[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fkX008Um4uaf5cBwcJKOwOz__IDGYEfL8kRXBmnXMMoM":8,"$fSb1ErKQRmj15gkebnQtGskdOQn4HOKRzpHM4CupOKhE":59,"$ftZAJOiL2Ees2HnXtHzah3iohJ1MQjeYm4lM7oExvBc8":60,"$fwCCwNY3Z4nrxzf5PSkrt7qbs9mAYj4BhEUUUnipXzy0":64},{"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":58},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":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":6,"commentCount":17,"isComment":26,"deviceType":56,"url":57},14273,871561,[],"https://ystcdn.venuertc.com/venue/app/30361/2026-05-29/b81b6c7f-acaa-4f20-899b-f35962372886.png","程联云",0,"各类呼吸疾病治疗","上海市浦东新区浦南医院","呼吸内科","主治医师",8,"支气管扩张症科普","","https://cdn.yishi-tong.com/console/3/cyqLd6F-BY1ub6XqIHotMDHRZ34hwjym.png",1,"WEBVTT\n\n00:02.312 --> 00:02.461\n好，\n\n00:02.461 --> 00:06.912\n今天跟大家分享的一个课题的内容叫支气管扩张症的科普。\n\n00:15.288 --> 00:15.489\n嗯，\n\n00:15.538 --> 00:17.989\n从以下几方面开始阐述啊。\n\n00:18.288 --> 00:18.813\n首先，\n\n00:18.813 --> 00:19.913\n我们讲一下疾病，\n\n00:19.913 --> 00:21.089\n疾病的概述。\n\n00:23.749 --> 00:23.974\n那么，\n\n00:23.974 --> 00:25.224\n什么叫支气管扩张？\n\n00:25.224 --> 00:28.298\n支气管扩张症是一个慢慢性的肺部疾病，\n\n00:28.448 --> 00:29.374\n主要特征呢，\n\n00:29.374 --> 00:31.899\n就是永久性的支气管壁。\n\n00:33.043 --> 00:34.844\n扩张和破坏这种病呢，\n\n00:34.844 --> 00:37.844\n通常导致支气管壁的炎症和感染，\n\n00:38.043 --> 00:42.694\n从而引发反复的咳嗽、痰多和呼吸困难的症状。\n\n00:43.043 --> 00:43.493\n那么，\n\n00:43.493 --> 00:46.319\n常见的症状就是慢性咳嗽、咳痰，\n\n00:46.319 --> 00:49.344\n尤其是脓痰、咯血、胸痛和呼吸困难。\n\n00:49.979 --> 00:51.305\n由于反复的感染呢，\n\n00:51.305 --> 00:53.654\n患者可以出现发热和体重减轻，\n\n00:53.654 --> 00:55.180\n因为它消耗比较严重。\n\n00:55.529 --> 00:55.904\n那么，\n\n00:55.904 --> 00:59.479\n支气管扩张的类型包括局限性和弥漫性两种。\n\n00:59.729 --> 01:01.279\n局限性支气管扩张呢，\n\n01:01.279 --> 01:03.529\n通常局限于肺部的某个领域。\n\n01:04.384 --> 01:06.171\n而弥散性的气管扩张呢，\n\n01:06.171 --> 01:07.734\n只影响整个肺部，\n\n01:08.033 --> 01:10.884\n通过病变的范围和严重程度，\n\n01:10.933 --> 01:14.384\n症状和治疗方法也会有有所不同。\n\n01:14.634 --> 01:15.033\n那么，\n\n01:15.033 --> 01:19.533\n疾病的发生率、发病率在发达国家是1‰，\n\n01:19.683 --> 01:21.734\n但实际的发病率可能更高，\n\n01:21.984 --> 01:25.176\n因为许多轻微病例可能未被发现。