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--> 00:05.487\n大家好，\n\n00:05.487 --> 00:09.012\n本期为教大家介绍的是鸡腿感冒。\n\n00:10.133 --> 00:10.833\n守护呼吸，\n\n00:11.083 --> 00:13.982\n急性上呼吸道感染的全攻略。\n\n00:19.038 --> 00:19.388\n那么，\n\n00:19.437 --> 00:22.937\n我们将从什么是急性上呼吸道感染？\n\n00:23.874 --> 00:26.923\n急性上呼吸道感染常见表现与预警信号。\n\n00:27.861 --> 00:29.886\n急性上呼吸道感染后休息饮，\n\n00:29.886 --> 00:31.261\n适宜环境管理。\n\n00:32.013 --> 00:35.412\n以及急性上呼吸道感染常用药物与误区，\n\n00:35.963 --> 00:39.463\n还有急性上呼吸道感染的预防与免疫增强，\n\n00:39.963 --> 00:45.713\n以及急性上呼吸道感染的平稳、过度防复发等六个方面来。\n\n00:46.757 --> 00:47.806\n为大家介绍。\n\n00:52.006 --> 00:54.256\n那么首先我们要认识敌人，\n\n00:54.757 --> 00:57.256\n什么是急性上呼吸道感染？\n\n01:02.123 --> 01:02.522\n嗯，\n\n01:02.573 --> 01:08.123\n我们的上呼吸道感染并非是大家认为的一个小感小毛病。\n\n01:09.374 --> 01:12.174\n因为我们的就是大家常规。\n\n01:13.220 --> 01:16.519\n认为就觉得感冒就是一个普普通通的毛病，\n\n01:16.769 --> 01:19.319\n所以很多人没有引起足够的重视，\n\n01:19.769 --> 01:22.819\n那么我们什么是急性上呼吸道感染呢？\n\n01:23.484 --> 01:27.433\n它是指鼻咽喉急性炎症的一个总称，\n\n01:28.083 --> 01:29.433\n四季皆可发病，\n\n01:29.683 --> 01:31.533\n那么冬春尤盛，\n\n01:32.583 --> 01:34.234\n虽多呈自限性，\n\n01:34.333 --> 01:37.484\n但延误处理可能引发严重后果，\n\n01:38.033 --> 01:41.333\n因此需要引起我们足够的一个重视。\n\n01:42.134 --> 01:42.558\n那么，\n\n01:42.558 --> 01:45.634\n我们急性上呼吸道感染的主要病因呢，\n\n01:45.933 --> 01:48.833\n它70%以上是由病毒引起。\n\n01:49.575 --> 01:51.725\n如鼻病毒、冠状病毒等。\n\n01:52.708 --> 01:55.508\n那么它包含哪些病种呢？\n\n01:55.657 --> 02:03.108\n首先有一个我们的普通感冒、咽炎、扁桃体炎、喉炎等均属于其范畴。\n\n02:04.198 --> 02:07.698\n那么急性上呼吸道感染它有哪些潜在的危害呢？\n\n02:08.048 --> 02:09.798\n有一个它会引起高热，\n\n02:10.149 --> 02:11.274\n剧烈的咳嗽，\n\n02:11.274 --> 02:12.199\n影响生活。\n\n02:13.059 --> 02:14.610\n如果延误治疗的话，\n\n02:14.710 --> 02:18.910\n可继发中耳炎、肺炎、心肌炎等并发症。\n\n02:22.113 --> 02:22.388\n那么，\n\n02:22.388 --> 02:28.113\n我们急性上呼吸道感染的病原体传播链是谁把感冒带给你的呢？\n\n02:28.462 --> 02:30.712\n首先是认识我们的传染源。\n\n02:31.212 --> 02:34.662\n我们常急性上呼吸道感染的传染源有病毒，\n\n02:34.712 --> 02:36.313\n比如说鼻病毒等，\n\n02:36.363 --> 02:37.962\n以及继发的细菌。