[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$ftjVG05ke-wPZXU5BTzWrjrmaYifGbWm5A4P5v__J-rE":8,"$ffKBEMDtrlS7O9WKDx8P1rkjed5Cl0xdi9MPkWnendxQ":58,"$f_6yDKpsQBFC7honhf9fJf2WCoCNGBBFk2wWrIaPFpbQ":59,"$fxyg_oUADaDVgEPoW7wo9aKZwE_Ykf0eINZ_UTTqlxRA":63},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":57},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":18,"coverAcross":24,"directionMarker":25,"description":26,"vid":27,"time":28,"mediaType":25,"views":29,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":30,"seoTitle":31,"seoKeywords":32,"seoDescription":33,"shelvesTime":34,"menus":35,"menuId":37,"type":54,"quality":6,"commentCount":17,"isComment":25,"deviceType":55,"url":56},14260,871763,[],"https://yst.tos-cn-shanghai.volces.com/venue%2Fundefined%2F2025-12-16-16%3A11%3A04%2F76060049-1dff-40f7-88f3-c646c1d87a63.png","黎小林",0,"","上海市金山区亭林医院","内分泌科","主治医师",8,"鼻部疾病科普","https://cdn.yishi-tong.com/console/3/zfkoJhY-PbK3UvmDDL59gO5maQi9qfoY.png",1,"WEBVTT\n\n00:01.963 --> 00:03.562\n鼻部疾病科普。\n\n00:08.190 --> 00:12.491\n目录一个第一个就是鼻部结构与功能与功能。\n\n00:12.491 --> 00:15.741\n第二个就是常见鼻部疾病类型。\n\n00:15.941 --> 00:19.291\n第三个就是诊断方法与流程。\n\n00:19.590 --> 00:22.740\n第四个治疗策略与方案。\n\n00:22.891 --> 00:26.441\n第五个预防与日常护理，\n\n00:26.541 --> 00:29.541\n第六个患者教育与支持。\n\n00:31.745 --> 00:34.095\n鼻部结构与功能。\n\n00:35.377 --> 00:35.702\n嗯，\n\n00:35.702 --> 00:39.377\n鼻部鼻腔的解剖基础第一个就是啊，\n\n00:39.478 --> 00:41.577\n鼻前庭结构。\n\n00:41.827 --> 00:45.428\n鼻腔前下方有皮肤覆盖的区域，\n\n00:46.027 --> 00:47.678\n表面生有鼻毛，\n\n00:48.077 --> 00:51.627\n可阻挡灰尘等大颗粒物进入，\n\n00:51.827 --> 00:54.478\n是呼吸系统的第一道物理屏障。\n\n00:55.589 --> 00:56.938\n鼻中隔特点。\n\n00:58.041 --> 01:01.991\n有骨和软骨构成的重型分隔结构，\n\n01:02.340 --> 01:04.490\n常存在生理性偏曲，\n\n01:04.791 --> 01:07.490\n导致左右鼻腔不对称。\n\n01:07.941 --> 01:10.191\n严重严重影响可能，\n\n01:10.240 --> 01:13.091\n严重偏曲可能影响通气功能。\n\n01:13.791 --> 01:17.140\n固有鼻腔构成鼻腔主要部分，\n\n01:17.691 --> 01:23.140\n粘膜内含有丰富的血管网、粘液腺及杯状细胞，\n\n01:23.341 --> 01:27.191\n具有加温、加湿和过滤空气的功能，\n\n01:27.541 --> 01:28.240\n其底。\n\n01:28.283 --> 01:30.783\n顶部还分布有嗅黏膜。