\n\n01:25.176 --> 01:27.683\n该疾病可以影响任何年龄层，\n\n01:28.033 --> 01:30.033\n多见于儿童和青少年。\n\n01:31.141 --> 01:31.391\n那么，\n\n01:31.391 --> 01:33.592\n它的病因首先呢，\n\n01:33.592 --> 01:35.217\n有先先天性的因素，\n\n01:35.217 --> 01:39.192\n先天性支气管扩张症通通常跟这个基因有关，\n\n01:39.442 --> 01:44.442\n比如囊性纤维化就是一种常见的常见的遗传性疾病，\n\n01:44.692 --> 01:46.342\n可以导致支气管扩张。\n\n01:46.741 --> 01:49.891\n那么这种疾病是在白肉里面比较多见。\n\n01:49.891 --> 01:51.791\n第二个是后天性的因素，\n\n01:52.092 --> 01:55.616\n包括环境污染、烟雾暴露和遗传因素，\n\n01:55.616 --> 01:57.592\n也是导致支气管扩张症。\n\n01:57.791 --> 02:00.842\n长期暴露于有害气体及颗粒中。\n\n02:00.842 --> 02:01.291\n可以。\n\n02:01.414 --> 02:02.414\n损伤支气管壁，\n\n02:02.564 --> 02:04.064\n增加疾病的风险。\n\n02:04.414 --> 02:07.013\n第三个是环境因素或遗传因素。\n\n02:07.213 --> 02:10.238\n后天性的支气管扩张可能由于感染，\n\n02:10.238 --> 02:13.139\n比如说结核、肺炎、炎症性疾病，\n\n02:13.139 --> 02:14.863\n比如说溃疡性结肠炎，\n\n02:15.014 --> 02:20.714\n过敏反应等导致引起肺部的损伤等免疫因素引起。\n\n02:20.914 --> 02:21.363\n那么，\n\n02:21.363 --> 02:22.789\n第四个就是免疫系统，\n\n02:22.789 --> 02:27.214\n比如说免疫缺陷可以导致气管支气管扩张症，\n\n02:27.363 --> 02:29.839\n这些疾病削弱了身体。\n\n02:29.839 --> 02:31.164\n对自然的这个。\n\n02:31.492 --> 02:35.393\n防御能力使支气管扩容易受到损伤，\n\n02:35.792 --> 02:37.942\n那么下面看一下疾病危害。\n\n02:38.242 --> 02:39.143\n疾病危害呢，\n\n02:39.143 --> 02:40.406\n包括以下几方面，\n\n02:40.406 --> 02:41.992\n对呼吸系统的影响，\n\n02:42.393 --> 02:45.843\n血管扩张症可以严重影响患者的生活质量。\n\n02:46.093 --> 02:50.292\n由于持续的这种症状和可能的并发症，\n\n02:50.542 --> 02:51.393\n患者能。\n\n02:52.367 --> 02:56.016\n会经受活动受限、疲劳和社会隔离。\n\n02:56.317 --> 02:58.567\n第二个对生活质量的影响，\n\n02:58.817 --> 03:01.042\n血管扩张的治疗难度较大，\n\n03:01.042 --> 03:02.516\n且预后因人而异。\n\n03:02.667 --> 03:06.067\n早期诊断和治疗可以改善预后，\n\n03:06.466 --> 03:08.891\n但严重病例呢，\n\n03:08.891 --> 03:13.016\n可以影响导致他的长期和治疗的必需要呢，\n\n03:13.167 --> 03:14.716\n长期治疗和监测。\n\n03:15.464 --> 03:18.764\n那么它的风险包括就是支气管扩张呢，\n\n03:18.764 --> 03:20.315\n会造成严重的损害，\n\n03:20.315 --> 03:24.315\n包括COPD和肺肺心病的发生，\n\n03:24.565 --> 03:28.365\n那么它的医治治疗和预后。\n\n03:29.179 --> 03:30.205\n支气管扩张症呢，\n\n03:30.205 --> 03:32.205\n可以引发多种的并发症，\n\n03:32.205 --> 03:33.279\n包括这种。