检呢，\n\n12:20.883 --> 12:23.958\n可以发现咽喉部的充血水肿。\n\n12:26.924 --> 12:29.299\n鼻病毒感染的上呼吸道感染呢，\n\n12:29.299 --> 12:30.724\n是以鼻部症状为主，\n\n12:31.125 --> 12:32.900\n而腺病毒感染的患者呢，\n\n12:32.900 --> 12:35.125\n患者有咽部和眼部症状。\n\n12:35.525 --> 12:37.924\n如果是患者是流感病毒感染呢，\n\n12:37.924 --> 12:39.599\n是全身症状，\n\n12:39.599 --> 12:42.575\n高热全身酸痛症状非常严重。\n\n12:43.025 --> 12:44.549\n可消氏病毒感染呢，\n\n12:44.549 --> 12:46.575\n是疱疹性咽甲炎的表现。\n\n12:47.075 --> 12:49.875\n如果是患者是呼吸道合胞病毒感染呢，\n\n12:49.974 --> 12:51.674\n就是表现为咽痒。\n\n12:52.783 --> 12:53.382\n灼热感，\n\n12:54.033 --> 12:54.382\n嗯，\n\n12:54.382 --> 12:56.182\n咳嗽是比较少见的。\n\n12:57.515 --> 12:59.565\n急性疱疹性咽颊炎呢，\n\n13:00.116 --> 13:05.565\n患者表现为鼻塞、流涕、打喷嚏、咽部干痒、声嘶。\n\n13:06.015 --> 13:06.416\n嗯，\n\n13:06.815 --> 13:08.716\n患者可以出现低热，\n\n13:09.565 --> 13:09.966\n嗯。\n\n13:11.754 --> 13:13.278\n急性疱疹性咽颊炎呢，\n\n13:13.278 --> 13:16.104\n儿童老人免疫低下者比较多见。\n\n13:16.703 --> 13:17.929\n患者咽部呢，\n\n13:17.929 --> 13:19.504\n明显的充血水肿。\n\n13:22.078 --> 13:23.752\n咽结膜热患者，\n\n13:23.752 --> 13:24.078\n是？\n\n13:25.916 --> 13:27.367\n低热或者中度发热，\n\n13:27.567 --> 13:29.817\n部分患者出现眼部症状，\n\n13:29.817 --> 13:31.117\n畏光、流泪。\n\n13:31.767 --> 13:33.317\n发热和眼部症状呢，\n\n13:33.317 --> 13:34.617\n可以同时出现。\n\n13:37.544 --> 13:38.568\n上呼吸道感染呢，\n\n13:38.568 --> 13:41.143\n主要通过含有病毒的飞沫传播，\n\n13:42.544 --> 13:44.143\n全年都可以发病。\n\n13:46.570 --> 13:46.695\n嗯，\n\n13:46.695 --> 13:48.721\n细菌性咽扁桃体炎。\n\n13:49.997 --> 13:56.197\n这个起病是非常急的患者迅速出现了鼻塞、流涕、咽部不适的症状。\n\n13:56.547 --> 13:58.422\n数小时到一天以内呢，\n\n13:58.422 --> 14:03.348\n就是这个症状明显会加重的患者会出现高热。\n\n14:03.447 --> 14:04.598\n高热的原因呢，\n\n14:04.598 --> 14:06.598\n是多见于细菌性的感染。\n\n14:07.581 --> 14:13.081\n急性鼻炎扁桃体炎大多数是由流溶血性链球菌等细菌引起，\n\n14:13.481 --> 14:14.682\n起病比较急，\n\n14:14.981 --> 14:17.831\n患者会出现高热、全身酸痛。\n\n14:18.481 --> 14:19.257\n体检呢，\n\n14:19.257 --> 14:21.081\n我们会发现咽部充血，\n\n14:21.231 --> 14:22.382\n扁桃体肿大。\n\n14:31.551 --> 14:32.351\n这些患者呢，\n\n14:32.351 --> 14:35.200\n有可能并发症的有包括。\n\n14:36.830 --> 14:37.505\n中耳炎啊，\n\n14:37.505 --> 14:38.205\n肺炎啊，\n\n14:38.205 --> 14:39.979\n支气管炎等表现。\n\n14:40.229 --> 14:42.130\n如果患者高热持续，\n\n14:42.179 --> 14:43.130\n呼吸急促，\n\n14:43.380 --> 14:44.080\n耳痛，\n\n14:44.479 --> 14:46.929\n耳道流泪等症状呢，\n\n14:46.929 --> 14:49.080\n需要及时及时的就医干预。\n\n14:52.474 --> 14:53.325\n大家都知道，\n\n14:53.424 --> 14:56.424\n儿童和老年抵抗力比较弱。\n\n14:57.932 --> 14:58.781\n这些患者呢，\n\n14:58.781 --> 15:00.981\n就是全身症状会更加明显。\n\n15:01.890 --> 15:04.491\n但是鼻部和咽喉部的局部症状呢，\n\n15:04.541 --> 15:06.491\n可能较轻或者不明显。\n\n15:08.203 --> 15:10.603\n儿童老年免疫功能低下的患者呢，\n\n15:10.903 --> 15:12.752\n并发下呼吸道感染，\n\n15:12.752 --> 15:14.052\n比如说支气管炎啊，\n\n15:14.052 --> 15:18.252\n肺炎等症并发症的风险比较高，\n\n15:18.703 --> 15:21.153\n而且病程迁延恢复慢。\n\n15:21.203 --> 15:21.877\n临床上，\n\n15:21.877 --> 15:23.653\n我们必须要进行警惕的。\n\n15:25.499 --> 15:28.598\n如果上呼吸道感染出超过7天，\n\n15:28.648 --> 15:29.948\n症状没有缓解，\n\n15:30.698 --> 15:32.549\n或出现咽痛加剧。\n\n15:34.127 --> 15:38.577\n发热明显可能提示细菌感染或并发症的表现。\n\n15:39.127 --> 15:40.976\n患者如果持续高热。\n\n15:41.744 --> 15:42.445\n意识模糊，\n\n15:42.445 --> 15:46.195\n必须警惕颅内感染或脓毒症等严重的并发症。\n\n15:46.744 --> 15:49.494\n如果患者咳嗽加重大量的脓痰，\n\n15:49.794 --> 15:50.895\n呼吸困难，\n\n15:51.195 --> 15:52.094\n这个时候呢，\n\n15:52.094 --> 15:55.645\n可能发展为急性的支气管炎、肺炎或者喉梗阻，\n\n15:55.945 --> 15:57.195\n需要紧急就医。\n\n15:58.067 --> 16:03.418\n如果老年人、婴幼儿或者免疫低下的患者出现了上呼吸道感染症状，\n\n16:03.567 --> 16:05.867\n但是患者的食欲明显减退，\n\n16:06.117 --> 16:07.518\n尿量比较减少。\n\n16:08.257 --> 16:08.908\n这时候呢，\n\n16:09.007 --> 16:11.958\n考虑是原有的基础疾病会有加重，\n\n16:12.107 --> 16:14.908\n应该立即就诊排查并发症。\n\n16:17.000 --> 16:18.750\n今天的讲座就到这里。\n\n16:19.713 --> 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