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--> 00:03.028\n各位朋友大家好，\n\n00:03.328 --> 00:07.777\n今天我们要讲一下咽炎和喉炎的区别。\n\n00:09.628 --> 00:13.529\n下面我从以下五个方面进行讲解。\n\n00:15.104 --> 00:15.779\n首先呢，\n\n00:15.779 --> 00:17.054\n什么是喉炎呢？\n\n00:19.062 --> 00:20.312\n怎么治咽炎呢？\n\n00:21.445 --> 00:24.445\n生活里我们常说的嗓子不舒服。\n\n00:25.788 --> 00:28.337\n又可以称为是嗓子疼，\n\n00:28.538 --> 00:29.988\n有可能是咽炎呢，\n\n00:29.988 --> 00:31.187\n也可能是喉炎。\n\n00:31.488 --> 00:32.763\n这两种炎症呢，\n\n00:32.763 --> 00:33.787\n看似相近，\n\n00:33.987 --> 00:34.763\n其实呢，\n\n00:34.763 --> 00:40.187\n它这个发病部位包括这个症状危害应对的方法都大不相同，\n\n00:40.487 --> 00:44.037\n尤其对用嗓人群家长朋友来说，\n\n00:44.787 --> 00:46.937\n分清两者至关重要。\n\n00:47.487 --> 00:52.187\n今天我们就讲一讲这两个呼吸道邻居的区别。\n\n00:53.277 --> 00:54.827\n再教大家如何应对。\n\n00:56.187 --> 00:58.486\n咽咽炎的定义，\n\n00:58.786 --> 01:04.236\n咽炎是指咽部粘膜及其淋巴结组织的炎症，\n\n01:04.736 --> 01:09.787\n常见症状包括咽部疼痛、干燥、异物感等。\n\n01:10.186 --> 01:13.537\n咽炎可分为急性和慢性两种类型。\n\n01:14.575 --> 01:17.325\n急性咽炎多由病毒感染引起，\n\n01:17.575 --> 01:20.475\n慢性咽炎则与长期刺激有关。\n\n01:21.803 --> 01:23.377\n咽炎喉炎的定义呢，\n\n01:23.377 --> 01:26.602\n喉炎是指喉部黏膜的炎症，\n\n01:26.703 --> 01:29.203\n主要症状为声音嘶哑，\n\n01:29.402 --> 01:30.053\n咳嗽。\n\n01:31.098 --> 01:32.198\n喉部疼痛等。\n\n01:32.549 --> 01:35.799\n喉炎同样分为急性和慢性两种，\n\n01:36.299 --> 01:38.649\n急性喉炎常见于感冒后，\n\n01:38.899 --> 01:43.598\n慢性喉炎则与长期用声不当或环境刺激有关。\n\n01:44.898 --> 01:47.197\n咽炎与喉炎的常见原因呢，\n\n01:48.097 --> 01:53.847\n我们通常包括病毒感染、细菌感染、环境的刺激，\n\n01:53.847 --> 01:58.748\n比如说有烟雾啊、粉尘啊、过度用声等等。\n\n01:59.498 --> 02:03.547\n了解病因有助于我们预防和针对性的治疗。\n\n02:08.039 --> 02:08.363\n那么呢，\n\n02:08.363 --> 02:11.539\n我们研究这个背景与意义呢，\n\n02:11.688 --> 02:14.289\n首先就是喉炎和咽炎呢，\n\n02:14.289 --> 02:16.839\n是常见的一个上呼吸道疾病，\n\n02:17.188 --> 02:18.938\n但是由于症状相似，\n\n02:18.938 --> 02:20.738\n人们容易被混淆，\n\n02:21.188 --> 02:26.889\n所以明确两者的区别对准确诊断和治疗具有重要的意义。\n\n02:27.289 --> 02:28.839\n我们通过科普呢，\n\n02:29.339 --> 02:31.589\n来区别咽炎和喉炎，\n\n02:31.938 --> 02:35.238\n可以帮助公众更好的识别症状，\n\n02:35.988 --> 02:37.514\n就医及时就医，\n\n02:37.514 --> 02:38.238\n避免误。