\n\n03:34.802 --> 03:39.177\n肺炎、肺脓肿、咯血等气胸这些并发症呢，\n\n03:39.177 --> 03:40.701\n可以可能危及生命。\n\n03:41.001 --> 03:41.376\n那么，\n\n03:41.376 --> 03:43.401\n它的诊断包括病史询问。\n\n03:43.651 --> 03:44.227\n首先，\n\n03:44.227 --> 03:45.751\n支气管扩张的第一症，\n\n03:45.751 --> 03:49.001\n第一是需要详细的询问病史，\n\n03:49.401 --> 03:53.251\n包括症状、起始时间、性状和伴随症状。\n\n03:53.501 --> 03:53.901\n那么，\n\n03:53.901 --> 04:02.701\n它体征体征包括就是胸部X线CT扫描是诊断支气管扩张症的关键手段，\n\n04:02.852 --> 04:05.052\n可以清晰的显示支气管。\n\n04:05.097 --> 04:06.897\n管壁的扩张和病变。\n\n04:07.296 --> 04:09.647\n第三个就是影像学的检查。\n\n04:11.692 --> 04:12.266\n听诊呢，\n\n04:12.266 --> 04:13.966\n就是肺部听诊呢，\n\n04:13.966 --> 04:17.441\n我们可以听到这个患者的呼吸减弱，\n\n04:17.842 --> 04:19.141\n失落音和。\n\n04:20.328 --> 04:23.727\n这个肺部的异常体征为诊断提供依据，\n\n04:24.028 --> 04:25.153\n那么影像学呢，\n\n04:25.153 --> 04:29.602\n可以看到这个患者的这个就是两肺这种卷，\n\n04:29.602 --> 04:31.678\n我们以前叫卷发一样的改变。\n\n04:31.977 --> 04:34.352\n第四个实验室的检查，\n\n04:34.352 --> 04:35.778\n包括血液检查。\n\n04:36.765 --> 04:40.489\n痰液检查有助于确定就是感染的类型，\n\n04:40.489 --> 04:43.815\n以严以及严重程度指导治疗方案的制定。\n\n04:44.165 --> 04:44.640\n那么，\n\n04:44.640 --> 04:46.464\n下面看一下疾病的预防。\n\n04:46.864 --> 04:47.565\n预防呢，\n\n04:47.565 --> 04:49.315\n包括就增加免疫力，\n\n04:49.315 --> 04:51.315\n包括饮均衡饮食。\n\n04:51.364 --> 04:52.364\n均衡饮食呢，\n\n04:52.364 --> 04:54.265\n就是增加免疫力的重要手段。\n\n04:54.515 --> 04:55.339\n包括呢，\n\n04:55.339 --> 04:59.015\n就是摄入足量的蛋白质、维生素C以及矿物质，\n\n04:59.214 --> 05:01.815\n特别是富含维C和维E的食物，\n\n05:01.864 --> 05:04.890\n它们能够提高身体对感染的抵抗力。\n\n05:04.890 --> 05:06.964\n同时能够减少高糖、高脂。\n\n05:07.027 --> 05:09.326\n脂肪和加工食品的摄入，\n\n05:09.427 --> 05:12.627\n以免影响免疫系统的正常功能。\n\n05:12.877 --> 05:14.377\n第二个是规律运动，\n\n05:14.476 --> 05:19.476\n规律运动能够增强体质且提高免疫细胞的活力，\n\n05:19.877 --> 05:21.976\n从而有效增强免疫力。\n\n05:21.976 --> 05:23.326\n建议每周呢，\n\n05:23.377 --> 05:24.851\n至少进行50分钟，\n\n05:24.851 --> 05:26.427\n150分钟的中强。\n\n05:27.769 --> 05:29.019\n中等强度的运动，\n\n05:29.019 --> 05:30.069\n比如说快走，\n\n05:30.069 --> 05:30.718\n游泳。\n\n05:31.617 --> 05:33.592\n骑自行车运动呢，\n\n05:33.592 --> 05:35.166\n能够促进血液循环。\n\n05:36.027 --> 05:37.326\n帮助身体排毒，\n\n05:37.576 --> 05:39.377\n第三个就是良好的睡眠。