\n\n01:31.707 --> 01:38.707\n鼻甲与鼻道鼻腔外侧壁的上、中、下鼻甲形成三个鼻道，\n\n01:38.857 --> 01:42.957\n能增加空气与黏膜接触面积，\n\n01:43.007 --> 01:45.806\n促进调调空气调节。\n\n01:48.689 --> 01:50.138\n数学分子很厚。\n\n01:55.519 --> 01:56.595\n鼻腔生理结构，\n\n01:56.595 --> 01:59.220\n鼻腔其实还是有很多生理结构的，\n\n01:59.220 --> 02:00.620\n生理功能，\n\n02:00.870 --> 02:01.269\n嗯，\n\n02:01.870 --> 02:03.595\n像第一个有些，\n\n02:03.595 --> 02:04.669\n有呼吸功能，\n\n02:04.769 --> 02:07.370\n它比起它还有嗅觉机，\n\n02:08.020 --> 02:08.419\n嗯。\n\n02:09.251 --> 02:09.401\n嗯，\n\n02:09.401 --> 02:10.251\n功能机制，\n\n02:10.602 --> 02:11.001\n嗯，\n\n02:11.852 --> 02:13.401\n还有一个就是，\n\n02:13.401 --> 02:15.102\n防御屏障的作用。\n\n02:15.755 --> 02:16.580\n呼吸功能，\n\n02:16.580 --> 02:22.656\n它鼻腔通过鼻甲产生的气流喘流延长空气的停留时间，\n\n02:22.906 --> 02:28.505\n使吸入气体在0.25秒内升升温至32°C以上，\n\n02:28.856 --> 02:31.005\n湿度达95%。\n\n02:31.406 --> 02:35.305\n同时鼻阻力维持肺泡扩张。\n\n02:35.856 --> 02:42.856\n嗅觉机构嗅嗅粘膜中的嗅细胞可感知气味分子信号，\n\n02:42.856 --> 02:45.606\n通过腮板传导至嗅球。\n\n02:46.220 --> 02:48.744\n最终到达大脑嗅觉中枢，\n\n02:48.744 --> 02:50.570\n形成嗅觉感知。\n\n02:51.606 --> 02:52.906\n防御屏障，\n\n02:53.305 --> 02:54.005\n鼻毛，\n\n02:54.255 --> 03:02.606\n它可以过滤大颗粒的物物粘液粘附微小颗粒纤毛的定向摆动，\n\n03:02.606 --> 03:09.356\n它可以将异物推向鼻咽部粘膜分泌的溶菌酶具有抗菌作用。\n\n03:11.011 --> 03:12.710\n常见的功能概述，\n\n03:12.710 --> 03:14.186\n它就是鼻腔的，\n\n03:14.186 --> 03:14.561\n嗯，\n\n03:14.561 --> 03:16.410\n其实功能还是很多的。\n\n03:16.860 --> 03:18.610\n常见的有以下几个，\n\n03:18.860 --> 03:19.210\n嗯，\n\n03:19.210 --> 03:21.561\n第一个就是那个通气障碍。\n\n03:22.468 --> 03:24.018\n而通气障碍，\n\n03:24.018 --> 03:29.617\n常见的功能障碍一个通气功能障碍一个鼻中隔偏曲，\n\n03:29.718 --> 03:34.917\n鼻甲肥大或鼻息肉可导致持续性的鼻塞，\n\n03:35.117 --> 03:36.917\n影响呼吸功能，\n\n03:37.167 --> 03:42.417\n严重者可出现出现呼吸睡眠睡眠呼吸暂停综合征。\n\n03:42.968 --> 03:45.468\n第二个就是嗅觉减退，\n\n03:45.768 --> 03:52.567\n慢性鼻炎病毒感染或头部外伤可能损伤嗅区黏膜导致。\n\n03:52.671 --> 03:55.996\n嗅觉灵敏度下降甚至丧失，\n\n03:55.996 --> 03:59.121\n影响食欲和安全预警功能。\n\n03:59.621 --> 04:02.272\n第三个黏膜功能异常，\n\n04:02.671 --> 04:07.022\n干燥性鼻炎使腺体分泌减少，\n\n04:07.022 --> 04:10.522\n萎缩性鼻炎导致粘膜变薄，\n\n04:10.522 --> 04:13.421\n均可引起鼻出血、结痂等。