\n\n02:38.513 --> 02:39.063\n那么，\n\n02:39.063 --> 02:40.063\n传播途径呢，\n\n02:40.063 --> 02:41.763\n主要是为空气飞沫，\n\n02:42.113 --> 02:44.162\n也可通过接触污染物品。\n\n02:45.035 --> 02:46.460\n那么急性上呼吸道感染，\n\n02:46.460 --> 02:48.636\n它的潜伏期通常是一到3天。\n\n02:49.852 --> 02:50.076\n嗯，\n\n02:50.076 --> 02:51.451\n在病初两天，\n\n02:51.451 --> 02:52.302\n两到三天，\n\n02:52.302 --> 02:53.701\n传染性是最强的。\n\n02:54.052 --> 02:56.651\n那么我们及上微的感染的易感人群呢？\n\n02:57.583 --> 02:57.708\n嗯，\n\n02:57.708 --> 02:59.708\n主要是在人群密集的地方，\n\n02:59.708 --> 03:00.708\n以及疲劳，\n\n03:00.708 --> 03:03.134\n还有机体抵抗力下降的时候。\n\n03:06.216 --> 03:06.417\n嗯。\n\n03:07.755 --> 03:11.130\n那么我们急性上呼吸的感染有哪些常见的表现，\n\n03:11.130 --> 03:12.906\n还有预警的信号呢？\n\n03:14.313 --> 03:14.514\n嗯，\n\n03:15.363 --> 03:18.438\n首先是我们急性上呼吸道感染的典型症状，\n\n03:18.438 --> 03:21.563\n比如说我们有时候为什么鼻塞、咽痛会反复的出现。\n\n03:22.432 --> 03:22.533\n嗯，\n\n03:22.533 --> 03:26.233\n我们症状它通常会持续3.7天，\n\n03:26.582 --> 03:29.033\n咳嗽可能会持续一到两个周。\n\n03:29.332 --> 03:34.233\n若出现高热不退、脓涕、浓痰、呼吸急促等，\n\n03:34.283 --> 03:37.882\n提示可能激发细菌感染、肺部感染等。\n\n03:38.432 --> 03:38.908\n那么，\n\n03:38.908 --> 03:40.108\n它的潜伏初期呢，\n\n03:40.108 --> 03:41.132\n是一到两天。\n\n03:41.682 --> 03:42.057\n嗯，\n\n03:42.057 --> 03:43.682\n主要的症状是喷嚏。\n\n03:44.654 --> 03:45.330\n有鼻塞，\n\n03:45.630 --> 03:46.479\n有鼻涕，\n\n03:46.580 --> 03:48.679\n还有鼻咽部的干痒不适，\n\n03:49.130 --> 03:50.554\n那么它的进展期呢，\n\n03:50.554 --> 03:51.630\n是3.5天。\n\n03:52.559 --> 03:56.860\n有咽痛、干咳、低热或中度发热，\n\n03:57.160 --> 03:59.360\n有伴头痛、乏力，\n\n03:59.460 --> 04:00.910\n还有声音嘶哑。\n\n04:01.460 --> 04:01.960\n那么，\n\n04:01.960 --> 04:02.835\n它恢复期呢，\n\n04:02.835 --> 04:04.009\n是5.7天。\n\n04:04.360 --> 04:06.610\n那么症状会逐渐的缓解，\n\n04:06.960 --> 04:09.210\n咳嗽可能会持续一段时间。\n\n04:11.768 --> 04:11.944\n那么，\n\n04:11.944 --> 04:13.968\n我们何时必须去医院呢？\n\n04:14.169 --> 04:16.618\n如果说出现以下的红旗信号，\n\n04:16.618 --> 04:18.169\n那么需要立即就医。