\n\n05:39.826 --> 05:42.152\n良好的睡眠是免疫系统的基石，\n\n05:42.152 --> 05:47.476\n睡眠不足会导致这种影响免疫系统的生成和功能，\n\n05:47.976 --> 05:51.326\n降低身体对疾病的抵抗力。\n\n05:52.045 --> 05:55.096\n建议每晚保证7.9小时的睡眠，\n\n05:55.645 --> 05:57.846\n保持良好的睡眠卫生。\n\n05:58.792 --> 06:03.743\n保持睡眠环境安逸、舒适和黑暗。\n\n06:04.829 --> 06:06.929\n第四个就是减少感染风险。\n\n06:07.782 --> 06:10.731\n这个是预防支气管扩张的重要措施，\n\n06:10.932 --> 06:14.832\n应该避免接触就是这种感冒啊，\n\n06:14.832 --> 06:16.631\n流感患者勤洗手，\n\n06:16.631 --> 06:18.432\n使用空气净化器，\n\n06:18.432 --> 06:20.631\n减少室内污染物以及。\n\n06:21.944 --> 06:23.044\n及时接种疫苗，\n\n06:23.243 --> 06:26.044\n那么第四下面看一下环境控制，\n\n06:26.044 --> 06:28.243\n包括避免烟雾和污染。\n\n06:28.593 --> 06:31.993\n烟雾和污染是诱发支气管扩张的重要因素，\n\n06:32.294 --> 06:37.093\n应避免在烟雾和污染严重的环境中长时间停留，\n\n06:37.493 --> 06:38.968\n如远离吸烟区，\n\n06:38.968 --> 06:39.544\n减少。\n\n06:40.416 --> 06:41.016\n户外。\n\n06:42.348 --> 06:46.998\n活动时间在空气不良、空气不良、质量不佳的日子，\n\n06:47.199 --> 06:48.898\n保持室内空气流通。\n\n06:49.098 --> 06:50.449\n室内空气流通呢，\n\n06:50.449 --> 06:54.123\n可以减少室内这种病原病原体的浓度，\n\n06:54.123 --> 06:55.748\n降低感染的风险。\n\n06:56.098 --> 06:58.148\n每天至少开窗30分钟，\n\n06:58.148 --> 07:00.148\n保证室内空气新鲜。\n\n07:00.881 --> 07:02.282\n第三个是定期消毒，\n\n07:02.282 --> 07:06.832\n可以减少杀死家中的病原体减少。\n\n07:08.321 --> 07:09.321\n交叉感染的机会，\n\n07:09.522 --> 07:13.372\n定期清洁消毒家具表面卫生间，\n\n07:13.372 --> 07:18.171\n卫生间和厨房使用合合适的这个消毒剂。\n\n07:18.421 --> 07:20.772\n第四个就是减少过敏源的接触，\n\n07:21.122 --> 07:21.522\n嗯，\n\n07:22.071 --> 07:24.096\n包括这种尘螨啊，\n\n07:24.096 --> 07:26.321\n花粉、宠物皮屑等，\n\n07:26.321 --> 07:28.122\n诱发气管中的。\n\n07:29.196 --> 07:32.247\n扩张症的发作应该保持室内清洁，\n\n07:32.247 --> 07:33.796\n避免使用过敏源。\n\n07:33.796 --> 07:37.446\n使用过防过敏的这个床上用品，\n\n07:37.446 --> 07:39.921\n定期清洁宠物和宠物床。\n\n07:40.372 --> 07:40.796\n那么，\n\n07:40.796 --> 07:42.272\n下面一个是定期体检，\n\n07:42.272 --> 07:43.596\n呼吸系统检查呢，\n\n07:43.596 --> 07:44.122\n包括。\n\n07:44.945 --> 07:46.769\n定期进行呼吸系统检查，\n\n07:46.769 --> 07:49.494\n可以及早发现呼吸系统的问题，\n\n07:49.894 --> 07:55.744\n包括医生体检、肺部、肺部、肺功能测试和胸部X线检查，\n\n07:55.744 --> 07:58.394\n有助于监测支气管扩张症的。\n\n07:59.347 --> 07:59.697\n发展，\n\n07:59.997 --> 08:03.347\n那么胸部X线就是早期发现异常，\n\n08:03.697 --> 08:07.798\n对于治疗胸部X线胸部的这个支气管扩张至关重要。