\n\n04:14.130 --> 04:16.519\n症状第四个就是炎，\n\n04:16.519 --> 04:23.131\n炎症性疾病过敏性鼻炎由IGE介导的一型变态反应引起。\n\n04:23.230 --> 04:27.281\n感染性鼻炎多由病毒、细菌感染导致，\n\n04:27.781 --> 04:32.330\n两者均伴随粘膜充血、水肿和分泌物增多。\n\n04:34.873 --> 04:37.973\n第二个常见鼻部疾病的类型。\n\n04:40.458 --> 04:43.907\n一个它可以分为急性和慢性的鼻炎。\n\n04:45.188 --> 04:48.188\n一个急性鼻炎主要由病毒感染引起，\n\n04:48.289 --> 04:51.688\n病程短且症状症状剧烈，\n\n04:51.989 --> 04:57.239\n慢性鼻炎则则多因长期刺激或急性反复发作导致，\n\n04:57.539 --> 05:00.139\n表现为持续性粘膜炎症。\n\n05:01.562 --> 05:01.962\n嗯，\n\n05:02.411 --> 05:03.462\n症状对比，\n\n05:03.661 --> 05:07.011\n急性鼻炎典型症状为突发鼻塞，\n\n05:07.011 --> 05:08.062\n清水样涕，\n\n05:08.161 --> 05:09.011\n打喷嚏。\n\n05:09.261 --> 05:13.212\n慢性鼻炎以长期鼻塞粘稠分泌物为主，\n\n05:13.312 --> 05:15.611\n可能伴有嗅觉减退。\n\n05:16.312 --> 05:18.062\n治疗策略区分，\n\n05:18.511 --> 05:20.861\n急性鼻炎以对症治疗，\n\n05:20.861 --> 05:24.062\n如减充血剂和抗病毒为主。\n\n05:24.062 --> 05:26.611\n慢性鼻炎需长期管理。\n\n05:27.135 --> 05:31.334\n包括鼻用糖皮质激素、避免刺激因素等。\n\n05:33.062 --> 05:35.011\n鼻窦炎特征与分类，\n\n05:35.712 --> 05:36.036\n嗯，\n\n05:36.036 --> 05:38.062\n鼻窦炎也可以分分为，\n\n05:38.062 --> 05:38.661\n三种，\n\n05:38.661 --> 05:40.636\n一个是急性与慢性，\n\n05:40.636 --> 05:42.361\n还有一个特殊类型的，\n\n05:42.562 --> 05:42.911\n嗯，\n\n05:42.911 --> 05:43.611\n鼻窦炎，\n\n05:43.962 --> 05:45.011\n急性鼻窦炎。\n\n05:45.934 --> 05:46.010\n嗯，\n\n05:46.010 --> 05:48.434\n的定义是指是指，\n\n05:48.434 --> 05:50.084\n病程小于四周，\n\n05:50.184 --> 05:50.535\n嗯，\n\n05:50.535 --> 05:52.385\n多由细菌感染导致，\n\n05:52.684 --> 05:53.885\n表现为脓涕，\n\n05:53.984 --> 05:55.035\n面部疼痛，\n\n05:55.035 --> 05:55.734\n发热。\n\n05:55.885 --> 05:57.834\n治疗需结合抗生素，\n\n05:57.885 --> 06:01.135\n如阿莫西林克洛核酸钾和鼻腔冲洗。\n\n06:02.135 --> 06:05.484\n慢性鼻窦炎症状持续大于12周。\n\n06:06.640 --> 06:11.290\n常与鼻腔结构异常或免疫功能、免疫因素相关，\n\n06:11.690 --> 06:16.739\n需综合使用鼻用、鼻用激素、粘液促排剂。\n\n06:16.890 --> 06:19.640\n顽固病例可能需内镜手术。\n\n06:20.454 --> 06:25.479\n特殊类型真菌性鼻窦炎多见于免疫力低下者，\n\n06:25.479 --> 06:27.253\nCT可见钙化灶。\n\n06:27.503 --> 06:31.753\n治疗需手术清创联合抗真菌药物。\n\n06:33.097 --> 06:33.447\n嗯，\n\n06:33.447 --> 06:34.597\n鼻窦炎是。\n\n06:35.759 --> 06:37.759\n鼻窦粘膜的炎症性疾病，\n\n06:38.009 --> 06:43.859\n根据病程和病因可分为急慢性真菌性鼻窦炎需针对性治疗啊，\n\n06:43.859 --> 06:45.359\n以预防并发症。