\n\n04:18.669 --> 04:19.269\n比如说，\n\n04:19.269 --> 04:20.319\n持续的高热，\n\n04:20.419 --> 04:22.269\n体温大于38°五，\n\n04:22.468 --> 04:24.118\n持续超过3天，\n\n04:24.519 --> 04:26.319\n同时有严重的咽痛，\n\n04:26.519 --> 04:28.069\n比如说吞咽困难，\n\n04:28.118 --> 04:29.118\n张口受限，\n\n04:29.368 --> 04:31.519\n要警惕扁桃体周围脓肿，\n\n04:31.868 --> 04:33.118\n还有呼吸问题，\n\n04:33.419 --> 04:35.069\n比如说呼吸急促，\n\n04:35.269 --> 04:35.968\n胸痛，\n\n04:36.118 --> 04:36.718\n紫绀，\n\n04:36.819 --> 04:38.669\n大量浓痰或血痰，\n\n04:39.118 --> 04:41.118\n还有如果出现心脏不适，\n\n04:41.118 --> 04:41.819\n比如说。\n\n04:42.003 --> 04:45.204\n一到两周后有心悸、胸闷、水肿，\n\n04:45.553 --> 04:47.954\n要及时去排查我们的心肌炎。\n\n04:49.196 --> 04:49.546\n嗯，\n\n04:49.546 --> 04:52.647\n如果说有剧烈的头痛、频繁的呕吐，\n\n04:52.846 --> 04:54.046\n有意识模糊，\n\n04:54.247 --> 04:55.796\n有颈部僵硬等，\n\n04:56.247 --> 04:59.296\n可能是病毒或细菌侵犯到神经系统，\n\n04:59.296 --> 05:00.647\n也需要及时就医。\n\n05:00.997 --> 05:02.946\n还有我们的一些特殊的人群，\n\n05:03.296 --> 05:04.596\n比如说婴幼儿，\n\n05:04.796 --> 05:14.497\n还有我们的孕妇、老年人以及慢性以及慢病患者症状加重等人需要继续去就医。\n\n05:16.415 --> 05:18.565\n那么我们急性上呼吸道感染，\n\n05:18.614 --> 05:22.515\n它的休息、饮食与环境感染需要注意什么呢？\n\n05:23.502 --> 05:27.502\n首先是黄金48小时休息与活动的平衡，\n\n05:27.803 --> 05:30.653\n在发热期我们需要卧床休息，\n\n05:30.803 --> 05:33.553\n减少消耗房间的温湿度。\n\n05:33.553 --> 05:38.002\n适宜温度首先在18.22°C，\n\n05:38.002 --> 05:40.602\n湿度的话控制在50.60%。\n\n05:40.903 --> 05:42.303\n要每日勤通风，\n\n05:42.903 --> 05:44.102\n同时勤洗手。\n\n05:44.852 --> 05:46.102\n那么恢复期的话，\n\n05:46.102 --> 05:47.252\n要逐步的活动，\n\n05:47.553 --> 05:49.002\n在体温正常后，\n\n05:49.252 --> 05:50.803\n可在室内走动，\n\n05:51.002 --> 05:52.903\n以不感到疲劳为度，\n\n05:53.053 --> 05:53.703\n那么。\n\n05:53.752 --> 05:56.451\n关键的原则是要避免剧烈的运动，\n\n05:56.802 --> 05:59.752\n要至少两周内避免跑步、游泳等，\n\n05:59.902 --> 06:01.101\n以防心肌炎，\n\n06:01.252 --> 06:03.152\n保证7.8小时睡眠。\n\n06:05.851 --> 06:06.451\n那么，\n\n06:06.851 --> 06:11.601\n当我们得了急性上呼吸道感染要注意哪些饮食呢？\n\n06:11.951 --> 06:12.351\n嗯，\n\n06:12.451 --> 06:13.951\n首先是饮食建议，\n\n06:14.152 --> 06:15.951\n要吃清淡易消化，\n\n06:16.052 --> 06:18.002\n比如说粥、面条，\n\n06:18.351 --> 06:20.201\n要高蛋白、高维生素，\n\n06:20.302 --> 06:23.701\n比如说鱼肉蛋奶、豆制品、新鲜的果蔬。