\n\n08:07.997 --> 08:11.247\n通过定期的治疗、体检和检查，\n\n08:11.247 --> 08:14.197\n可以及时的识别病情变化，\n\n08:14.197 --> 08:15.947\n并采取相应的措施。\n\n08:17.048 --> 08:17.447\n早期。\n\n08:18.476 --> 08:20.177\n发现异常胸部的X线。\n\n08:22.809 --> 08:25.834\n是诊断支气管扩张的常用的方法之一，\n\n08:25.834 --> 08:30.135\n它可以显示任何这个胸部结构和任何异常，\n\n08:30.135 --> 08:31.510\n如扩张的支气管。\n\n08:31.559 --> 08:34.059\n第四个就是定期的跟踪和随访，\n\n08:34.210 --> 08:37.109\n定期跟踪有助于监测病情变化和。\n\n08:38.148 --> 08:38.598\n效果，\n\n08:38.648 --> 08:41.497\n患者应应与医生的积极沟通，\n\n08:41.497 --> 08:44.547\n以调整及时的调整治疗方案。\n\n08:44.598 --> 08:45.047\n那么，\n\n08:45.047 --> 08:47.148\n下面看一下健康的生活方式，\n\n08:47.398 --> 08:49.497\n包括戒烟戒限酒啊，\n\n08:49.497 --> 08:51.547\n什么能够预防支气管扩张。\n\n08:52.367 --> 08:53.242\n吸吸烟呢，\n\n08:53.242 --> 08:55.918\n能够损害这个肺部的健康。\n\n08:55.918 --> 08:58.768\n酒精的过量会影响免疫系统的功能，\n\n08:59.268 --> 09:00.317\n减少压力。\n\n09:00.468 --> 09:03.367\n长期的精神压力影响免疫系统的功能，\n\n09:03.567 --> 09:05.468\n增加感染的风险。\n\n09:05.718 --> 09:06.192\n那么，\n\n09:06.192 --> 09:10.968\n通过运动和冥想以及与家人朋友的交流来减少压力。\n\n09:11.796 --> 09:12.046\n那么，\n\n09:12.046 --> 09:13.947\n第三个就是避免过度劳累。\n\n09:13.947 --> 09:17.046\n过度劳累会降低身体的抵抗力，\n\n09:17.896 --> 09:19.447\n容易导致感染。\n\n09:19.796 --> 09:23.296\n应合理安排工作和休息时间，\n\n09:23.296 --> 09:24.846\n保证充足的休息。\n\n09:25.046 --> 09:27.346\n第四个是保持良好的心态。\n\n09:28.111 --> 09:28.312\n嗯，\n\n09:28.361 --> 09:30.312\n有助于提高生活质量，\n\n09:30.611 --> 09:33.025\n免疫力提加增高，\n\n09:33.025 --> 09:33.911\n增强免疫力。\n\n09:33.911 --> 09:34.661\n面对疾病，\n\n09:34.661 --> 09:36.562\n保持积极乐观的态度，\n\n09:36.711 --> 09:37.661\n积极参与。\n\n09:38.627 --> 09:40.776\n康复活动下面看一下治疗，\n\n09:40.976 --> 09:45.351\n治疗包括药物治疗几包括以下几方面，\n\n09:45.351 --> 09:46.877\n有抗生素的应用。\n\n09:47.698 --> 09:51.148\n和免疫调节剂、祛痰药和支管扩张剂。\n\n09:52.098 --> 09:53.947\n以及症状缓解的药物。\n\n09:54.768 --> 09:56.294\n那么症状缓解药物呢？\n\n09:56.294 --> 09:59.143\n包括这种镇咳药、解热镇痛药，\n\n09:59.143 --> 10:01.718\n用于缓解咳嗽和胸痛的药物。\n\n10:01.968 --> 10:05.143\n虽然这些药物都不能根治气管扩张的，\n\n10:05.143 --> 10:06.968\n但可以减少。\n\n10:08.526 --> 10:10.026\n患者的痛苦，\n\n10:10.026 --> 10:11.176\n提高生活质量。