\n\n06:46.493 --> 06:48.842\n鼻息肉病因与表现，\n\n06:49.442 --> 06:53.393\n鼻息肉其实也也也也是常见的一种常见的疾病，\n\n06:53.743 --> 06:56.192\n很多人都有那个鼻息肉啊，\n\n06:56.192 --> 06:57.667\n它它的，\n\n06:57.667 --> 06:59.243\n它的一个病因和表现呢，\n\n06:59.243 --> 07:02.743\n一个首先是一个发病机制和高危因素。\n\n07:04.786 --> 07:04.911\n嗯，\n\n07:04.911 --> 07:06.235\n有以下的几点，\n\n07:06.235 --> 07:08.485\n一个就是慢性炎症的刺激，\n\n07:08.585 --> 07:13.235\n如过敏性鼻炎、哮喘导致黏膜水肿增生，\n\n07:13.686 --> 07:15.686\n形成半透明肿物，\n\n07:16.135 --> 07:18.786\n可能与白三烯代谢异常有关。\n\n07:19.490 --> 07:22.191\n第二个就是阿司匹林不耐受三联针。\n\n07:23.203 --> 07:28.877\n这鼻息肉、哮喘、阿司匹林过敏患者更易复发，\n\n07:28.928 --> 07:31.428\n需警惕全身性疾病关联。\n\n07:32.468 --> 07:34.368\n临床表现已诊断，\n\n07:34.569 --> 07:39.618\n典型症状为双侧鼻塞、嗅觉丧失、黏涕倒流，\n\n07:39.819 --> 07:42.769\n巨大息肉可导致外鼻变形，\n\n07:43.169 --> 07:47.444\n鼻内镜可见灰白色光滑肿物。\n\n07:47.444 --> 07:52.468\nCT可明确范围及是否累积腮窦和上颌窦，\n\n07:52.669 --> 07:55.118\n需与肿瘤性病变鉴别。\n\n07:56.369 --> 07:57.970\n治疗和预后管理，\n\n07:58.420 --> 08:01.070\n一线治疗为鼻用糖皮质激素。\n\n08:02.037 --> 08:04.662\n如丙酸氟替卡卡松，\n\n08:04.863 --> 08:07.812\n大型息肉需内镜手术切除，\n\n08:07.812 --> 08:10.412\n术后复发率高达50%。\n\n08:10.662 --> 08:14.613\n需长期随访并控制基础疾病如过敏。\n\n08:15.062 --> 08:19.213\n部分患者需生物制剂如抗HIGE抗体啊，\n\n08:19.213 --> 08:20.312\n辅助治疗。\n\n08:23.217 --> 08:24.768\n诊断方法与流程。\n\n08:26.802 --> 08:27.752\n诊断方法，\n\n08:27.802 --> 08:30.451\n首先一个临床的症状的评估，\n\n08:30.802 --> 08:31.127\n嗯，\n\n08:31.127 --> 08:32.101\n初步筛查。\n\n08:33.577 --> 08:33.677\n嗯，\n\n08:33.677 --> 08:38.702\n的关键依据患者这临床症状评估第一步，\n\n08:38.702 --> 08:40.427\n当然病人是看症状了，\n\n08:40.427 --> 08:41.202\n有没有啊，\n\n08:41.202 --> 08:41.851\n不舒服，\n\n08:41.851 --> 08:44.177\n鼻子鼻子不舒服。\n\n08:44.177 --> 08:50.377\n初步筛筛查的一些关键依据就是一个症状首要线索，\n\n08:50.677 --> 08:54.077\n给患者主诉的鼻塞流脓涕，\n\n08:54.177 --> 08:58.476\n头痛等症状是鼻窦炎诊断的首要线索。\n\n08:58.877 --> 09:01.726\n典型症状如颌面部压痛。\n\n09:02.416 --> 09:05.992\n嗅觉减退能显著提高临床怀疑指数。\n\n09:06.892 --> 09:10.117\n第二个就是病程分期的判断标准啊，\n\n09:10.117 --> 09:11.617\n也发现急性鼻窦炎，\n\n09:11.617 --> 09:14.142\n急慢性鼻窦炎还需要分期。\n\n09:14.142 --> 09:16.591\n急性鼻窦炎症状持续10天以上。