\n\n02:38.320 --> 02:40.570\n整合延误治疗。\n\n02:46.214 --> 02:47.315\n咽咽炎呢，\n\n02:47.315 --> 02:50.315\n它那个部位是位于这个口腔的后方，\n\n02:50.615 --> 02:51.740\n上接鼻腔，\n\n02:51.740 --> 02:52.815\n下接喉部，\n\n02:52.964 --> 02:54.664\n就像一个交通枢纽，\n\n02:54.764 --> 02:57.815\n负责连接呼吸和消化道的。\n\n02:58.164 --> 03:03.214\n它包括咽后壁、扁桃体、软腭等部位。\n\n03:03.365 --> 03:06.565\n你平时吞咽时感觉嗓子后面有异物，\n\n03:06.764 --> 03:07.589\n这时候呢，\n\n03:07.589 --> 03:08.914\n就是咽部在报警。\n\n03:09.365 --> 03:10.389\n简单的说呢，\n\n03:10.389 --> 03:15.214\n咽炎的炎症范围在能感觉到吞咽动作的部位，\n\n03:15.264 --> 03:16.414\n比如说吃东西。\n\n03:16.488 --> 03:17.738\n起的时候喉咙疼，\n\n03:18.287 --> 03:20.337\n喝水时候缓解不适，\n\n03:21.138 --> 03:23.337\n基本上都来自这个咽部。\n\n03:23.738 --> 03:26.638\n喉炎的喉是声音的发动机，\n\n03:26.837 --> 03:27.537\n所以呢，\n\n03:27.537 --> 03:29.738\n喉部是在咽部的正下方，\n\n03:29.738 --> 03:31.188\n气管的正上方。\n\n03:31.638 --> 03:33.488\n这里藏着我们声带，\n\n03:33.688 --> 03:35.438\n是发声的核心器官，\n\n03:35.787 --> 03:39.188\n可以把声带想象成两片薄膜。\n\n03:41.052 --> 03:41.701\n然后呢，\n\n03:41.701 --> 03:44.951\n说话时这个薄膜产生震动而发生声音。\n\n03:45.451 --> 03:46.352\n而喉炎呢，\n\n03:46.352 --> 03:50.901\n就是这两片薄膜或周围组织发生了炎症肿胀了。\n\n03:51.151 --> 03:51.951\n所以呢，\n\n03:51.951 --> 03:54.451\n喉炎的关键影响在发生，\n\n03:54.651 --> 03:55.751\n而不是吞咽，\n\n03:55.901 --> 03:59.251\n这是它与咽炎最核心的区别。\n\n04:01.102 --> 04:03.777\n核心症状对比这个啊，\n\n04:03.777 --> 04:07.503\n我们有通常有三个这个快速区分。\n\n04:08.389 --> 04:10.964\n很多人就是分不清咽炎和喉炎的，\n\n04:10.964 --> 04:15.363\n只要关注这三个关键信号就能快速的判断，\n\n04:15.363 --> 04:16.938\n不用再猜来猜去。\n\n04:17.489 --> 04:18.264\n首先呢，\n\n04:18.264 --> 04:19.889\n声音是否受影响，\n\n04:19.989 --> 04:22.338\n这个是喉炎的一个标志性的信号，\n\n04:22.539 --> 04:24.289\n也是最核心的区别。\n\n04:24.838 --> 04:25.588\n咽炎呢，\n\n04:25.588 --> 04:27.614\n基本上不影响声音，\n\n04:27.614 --> 04:29.639\n哪怕咽部疼痛的厉害，\n\n04:29.639 --> 04:31.938\n说话唱歌音色也不会变，\n\n04:32.438 --> 04:35.539\n最多因为疼痛不敢大声说，\n\n04:35.688 --> 04:37.739\n而声音本身是清晰的。\n\n04:39.256 --> 04:40.106\n喉炎呢，\n\n04:40.457 --> 04:42.407\n声音嘶哑是必选项。\n\n04:42.557 --> 04:45.157\n轻度喉炎会感觉声音变，\n\n04:45.307 --> 04:45.957\n发闷，\n\n04:46.407 --> 04:48.506\n中度会出现明显的沙哑，\n\n04:48.707 --> 04:50.731\n严重时直接说不出话来。