\n\n10:12.380 --> 10:14.830\n那么物理治疗包括呼吸操。\n\n10:15.702 --> 10:17.901\n呼吸上包包括胸部的物理治疗，\n\n10:18.151 --> 10:25.401\n胸呼吸操是通过特定的呼吸练习来增强呼呼吸肌的能力，\n\n10:25.552 --> 10:29.002\n改善通气功能的一种治疗方法。\n\n10:29.002 --> 10:31.627\n它可以更好的控制呼吸，\n\n10:31.627 --> 10:33.552\n减少呼吸困难的发生，\n\n10:33.552 --> 10:35.252\n同时也注意痰的排出。\n\n10:35.849 --> 10:37.049\n第二个是震动排痰，\n\n10:37.549 --> 10:41.099\n是用震动设备对患者的胸部进行震动，\n\n10:41.299 --> 10:44.000\n帮助痰液从气道壁脱落。\n\n10:44.921 --> 10:46.171\n便于排排出，\n\n10:46.171 --> 10:50.796\n这种是对于这种呼吸痰液粘稠难以排出的患者比较有效。\n\n10:51.146 --> 10:52.546\n第三个是吸氧，\n\n10:52.796 --> 10:55.622\n吸氧是对于严重的支气管扩张的患者，\n\n10:55.622 --> 11:02.471\n可以帮助改和氧氧氧改善氧合缓解呼吸困难，\n\n11:02.471 --> 11:05.896\n通常在急性发作期和病情较重时使用。\n\n11:06.541 --> 11:12.841\n患者需要根据这这个患者的具体情况调整吸氧时间和流量。\n\n11:13.802 --> 11:16.453\n那么下一面就是看外科手术，\n\n11:16.802 --> 11:23.502\n外科手术它适应症是对于这种就是仅限于药物治疗无效的患者，\n\n11:23.502 --> 11:27.052\n那么手术包括这种反复感染、大出血或者急性。\n\n11:27.857 --> 11:28.757\n局限性病变，\n\n11:29.107 --> 11:31.333\n那么手术包括方法呢？\n\n11:31.333 --> 11:34.708\n包括肺叶切除、肺段切除以及支气管段。\n\n11:35.669 --> 11:36.270\n成形术，\n\n11:36.469 --> 11:39.594\n那么手术的目的是去除病变，\n\n11:39.594 --> 11:42.469\n病变组织改善通气功能。\n\n11:42.820 --> 11:43.294\n然后，\n\n11:43.294 --> 11:44.869\n对于这个手术，\n\n11:44.869 --> 11:46.419\n需要在全麻。\n\n11:48.273 --> 11:50.223\n下进行有一定的风险，\n\n11:50.624 --> 11:56.323\n那么手术风险与并发症外科手术有存在一定的风险，\n\n11:56.323 --> 11:58.723\n如感染、出血、肺不张等。\n\n11:59.023 --> 12:02.124\n患者在术后需要密切监测，\n\n12:02.424 --> 12:05.424\n及时发现并处理并发症。\n\n12:05.473 --> 12:09.973\n那么术后恢复是指就是患者需要进行呼吸功能锻炼。\n\n12:10.989 --> 12:11.190\n嗯，\n\n12:11.489 --> 12:13.364\n促进肺功能的恢复。\n\n12:13.364 --> 12:13.989\n同时，\n\n12:14.039 --> 12:18.640\n患者需要遵循医医嘱进行药物治疗，\n\n12:18.640 --> 12:19.489\n定期检查。\n\n12:20.556 --> 12:20.731\n那么，\n\n12:20.731 --> 12:22.606\n下面看一下他的康复治疗。\n\n12:22.755 --> 12:23.731\n康复治疗呢，\n\n12:23.731 --> 12:29.056\n包括就是根据患者的具体情况进以及制定的这种。\n\n12:30.221 --> 12:36.171\n个体化训练方案包括这种呼吸操、步行、游泳等运动，\n\n12:36.520 --> 12:38.921\n旨在提高患者的肺功能和。\n\n12:40.015 --> 12:40.864\n整体功能，\n\n12:40.864 --> 12:42.265\n第二个是营养支持，\n\n12:42.715 --> 12:43.815\n心理辅导呢，\n\n12:43.815 --> 12:44.914\n替患者。