\n\n09:17.554 --> 09:18.205\n需警惕，\n\n09:18.304 --> 09:20.655\n警惕那个细菌感染。\n\n09:20.655 --> 09:27.104\n慢性鼻窦炎症状大于12周的常伴随鼻息肉或解剖结构异常。\n\n09:27.505 --> 09:33.505\n儿童患者可能以口以口呼吸、夜间咳嗽为突出表现。\n\n09:34.802 --> 09:35.203\n嗯，\n\n09:35.353 --> 09:36.603\n鉴别诊断啊，\n\n09:36.603 --> 09:42.453\n一些疾病当然要鉴别一些一些参考性主要是以下几个要鉴别的疾病。\n\n09:42.703 --> 09:43.403\n第一个啊，\n\n09:43.403 --> 09:45.403\n需要排除过敏性鼻炎，\n\n09:45.552 --> 09:50.103\n如阵发性喷嚏、清水样体和病毒性上感，\n\n09:50.703 --> 09:52.903\n它是一个自限性病程的。\n\n09:53.103 --> 09:53.453\n嗯，\n\n09:53.453 --> 09:57.103\n发热伴脓涕提示细菌性感染可能。\n\n09:58.093 --> 09:58.442\n嗯，\n\n09:58.442 --> 09:59.593\n影像学检查，\n\n09:59.742 --> 10:00.093\n嗯，\n\n10:00.093 --> 10:00.543\n等等，\n\n10:00.543 --> 10:03.242\n一个影像学也可以帮助我们诊断，\n\n10:03.843 --> 10:06.942\n像一个鼻窦CT啊，\n\n10:07.643 --> 10:09.418\n鼻窦CT的，\n\n10:09.418 --> 10:10.218\n优缺点，\n\n10:10.218 --> 10:12.143\n一个价值核心价值，\n\n10:12.393 --> 10:12.793\n嗯，\n\n10:13.143 --> 10:21.543\n多层螺旋CT可三维重建鼻窦解剖结果清晰显示粘膜针孔大约10个毫米，\n\n10:21.942 --> 10:22.643\n鼻腔。\n\n10:23.528 --> 10:29.179\n多腔积液及骨壁侵蚀是手术规划的金标准。\n\n10:30.646 --> 10:33.122\n磁共振的特殊适应性啊，\n\n10:33.271 --> 10:39.872\n应以鉴别真菌性鼻窦炎特征性信号改变或怀疑颅内眼眶并发症，\n\n10:40.072 --> 10:41.521\n硬膜外脓肿，\n\n10:41.521 --> 10:48.072\n眶周蜂窝织眼软组织对比度优于CTX线。\n\n10:48.122 --> 10:49.572\nX线也可以帮助，\n\n10:49.572 --> 10:51.221\n但X线有它的局限性，\n\n10:51.622 --> 11:00.822\n它仅能显示仅上颌窦和额窦的液平面或混浊对筛窦、蝶窦分辨率。\n\n11:00.888 --> 11:01.138\n点，\n\n11:01.437 --> 11:08.237\n仅适适用于那个基层医院初步筛查或儿童辐射敏感人群的随访。\n\n11:09.315 --> 11:09.640\n嗯，\n\n11:09.640 --> 11:15.166\n影像学技术通过可视化手段能明确病变范围及严重程度。\n\n11:15.416 --> 11:19.065\n为此治疗方案选择一个提供客观的依据，\n\n11:19.466 --> 11:22.815\n尤其对复杂病例和术前评估，\n\n11:23.116 --> 11:23.466\n嗯，\n\n11:23.466 --> 11:24.416\n不可或缺。\n\n11:25.778 --> 11:26.778\n实验室检查，\n\n11:27.177 --> 11:30.927\n实验室检查标准像一个微生物学检检测。\n\n11:33.135 --> 11:35.935\n和那个免疫学和过敏原检测，\n\n11:36.536 --> 11:38.185\n炎症标志物分析，\n\n11:39.585 --> 11:42.635\nB分泌物培养需规规范取材。\n\n11:42.835 --> 11:53.036\n中鼻道深部分泌物常见病原体包括肺炎链球菌、流感嗜血杆菌、耐药菌株需结合药敏试验调整抗生素。\n\n11:53.825 --> 12:00.276\n真菌涂片和培养对侵袭性真菌性鼻窦炎诊断至关重要，\n\n12:00.476 --> 12:05.325\n尤其对免疫功能低下患者的曲霉菌、毛霉菌感染。