\n\n04:50.731 --> 04:51.307\n失声，\n\n04:51.606 --> 04:55.006\n因为声带发炎肿胀后震动不规律，\n\n04:55.006 --> 04:56.707\n自然发不出正常声音。\n\n04:56.707 --> 04:58.006\n给大家举个例子，\n\n04:58.157 --> 05:00.207\n比如说老师长时间讲课，\n\n05:00.356 --> 05:02.731\n若是只是咽痒了，\n\n05:02.731 --> 05:04.557\n咽痛了但说话正常，\n\n05:04.756 --> 05:06.006\n大概率是咽炎。\n\n05:06.057 --> 05:07.582\n若说话越来越哑，\n\n05:07.582 --> 05:08.756\n甚至说不出话来，\n\n05:08.756 --> 05:09.106\n就是。\n\n05:09.196 --> 05:10.295\n喉炎找上门呢，\n\n05:11.096 --> 05:12.996\n疼痛的位置和感觉呢，\n\n05:13.045 --> 05:14.395\n咽疼和喉疼。\n\n05:14.696 --> 05:15.571\n咽疼的疼，\n\n05:15.571 --> 05:17.795\n它位于这个位置是偏上的，\n\n05:17.996 --> 05:20.696\n在嗓子后面疼痛时呢，\n\n05:20.696 --> 05:21.346\n会加重，\n\n05:21.346 --> 05:23.196\n吞咽时会症状加重，\n\n05:23.196 --> 05:24.496\n比如说咽口水呀，\n\n05:24.496 --> 05:27.645\n吃饭等疼痛会更加明显。\n\n05:27.895 --> 05:28.596\n平时呢，\n\n05:28.596 --> 05:31.246\n不吞咽的时候只是干痒有异物感，\n\n05:31.395 --> 05:33.371\n像有痰咳不出来，\n\n05:33.371 --> 05:34.645\n有东西咽不下去。\n\n05:35.908 --> 05:37.009\n喉炎的疼啊，\n\n05:37.009 --> 05:38.509\n是位置偏下的，\n\n05:38.658 --> 05:40.058\n在脖子中间，\n\n05:40.209 --> 05:43.158\n喉结周围按压时会有明显的疼痛。\n\n05:43.308 --> 05:46.459\n说话咳嗽的时候疼痛会加剧。\n\n05:46.808 --> 05:50.259\n咽炎时的疼痛反而不如咽痛明显，\n\n05:50.808 --> 05:53.259\n吞咽时的疼痛反而不如咽炎明显。\n\n05:53.558 --> 05:55.134\n咳嗽的特征呢，\n\n05:55.134 --> 05:56.308\n是清嗓子，\n\n05:56.459 --> 05:58.209\n还有一个是犬吠样的咳。\n\n05:58.558 --> 05:59.283\n咽炎呢，\n\n05:59.283 --> 06:00.734\n咳嗽多为清嗓子，\n\n06:00.734 --> 06:03.209\n咳嗽或有少许粘液痰，\n\n06:03.509 --> 06:06.009\n咳嗽完了咽不多不是。\n\n06:06.052 --> 06:07.402\n不适会暂时缓解，\n\n06:08.002 --> 06:08.752\n喉炎呢，\n\n06:08.752 --> 06:10.252\n咳嗽声音特别明显，\n\n06:10.502 --> 06:12.351\n呈空空样或犬吠样，\n\n06:12.351 --> 06:13.351\n像小狗叫，\n\n06:13.451 --> 06:15.351\n尤其是儿童急性喉炎，\n\n06:15.351 --> 06:17.351\n这种咳嗽声非常的典型。\n\n06:17.701 --> 06:21.927\n而且喉炎的咳嗽常伴随喉部堵塞感，\n\n06:21.927 --> 06:22.927\n严重时候呢，\n\n06:22.927 --> 06:24.052\n会影响呼吸。\n\n06:25.811 --> 06:27.860\n正如PPT当中讲的，\n\n06:27.960 --> 06:29.360\n咽炎的典型症状呢，\n\n06:29.360 --> 06:32.686\n它是主要是有一个咽部的疼痛啊。