\n\n12:48.015 --> 12:52.664\n可以提帮帮助就是患者能够正面面对这个疾病，\n\n12:52.815 --> 12:54.715\n然后同时减轻焦虑。\n\n12:54.864 --> 12:56.090\n通过心理门诊呢，\n\n12:56.090 --> 13:01.015\n可以自己树立患者的信心及参与他的营养活动。\n\n13:01.215 --> 13:01.664\n那么，\n\n13:01.664 --> 13:05.789\n包括患者就是主席多服用这种高蛋白的物质啊，\n\n13:05.789 --> 13:08.215\n包括富含维C维E的食物，\n\n13:08.364 --> 13:10.015\n增加自己的抵抗力。\n\n13:10.114 --> 13:10.590\n那么，\n\n13:10.590 --> 13:11.440\n心理咨询呢，\n\n13:11.440 --> 13:12.565\n它就是说。\n\n13:13.341 --> 13:13.591\n嗯，\n\n13:13.591 --> 13:15.341\n也可以就是说，\n\n13:15.392 --> 13:17.666\n对于患者来说是非常重要的，\n\n13:17.666 --> 13:19.392\n可以帮助他树立信心，\n\n13:19.392 --> 13:21.966\n减轻这个焦虑啊，\n\n13:21.966 --> 13:23.841\n什么积极参与康复活动。\n\n13:24.440 --> 13:24.840\n第三个，\n\n13:24.840 --> 13:26.340\n第四个是家庭护理，\n\n13:26.340 --> 13:27.239\n家庭护理呢，\n\n13:27.239 --> 13:29.940\n是指这个支气管扩张的重要环节，\n\n13:30.239 --> 13:31.539\n需患者呢，\n\n13:31.539 --> 13:32.789\n需要掌握这种。\n\n13:33.866 --> 13:34.866\n基本的护理常识，\n\n13:34.866 --> 13:37.666\n比如说正确的给药呼须操的治疗，\n\n13:37.866 --> 13:40.315\n以及感染这种预防，\n\n13:40.666 --> 13:44.866\n或者是会会患者提供良好的家庭治疗环境。\n\n13:45.627 --> 13:45.802\n那么，\n\n13:45.802 --> 13:47.377\n下面看一下疾病管理，\n\n13:47.476 --> 13:49.276\n包括患者的自我监测，\n\n13:49.276 --> 13:52.927\n也就是患者监测这个患者的症状变化。\n\n13:53.077 --> 13:56.377\n一旦出现症状加重或者新的并发症，\n\n13:56.526 --> 13:58.526\n可以就是及时就医。\n\n13:59.270 --> 14:01.695\n以及这个及时就医呢，\n\n14:01.695 --> 14:03.119\n可以避免病情恶化，\n\n14:03.119 --> 14:06.169\n有助于控制疾病的进展。\n\n14:06.320 --> 14:06.770\n那么，\n\n14:06.770 --> 14:08.869\n记录记录痰量的颜色，\n\n14:09.169 --> 14:12.119\n支气管扩张患者注意自己的痰量变化，\n\n14:12.119 --> 14:13.070\n如咳嗽。\n\n14:14.398 --> 14:14.648\n嗯，\n\n14:15.198 --> 14:17.398\n咳痰气促及时发现，\n\n14:17.799 --> 14:19.348\n那么对于他的症状，\n\n14:19.348 --> 14:20.648\n新症状的出现。\n\n14:21.458 --> 14:22.859\n是有具重要意义的。\n\n14:22.859 --> 14:25.859\n那么监测体温和血氧监测这个。\n\n14:28.614 --> 14:29.963\n体温和血氧饱和度，\n\n14:30.213 --> 14:30.564\n嗯，\n\n14:30.564 --> 14:35.564\n能够发现感染或者呼吸功能下降的迹象。\n\n14:36.369 --> 14:40.068\n对于这个血氧饱和度正常的患者呢，\n\n14:40.068 --> 14:43.494\n就是可能表明呼吸功能受损，\n\n14:43.494 --> 14:45.018\n需要及时的医疗干预。