\n\n12:07.002 --> 12:13.252\n血清IGE检测和皮肤点刺试验可鉴别过敏性鼻炎合并鼻窦炎。\n\n12:13.351 --> 12:20.927\n整IGE>100 KU每升或特异性IG抗阳性提示过敏因因素。\n\n12:20.927 --> 12:26.077\n参与免疫球蛋白亚亚类如IGG亚型检测，\n\n12:26.077 --> 12:28.976\n适用于反复感染患者。\n\n12:28.976 --> 12:32.552\nIGG2和IGG四缺陷和慢性鼻窦炎密切相关。\n\n12:33.369 --> 12:36.669\n常规中性粒细胞比例大于75%，\n\n12:36.669 --> 12:39.619\n这是细菌感染。\n\n12:39.770 --> 12:43.719\nCRP>10mg/L或CT>0.25纳克每分子每毫升，\n\n12:43.969 --> 12:45.669\n提示需抗生素治疗。\n\n12:46.169 --> 12:49.044\n鼻分泌物嗜酸性粒细胞激素增高，\n\n12:49.044 --> 12:50.044\n大于10%，\n\n12:50.044 --> 12:55.469\n提示嗜酸性粒细胞性鼻窦炎可能对糖皮质激素反应良好。\n\n12:57.674 --> 13:00.124\n治疗方案策略与方案，\n\n13:00.723 --> 13:05.874\n治疗策略当然首先也包括一个药物治疗、手术干预，\n\n13:06.924 --> 13:08.973\n还有一个康复随访管理。\n\n13:10.239 --> 13:11.088\n药物治疗，\n\n13:11.289 --> 13:13.539\n它可以一个针对性用药。\n\n13:13.689 --> 13:13.989\n嗯，\n\n13:13.989 --> 13:16.039\n根据具体鼻部疾病类型，\n\n13:16.088 --> 13:18.263\n如过敏性鼻炎、鼻窦炎等，\n\n13:18.263 --> 13:19.888\n选择相应的药物，\n\n13:20.088 --> 13:21.338\n如抗组胺药。\n\n13:21.489 --> 13:21.814\n嗯，\n\n13:21.814 --> 13:24.239\n鼻用糖皮质激素或抗生素。\n\n13:24.539 --> 13:24.888\n嗯，\n\n13:24.888 --> 13:26.138\n接梯式治疗，\n\n13:26.439 --> 13:28.189\n从从低剂量开始，\n\n13:28.189 --> 13:30.489\n根据症状控制情况，\n\n13:30.489 --> 13:32.789\n逐步调整用药方案，\n\n13:32.789 --> 13:35.989\n避免过度治疗或易有药物依赖。\n\n13:36.789 --> 13:38.338\n局部优先原则，\n\n13:38.439 --> 13:40.439\n优先选择鼻喷剂等。\n\n13:40.495 --> 13:41.796\n局部给药方式，\n\n13:41.995 --> 13:44.046\n减少全身性副作用，\n\n13:44.145 --> 13:47.096\n提高药物在病灶部位的浓度。\n\n13:48.906 --> 13:50.356\n手术干预指征，\n\n13:51.056 --> 13:54.556\n它有一些需要干手术干预的，\n\n13:54.606 --> 13:57.580\n像一个结构异常的矫正啊，\n\n13:57.580 --> 13:59.106\n病变组织的清除，\n\n13:59.656 --> 14:00.005\n嗯，\n\n14:00.005 --> 14:01.880\n神经阻阻断的治疗，\n\n14:01.880 --> 14:02.181\n嗯，\n\n14:02.181 --> 14:05.005\n畸形修复手术结构异常矫正。\n\n14:05.156 --> 14:05.806\n然后，\n\n14:06.106 --> 14:09.406\n假如鼻中隔偏曲导致持续性通气障碍，\n\n14:09.705 --> 14:14.656\n比阻力大于0.3帕每平每立方厘米每每。\n\n14:15.828 --> 14:16.104\n嗯，\n\n14:16.104 --> 14:19.929\n或反复鼻出血需行鼻中隔成形术。\n\n14:19.929 --> 14:23.528\n手术需保留至少1mm支撑，\n\n14:23.528 --> 14:26.903\n1cm支撑结构病变清除组织。