\n\n06:32.686 --> 06:34.786\n咽炎的患者常感到咽部疼痛，\n\n06:34.786 --> 06:36.911\n尤其是在吞咽时疼痛加剧，\n\n06:37.061 --> 06:39.960\n可伴有这个灼热感或刺痛感。\n\n06:40.260 --> 06:42.811\n还有就是咽部的干燥与异物感。\n\n06:42.860 --> 06:46.260\n通常描述咽部干燥发痒或异物感，\n\n06:46.260 --> 06:48.610\n可能频繁清嗓以缓解不适。\n\n06:48.911 --> 06:49.561\n还有呢，\n\n06:49.561 --> 06:50.811\n就是咳嗽与咳痰。\n\n06:51.010 --> 06:54.360\n咽炎可能会引发干咳或咳出少量咳痰。\n\n06:55.662 --> 06:57.363\n咳嗽通常为刺激性的咳嗽，\n\n06:57.363 --> 06:58.662\n夜间可能加重。\n\n06:59.113 --> 06:59.787\n其他呢，\n\n06:59.787 --> 07:01.113\n还有一个伴随症状，\n\n07:01.162 --> 07:05.713\n比如说部分患者可能会有一个低热发热等等的全身症状，\n\n07:05.763 --> 07:08.013\n尤其是急性咽炎的患者。\n\n07:09.247 --> 07:11.048\n而喉炎的典型症状呢，\n\n07:11.048 --> 07:12.347\n主要是以下四点，\n\n07:12.497 --> 07:14.247\n首先是声音嘶哑，\n\n07:14.497 --> 07:17.148\n喉炎最突出的症状就是声音嘶哑，\n\n07:17.247 --> 07:18.247\n严重时候呢，\n\n07:18.247 --> 07:19.597\n可能会完全失声，\n\n07:19.697 --> 07:23.947\n这是由于声带粘膜肿胀而影响震动所致。\n\n07:24.247 --> 07:24.822\n第二呢，\n\n07:24.822 --> 07:25.997\n是喉部的疼痛，\n\n07:26.298 --> 07:28.347\n喉炎患者常感到这个疼，\n\n07:28.347 --> 07:29.273\n喉部的疼痛，\n\n07:29.273 --> 07:33.247\n尤其是在说话或咳嗽时疼痛明显，\n\n07:33.398 --> 07:35.048\n可能放射至耳部。\n\n07:35.247 --> 07:35.947\n第三呢，\n\n07:35.947 --> 07:37.597\n就是咳嗽与痰液。\n\n07:37.798 --> 07:39.347\n喉炎的咳嗽多为全。\n\n07:39.484 --> 07:41.234\n肺疡的咳嗽反应较少，\n\n07:41.384 --> 07:43.734\n但可能会有一个喉部的瘙痒感。\n\n07:44.183 --> 07:44.808\n第四呢，\n\n07:44.808 --> 07:46.834\n也是可以伴随一个其他的症状。\n\n07:46.984 --> 07:50.884\n急性喉炎可能会伴随一个发热畏寒等全身症状，\n\n07:50.984 --> 07:53.584\n儿童患者可能会出现一个呼吸困难。\n\n07:55.385 --> 07:55.934\n那么呢，\n\n07:55.934 --> 07:59.385\n我们看这个症状对接总对比总结呢，\n\n07:59.484 --> 08:01.084\n主要的区别点是呢，\n\n08:01.135 --> 08:05.285\n咽炎与以咽部疼痛和异物感为主，\n\n08:05.434 --> 08:06.209\n喉炎呢，\n\n08:06.209 --> 08:08.934\n以声音嘶哑和头喉部的疼痛为主。\n\n08:09.334 --> 08:10.484\n喉咳嗽呢，\n\n08:10.484 --> 08:11.785\n性质也有所不同。\n\n08:11.934 --> 08:13.734\n咽炎为刺激性的咳嗽，\n\n08:13.885 --> 08:15.635\n喉炎为犬吠样的咳嗽。\n\n08:16.684 --> 08:18.234\n症状的重叠与鉴别，\n\n08:18.234 --> 08:21.635\n两者是可以均可以出现咳嗽与疼痛，\n\n08:21.635 --> 08:24.484\n但疼痛部位和咳嗽的特点不同，\n\n08:24.635 --> 08:25.385\n需要结合。