\n\n14:45.318 --> 14:46.968\n第四个就是及时就医，\n\n14:47.119 --> 14:48.244\n患者应该没事。\n\n14:48.244 --> 14:54.119\n记住记录这个痰量变化、痰色变化、痰量的增多或者痰液变化，\n\n14:54.468 --> 14:57.443\n能够就是提示他的感染是否加重。\n\n14:57.443 --> 15:01.568\n这些对于医生的治疗调整治疗方案都具有。\n\n15:02.159 --> 15:02.909\n重要的意义，\n\n15:03.109 --> 15:06.010\n那么下面就是还有对于遵医嘱治疗，\n\n15:06.010 --> 15:07.960\n包括患者的及时就医啊，\n\n15:08.059 --> 15:09.135\n按时服药啊，\n\n15:09.135 --> 15:11.609\n调整治疗方案以及定期随访，\n\n15:11.859 --> 15:13.260\n避免自行停药。\n\n15:13.409 --> 15:14.960\n那么下面家庭。\n\n15:15.674 --> 15:16.073\n护理呢，\n\n15:16.073 --> 15:18.674\n就是保持室内的空气清洁，\n\n15:18.674 --> 15:20.023\n避免交叉感染，\n\n15:20.273 --> 15:22.148\n合理安排用药，\n\n15:22.148 --> 15:24.624\n监测这个营养和水分。\n\n15:25.754 --> 15:25.979\n嗯，\n\n15:25.979 --> 15:29.254\n此外就是包括心理支持、建立信心、社会支持，\n\n15:29.254 --> 15:32.004\n避免焦虑和抑郁，\n\n15:32.004 --> 15:34.453\n然后积极参与的康复活动。\n\n15:35.302 --> 15:35.528\n嗯，\n\n15:35.528 --> 15:37.103\n今天的分享就到这里，\n\n15:37.103 --> 15:37.853\n谢谢大家。\n\n","v0247cg10004d71lubaljht4579uvlog",942,876,"2026-01-26 12:18:48"," 支气管扩张症科普：症状、诊断与治疗全解析  \n"," 支气管扩张症, 支气管扩张症状, 支气管扩张治疗, 呼吸系统疾病, 慢性咳嗽, 咳血, 肺部健康  \n"," 本视频全面讲解支气管扩张症的病因、常见症状（如慢性咳嗽、咳痰、反复感染）、诊断方法及治疗方案，帮助患者了解如何通过药物、物理治疗和生活方式调整管理疾病，提升肺部健康。适合患者及家属观看的实用科普内容。","2026-05-05 19:00:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"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/871561/e5c94020-ebdb-4d9b-b02b-a4a157eb77e1.tmp?a=0&auth_key=1789027832-21b9193953eb4c87be7bff1f6afe85bb-0-3041fe80691885312c395153d985ebed&br=367&bt=367&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0247cg10004d71lubaljht4579uvlog&er=0&l=20260811055450450E2E0F95713A3DAA5A&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=am94Ojdrb2VvOjczNGY3M0Apcnk8OHdtZHg0ZzMzajo1eWdsczYycWdeci5hLS1kNC9zc2RpcjQxZWlfaTQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":57,"message":6,"data":6,"success":58},{"code":9,"msg":10,"message":6,"data":61,"success":58},{"pageNo":26,"pageSize":62,"result":63,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":65,"success":58},{"authors":66,"appraiseDimensionScoresVos":67},[],[]]