\n\n14:26.903 --> 14:27.528\n然后，\n\n14:27.929 --> 14:31.179\n三型慢性鼻窦炎伴鼻息肉血。\n\n14:32.012 --> 14:34.211\n麦克尔评分大于等于4分，\n\n14:34.411 --> 14:37.562\n需进行进行功能性内镜手术，\n\n14:37.711 --> 14:42.012\n术诊需开放前组筛窦额引窦结，\n\n14:42.111 --> 14:49.762\n结合蝶窦口神经阻断难治性过敏性鼻炎经药物治疗无效可考虑。\n\n14:50.390 --> 14:54.491\n翼管神经切断术术后需监测干炎症等并发症。\n\n14:54.940 --> 14:56.291\n畸形修复手术，\n\n14:56.291 --> 15:04.741\n先天性后鼻孔闭锁需在新生儿期经行行经鼻内镜穿孔处。\n\n15:04.741 --> 15:08.190\n儿童取需置入硅胶扩张管，\n\n15:08.291 --> 15:09.841\n防止带匕首。\n\n15:12.046 --> 15:13.562\n康复和随访治疗，\n\n15:13.562 --> 15:16.695\n术后鼻腔康复术后48小时，\n\n15:16.695 --> 15:16.945\n嗯，\n\n15:16.945 --> 15:21.245\n一个一个术后鼻腔护理疗效评估体系，\n\n15:21.395 --> 15:23.495\n长期随访机制啊，\n\n15:24.046 --> 15:26.596\n然后预预防与日常护理，\n\n15:26.645 --> 15:29.546\n一个预防日常护理也很重要。\n\n15:29.745 --> 15:33.596\n然后有一些下面一些像环境因素控制，\n\n15:33.945 --> 15:34.270\n嗯，\n\n15:34.270 --> 15:36.395\n保持空气湿度适宜，\n\n15:36.695 --> 15:38.296\n使用加速器等等，\n\n15:38.296 --> 15:41.495\n保持温度适宜的40到六十。\n\n15:41.973 --> 15:44.323\n然后减少空气污染物接触。\n\n15:45.408 --> 15:45.833\n然后，\n\n15:45.833 --> 15:47.232\n平时定期清居，\n\n15:47.232 --> 15:48.908\n清洁居住的环境。\n\n15:49.607 --> 15:50.083\n然后，\n\n15:50.083 --> 15:51.857\n每周更换床单等等。\n\n15:51.857 --> 15:52.257\n然后，\n\n15:52.257 --> 15:53.958\n一些健康的生活习惯，\n\n15:54.408 --> 15:55.507\n鼻腔清洁，\n\n15:55.908 --> 15:57.107\n饮食管理，\n\n15:57.158 --> 15:58.057\n每日饮水。\n\n15:58.961 --> 15:59.262\n嗯，\n\n15:59.411 --> 16:01.411\n饮水要不少于1500，\n\n16:01.911 --> 16:03.461\n限制辛辣等植物，\n\n16:03.461 --> 16:05.836\n认真食物行为纠正，\n\n16:05.836 --> 16:07.411\n戒除挖鼻习惯等，\n\n16:07.861 --> 16:10.262\n运运动防护。\n\n16:10.611 --> 16:10.961\n嗯，\n\n16:10.961 --> 16:12.711\n可以佩戴口罩，\n\n16:13.812 --> 16:16.161\n然后避免冷冷空气直接刺激。\n\n16:19.578 --> 16:20.052\n然后，\n\n16:20.052 --> 16:21.627\n一些定期坚持的建议，\n\n16:21.627 --> 16:24.728\n然后一些症状日记可以绘制一个图片。\n\n16:24.877 --> 16:25.927\n专科随访，\n\n16:26.328 --> 16:31.353\n那个五官科3个月进行鼻内镜检查功能评估。\n\n16:31.353 --> 16:34.853\n长期嗅觉减退需行嗅欲测试，\n\n16:34.853 --> 16:37.127\n合并耳鸣等听力测试。\n\n16:38.242 --> 16:39.992\n患者教育与支持，\n\n16:40.142 --> 16:42.091\n一个教育患者，\n\n16:42.091 --> 16:45.291\n做也要可以做到一个自我管理技巧。