\n\n08:25.436 --> 08:27.186\n和其他的症状综合判断，\n\n08:27.735 --> 08:29.835\n那么我们临床的诊断要点呢，\n\n08:29.835 --> 08:33.260\n医生通常会通过喉镜来检查这个，\n\n08:33.260 --> 08:37.036\n观察这个咽部和喉粘喉部粘膜的一个变化，\n\n08:37.135 --> 08:39.135\n结合症状进行一个诊断。\n\n08:40.971 --> 08:46.072\n那么我们这个喉炎与咽炎的这个发病的病因与发病机制呢？\n\n08:47.080 --> 08:49.479\n咽炎的病因呢，\n\n08:49.479 --> 08:51.580\n75%是由感染因素所致，\n\n08:51.880 --> 08:55.304\n急性咽炎多为病毒如流感病毒，\n\n08:55.304 --> 08:59.280\n腺病毒或细菌如链球菌感染引起。\n\n08:59.429 --> 09:01.104\n慢性咽咽炎呢，\n\n09:01.104 --> 09:06.854\n则有反复感染或鼻窦炎分泌物刺激有关，\n\n09:06.854 --> 09:07.130\n65%呢，\n\n09:07.130 --> 09:08.880\n它都是有一个环境的刺激，\n\n09:08.880 --> 09:14.205\n比如说长期暴露于烟雾、粉尘、干燥空气或化学气体中，\n\n09:14.205 --> 09:16.780\n可能引发或加重咽炎。\n\n09:18.229 --> 09:18.953\n85%的患者呢，\n\n09:18.953 --> 09:22.153\n他有一个生活习惯也是也是不好的，\n\n09:22.153 --> 09:25.054\n比如说过度的用生吸烟饮酒，\n\n09:25.054 --> 09:28.653\n辛辣刺激饮食等不良生活习惯。\n\n09:29.596 --> 09:30.122\n这些呢，\n\n09:30.122 --> 09:32.396\n均是咽炎的一个常见的诱因，\n\n09:32.596 --> 09:34.247\n喉炎的病因呢？\n\n09:35.030 --> 09:36.630\n它也是包括三点，\n\n09:36.630 --> 09:38.229\n第一个就是感染因素，\n\n09:38.429 --> 09:41.380\n急性喉炎通常由病毒感染所致，\n\n09:41.729 --> 09:43.179\n细菌感染较少。\n\n09:43.330 --> 09:48.030\n慢性喉炎则与长期用声不当或胃酸刺激反流有关。\n\n09:48.630 --> 09:50.229\n二是用声的过度，\n\n09:50.380 --> 09:51.679\n比如说教师啊，\n\n09:51.679 --> 09:57.479\n歌手等职业人群因长期用声过度容易发生声带疲劳和喉炎。\n\n09:57.630 --> 09:59.380\n第三就是其他的因素，\n\n09:59.479 --> 10:00.655\n比如说过敏啊，\n\n10:00.655 --> 10:05.380\n吸烟、空气污染等因素也可能导致喉部黏膜的炎症。\n\n10:05.888 --> 10:06.987\n引发喉炎。\n\n10:11.119 --> 10:11.494\n那么呢，\n\n10:11.494 --> 10:13.869\n我们这个喉炎和咽炎呢，\n\n10:13.869 --> 10:15.945\n那不管是它的诱因和高发人群，\n\n10:15.945 --> 10:19.070\n那么我们在生活中谁更容易中招呢？\n\n10:20.020 --> 10:24.270\n比如说他们这个共同诱因的情况下呢，\n\n10:24.419 --> 10:26.320\n针对这种不同的高发人群，\n\n10:26.469 --> 10:27.145\n咽炎呢，\n\n10:27.145 --> 10:32.270\n它是全年年全年龄都有一个可能会会这个感染的，\n\n10:32.270 --> 10:33.669\n尤其是慢性咽炎，\n\n10:33.820 --> 10:37.494\n多见于这个长期用嗓吸烟饮酒的成人，\n\n10:37.494 --> 10:42.020\n以及鼻炎和鼻窦炎胃食管反流的人群。\n\n10:42.020 --> 10:44.544\n很多上班族长期在空调房中，\n\n10:44.544 --> 10:46.020\n比如说空气干燥啊，\n\n10:46.020 --> 10:48.219\n也可能会引发一个慢性的咽炎，\n\n10:48.320 --> 10:49.270\n而喉炎呢，\n\n10:49.270 --> 10:50.169\n多见于这个。\n\n10:50.247 --> 10:52.848\n儿童3.7岁是一个高发的，\n\n10:53.098 --> 10:55.797\n因为儿童的这个喉部黏膜比较娇嫩，\n\n10:56.047 --> 10:57.447\n声带血管丰富，\n\n10:57.447 --> 10:59.122\n感染后容易快速肿胀，\n\n10:59.122 --> 11:00.047\n堵塞气道。\n\n11:00.247 --> 11:03.098\n慢性喉炎的则多见于用嗓大户，\n\n11:03.098 --> 11:06.547\n比如说教师、歌手、主持人、销售等等。\n\n11:07.497 --> 11:10.947\n还有一个长期吸烟和胃食管反流的一个成人，\n\n11:11.247 --> 11:11.872\n这里呢，\n\n11:11.872 --> 11:13.646\n我们要重点提醒一下家长，\n\n11:13.747 --> 11:16.046\n儿童急性性咽喉炎的话，\n\n11:16.046 --> 11:17.197\n多由感冒引起，\n\n11:17.346 --> 11:19.771\n就是说夜间容易加重，\n\n11:19.771 --> 11:21.096\n千万不能掉以轻心。\n\n11:21.697 --> 11:22.146\n那么，\n\n11:22.146 --> 11:24.372\n我们这个危险与风险呢，\n\n11:24.372 --> 11:25.747\n这个喉炎的急性风险，\n\n11:25.747 --> 11:26.896\n我们需要警惕的，\n\n11:26.997 --> 11:28.572\n两者的危险程度呢，\n\n11:28.572 --> 11:29.947\n都是差异很大的，\n\n11:29.997 --> 11:31.021\n尤其是儿童，\n\n11:31.021 --> 11:33.146\n急性喉炎可能会危及生命。\n\n11:33.747 --> 11:34.546\n咽炎呢，\n\n11:34.546 --> 11:35.396\n它的危害呢，\n\n11:35.396 --> 11:36.697\n主要是一个局部不适，\n\n11:36.896 --> 11:37.697\n然后伴有。\n\n11:37.752 --> 11:38.877\n一个咽干咽痛，\n\n11:38.877 --> 11:41.802\n异物感、吞咽不畅等等，\n\n11:41.802 --> 11:44.151\n影响一个进食和生活质量。\n\n11:44.252 --> 11:45.327\n急性咽炎呢，\n\n11:45.327 --> 11:47.002\n若不及时治疗，\n\n11:47.002 --> 11:49.302\n可能会引发一个扁桃体的炎症。\n\n11:49.401 --> 11:50.052\n中耳炎。\n\n11:50.052 --> 11:52.601\n慢性咽炎可能会导致一个反复发作，\n\n11:52.601 --> 11:53.452\n让人困扰，\n\n11:53.752 --> 11:54.377\n但是呢，\n\n11:54.377 --> 11:55.802\n对于生命很少危及。\n\n11:56.151 --> 11:57.651\n但是喉炎的危害呢，\n\n11:57.702 --> 12:00.252\n成人的话就是长期声音嘶哑，\n\n12:00.252 --> 12:02.351\n可能会引发一个声带息肉，\n\n12:02.401 --> 12:03.302\n声带小结，\n\n12:03.302 --> 12:04.177\n严重的时候，\n\n12:04.177 --> 12:06.526\n需要进行一个手术治疗啊。\n\n12:06.526 --> 12:07.127\n喉炎呢，\n\n12:07.127 --> 12:07.702\n持续不愈。\n\n12:07.752 --> 12:10.052\n还可能增加一个喉部病变的风险，\n\n12:10.252 --> 12:11.502\n儿童则是重点。\n\n12:11.502 --> 12:13.577\n儿童急性喉炎的发作的时候呢，\n\n12:13.577 --> 12:17.802\n声带和喉部粘膜快速肿胀会导致喉腔狭窄，\n\n12:17.802 --> 12:18.952\n引发喉梗阻。