\n\n16:45.492 --> 16:45.817\n嗯，\n\n16:45.817 --> 16:51.942\n鼻腔清洁护理如何清洁使用生理盐水或专用鼻腔冲洗剂，\n\n16:51.942 --> 16:58.942\n定期清洁环境温度控制保持室内40.10%.60%。\n\n16:59.192 --> 17:01.867\n监测日记建立一个症状日记，\n\n17:01.867 --> 17:03.892\n记录那个频率和诱因，\n\n17:04.391 --> 17:06.317\n为复诊提供准确依据，\n\n17:06.317 --> 17:06.842\n依据。\n\n17:07.640 --> 17:08.615\n及时就医，\n\n17:08.615 --> 17:14.490\n信号下出现下面一些情况需及时到医院到就诊。\n\n17:14.840 --> 17:16.740\n如伴随全身症状啊，\n\n17:16.740 --> 17:17.965\n头痛、视力改变，\n\n17:17.965 --> 17:21.441\n面部症状可能提示鼻窦炎或肿瘤性改变，\n\n17:21.441 --> 17:22.590\n需及时就医。\n\n17:22.990 --> 17:26.240\n异常出血出现睡眠呼吸暂停，\n\n17:26.240 --> 17:28.890\n耳面部发育异常等也需要那个。\n\n17:30.584 --> 17:31.535\n但及时就医。\n\n17:31.685 --> 17:32.334\n百科。\n\n","v0247cg10004d71ljj2ljhtdfgtr92cg",1066,695,"2026-01-26 12:11:47"," 鼻部疾病科普：常见症状、预防与治疗方法全解析  "," 鼻部疾病,鼻炎,鼻窦炎,过敏性鼻炎,鼻息肉,鼻塞,流鼻涕,鼻部健康,鼻病预防,鼻病治疗  "," 本视频全面科普鼻部常见疾病，包括鼻炎、鼻窦炎、过敏性鼻炎和鼻息肉的症状、成因及防治方法，帮助您了解如何维护鼻部健康和正确应对鼻部不适。适合关注呼吸道健康的人群观看学习。","2026-06-11 09:38:33",[36],{"menuId":37,"menuName":38,"parentId":17,"orderNum":39,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":25,"status":17,"createDept":6,"remark":18,"createTime":45,"children":46,"columnImage":47,"columnLogo":48,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":40,"componentInfo":41},"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/871763/dfeddb2c-df4d-4c67-8d14-819b74d3cad4.tmp?a=0&auth_key=1789033642-c32eb066d22e464587fc4e090916f7d0-0-a1e6b725d3ef6a6a1bf5a9d505d69faa&br=379&bt=379&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d71ljj2ljhtdfgtr92cg&er=0&l=20260811072936E8DD1D562DE5C08EAEF4&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=ajV1amdrb21vOjczNGY3M0ApZjx3aXdtNW00ZzMzajo1eWdgNnFjcWcvZy5hLS1kNC9zc2Qvb2RhZWlnaTQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":56,"message":6,"data":6,"success":57},{"code":9,"msg":10,"message":6,"data":60,"success":57},{"pageNo":25,"pageSize":61,"result":62,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":64,"success":57},{"authors":65,"appraiseDimensionScoresVos":66},[],[]]