\n\n12:19.721 --> 12:21.671\n表现为呼吸困难，\n\n12:21.921 --> 12:23.721\n吸气时锁骨上凹，\n\n12:23.721 --> 12:24.771\n胸骨上凹，\n\n12:24.872 --> 12:27.122\n上窝肋间隙凹陷，\n\n12:27.221 --> 12:27.997\n三凹症，\n\n12:27.997 --> 12:29.247\n口唇发紫，\n\n12:29.247 --> 12:30.171\n烦躁不安。\n\n12:30.271 --> 12:31.396\n若不及时就医，\n\n12:31.396 --> 12:32.721\n可能会窒息死亡。\n\n12:33.021 --> 12:34.697\n这些是属于急症，\n\n12:34.697 --> 12:36.021\n需要立刻送医的。\n\n12:36.171 --> 12:37.346\n所以大家记住，\n\n12:37.346 --> 12:39.221\n成人嗓子哑是可能是小事，\n\n12:39.221 --> 12:42.546\n但是儿童嗓子哑像尘肺一样的咳嗽加呼吸困难，\n\n12:42.546 --> 12:44.021\n一定要马上救治。\n\n12:44.471 --> 12:44.947\n那么，\n\n12:44.947 --> 12:47.072\n我们针对这个诊断和治疗呢。\n\n12:48.333 --> 12:49.833\n不管是咽炎还是喉炎，\n\n12:49.833 --> 12:52.283\n我们的处理原则首先就是要对症治疗。\n\n12:52.484 --> 12:53.158\n首先呢，\n\n12:53.158 --> 12:55.883\n我们就是要并进行一个病史采集。\n\n12:55.883 --> 13:00.484\n医生会详细的询问患者的这个症状持续时间、诱因等等，\n\n13:00.684 --> 13:02.783\n以初步判断是喉炎还是咽炎。\n\n13:02.783 --> 13:04.333\n然后进行一个体格检查，\n\n13:04.484 --> 13:07.184\n通过观察咽部和喉部的粘膜变化，\n\n13:07.333 --> 13:10.234\n有无充分有无充血水肿，\n\n13:10.383 --> 13:11.383\n辅助诊断。\n\n13:11.684 --> 13:14.333\n喉镜检查是确诊喉炎重要手段，\n\n13:14.434 --> 13:16.783\n还有我们要进行一个实验室的检查。\n\n13:16.934 --> 13:18.383\n必要的时候进行一个血。\n\n13:18.539 --> 13:20.940\n常规咽拭子培养等检查，\n\n13:20.940 --> 13:23.590\n以明确感染类型和严重程度。\n\n13:24.640 --> 13:25.715\n咽炎的治疗呢，\n\n13:25.715 --> 13:32.690\n包括一般治疗包括多饮、多休息、多饮水、避竟避免刺激性的食物和烟雾等等，\n\n13:32.739 --> 13:33.940\n以缓解一个症状。\n\n13:34.039 --> 13:35.015\n药物治疗呢，\n\n13:35.015 --> 13:37.590\n细菌和咽炎需要使用一个抗生素，\n\n13:37.789 --> 13:40.789\n病毒性咽炎则以对症治治疗为主，\n\n13:40.840 --> 13:42.890\n比如清热镇痛药。\n\n13:43.781 --> 13:44.856\n局部治疗呢，\n\n13:44.856 --> 13:46.932\n可以有一个含漱液、喉片等，\n\n13:46.932 --> 13:48.481\n可能缓解咽部的不适。\n\n13:48.632 --> 13:52.932\n慢性咽炎许患者需要避免长期使用薄荷的喉糖。\n\n13:53.382 --> 13:54.281\n那么平时呢，\n\n13:54.281 --> 13:58.081\n我们也需要一个预防保持室内的温度、湿度啊，\n\n13:58.081 --> 13:59.481\n戒烟饮酒限酒，\n\n13:59.531 --> 14:01.231\n增强增强免疫力，\n\n14:01.231 --> 14:03.182\n可以有效的预防咽炎的发生。\n\n14:03.481 --> 14:04.656\n喉炎的治疗呢，\n\n14:04.656 --> 14:07.656\n一般治疗也是包括一个声带的休息，\n\n14:07.656 --> 14:08.331\n多饮水，\n\n14:08.382 --> 14:10.781\n避免辛辣刺激食物等，\n\n14:10.932 --> 14:12.581\n减少对喉部的刺激，\n\n14:12.781 --> 14:13.831\n然后药物呢？\n\n14:14.140 --> 14:17.140\n喉炎可以酌情使用抗生素或糖皮质激素。\n\n14:17.340 --> 14:19.840\n慢性喉炎需要针对病因进行治疗。\n\n14:20.090 --> 14:21.140\n局部治疗呢，\n\n14:21.140 --> 14:23.065\n我们需要进行一个雾化吸入，\n\n14:23.065 --> 14:24.390\n可以缓解喉部炎症。\n\n14:24.489 --> 14:28.090\n声带息肉或结节可能需要一个手术的干预，\n\n14:28.590 --> 14:31.489\n所以我们还是要及时的注意预防，\n\n14:31.640 --> 14:33.715\n避免一个用度的，\n\n14:33.715 --> 14:35.864\n过度的用身需要戒烟，\n\n14:35.864 --> 14:37.940\n需要控制胃酸反流等，\n\n14:37.940 --> 14:41.840\n可以降低一个这个喉炎的这个复发的风险。\n\n14:43.414 --> 14:43.838\n那么，\n\n14:43.838 --> 14:45.414\n我们进行一个总结，\n\n14:45.664 --> 14:46.314\n首先呢，\n\n14:46.314 --> 14:48.614\n我们要区分喉咽炎和喉炎的症状。\n\n14:48.814 --> 14:52.263\n咽炎和喉咽炎以咽部疼痛和异物感为主，\n\n14:52.364 --> 14:55.114\n喉炎以声带嘶哑和喉部疼痛为主。\n\n14:55.164 --> 14:56.614\n两者的咳嗽不同，\n\n14:56.814 --> 14:57.838\n病因差异呢，\n\n14:57.838 --> 15:00.064\n咽炎多与环境刺激感染有关，\n\n15:00.213 --> 15:03.013\n喉炎则与用度过深和胃食管反流有关。\n\n15:03.213 --> 15:04.213\n治疗的重点呢，\n\n15:04.213 --> 15:06.864\n咽炎需要注意感抗感染和局部护理，\n\n15:06.963 --> 15:10.713\n喉炎则需要强调一个生休和病因的治疗。\n\n15:11.213 --> 15:12.364\n未来展望呢，\n\n15:12.513 --> 15:13.364\n首先是我们。\n\n15:13.416 --> 15:14.765\n我们要进行一个科普教育，\n\n15:14.815 --> 15:17.015\n加强公众对咽炎和喉炎的认知，\n\n15:17.015 --> 15:19.216\n有助于早期识别和及时就医。\n\n15:19.315 --> 15:19.841\n第二个，\n\n15:19.841 --> 15:21.166\n我们就是要研究方向，\n\n15:21.166 --> 15:24.916\n未来可进一步探索咽炎和喉炎的一个分子机制，\n\n15:24.966 --> 15:26.765\n开展更精准的治疗方法。\n\n15:27.065 --> 15:27.640\n好了，\n\n15:27.640 --> 15:28.515\n今天的结束，\n\n15:28.515 --> 15:29.991\n结束讲解结束，\n\n15:29.991 --> 15:31.065\n谢谢各位观看。\n\n","v0347cg10004d71nk82ljht4srnl5dog",935,718,"2026-01-26 12:23:17","咽炎和喉炎的区别科普：症状、病因及治疗方法详解  ","咽炎和喉炎区别,咽炎症状,喉炎症状,咽喉炎病因,咽喉炎治疗,喉咙痛原因  ","本文详细解析咽炎和喉炎的区别，包括症状表现、常见病因及治疗方法，帮助您快速辨别咽喉问题并采取正确应对措施，缓解喉咙不适。","2026-05-07 00:00:00",[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 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