\n\n06:24.160 --> 06:25.885\n要避免刺激性的食物，\n\n06:25.885 --> 06:30.910\n比如说辛辣、油炸、过甜、酒精、浓茶、咖啡等。\n\n06:31.309 --> 06:31.809\n那么，\n\n06:31.809 --> 06:33.934\n在我们得了急性上呼吸道感染的时候，\n\n06:33.934 --> 06:35.359\n要及时补充水分，\n\n06:35.510 --> 06:37.859\n因为发热可能会导致我们脱水，\n\n06:38.209 --> 06:39.410\n要足量的饮水，\n\n06:39.459 --> 06:42.059\n比如说每日喝1500.2000ml，\n\n06:42.410 --> 06:43.660\n要分次少量。\n\n06:44.010 --> 06:46.410\n要选择温开水、淡茶，\n\n06:46.559 --> 06:48.160\n还有稀释的果汁。\n\n06:48.559 --> 06:49.809\n如果是发热的话，\n\n06:49.809 --> 06:53.359\n我们要适量的补充含电解质口服液的补液盐。\n\n06:53.752 --> 06:54.802\n要防止脱水。\n\n06:56.886 --> 07:00.087\n那么当我们得了急性上呼吸道感染的时候，\n\n07:00.087 --> 07:01.861\n要科学用药。\n\n07:01.861 --> 07:07.136\n我们急性上呼吸道感染的常用药物与误区有哪些呢？\n\n07:08.036 --> 07:09.136\n显然是要对症，\n\n07:09.136 --> 07:11.136\n药物清单要合理的选择，\n\n07:11.136 --> 07:12.087\n安全的用药。\n\n07:12.587 --> 07:14.236\n一方面是退热镇痛，\n\n07:14.437 --> 07:18.587\n我们当体温超过等或等于38.5°C时，\n\n07:18.937 --> 07:22.636\n要选用对乙酰氨基酚或布洛芬等退热药。\n\n07:24.115 --> 07:24.216\n嗯，\n\n07:24.216 --> 07:25.365\n但是我们吃了药。\n\n07:26.388 --> 07:27.638\n不可多次服用，\n\n07:27.638 --> 07:28.738\n且不能过量，\n\n07:28.888 --> 07:33.037\n因为容易导致我们的肝损等其他一些脏器功能不全。\n\n07:33.537 --> 07:33.888\n嗯，\n\n07:33.888 --> 07:35.363\n如果说我们有咳嗽的话，\n\n07:35.363 --> 07:36.988\n可以选用止咳化痰。\n\n07:37.287 --> 07:38.162\n干咳的话，\n\n07:38.162 --> 07:41.738\n我们通常选用右美沙芬等强烈镇咳药。\n\n07:41.888 --> 07:43.037\n如果痰多的话，\n\n07:43.037 --> 07:46.937\n需要再选用氨溴索来促进化痰排痰。\n\n07:47.537 --> 07:48.812\n如果出现鼻塞，\n\n07:48.812 --> 07:51.888\n那么我们短期内可以使用减充血剂。\n\n07:52.822 --> 07:53.972\n一比，\n\n07:53.972 --> 07:56.372\n但是使用应该不超过3天。\n\n07:57.122 --> 08:00.972\n那么我们所有的药物都需要按照说明素的剂量服用，\n\n08:01.023 --> 08:03.222\n要避免同类成分重复用药。\n\n08:03.472 --> 08:05.072\n如果是儿童孕妇的话，\n\n08:05.072 --> 08:07.773\n用药前还应该要去咨询我们的医生。\n\n08:10.888 --> 08:11.088\n嗯，\n\n08:11.088 --> 08:14.437\n首先我们急性上呼吸道感染的话。\n\n08:15.345 --> 08:15.519\n嗯，\n\n08:15.519 --> 08:17.644\n要看是细菌还是病毒。\n\n08:18.195 --> 08:19.394\n如果是病毒的话，\n\n08:19.394 --> 08:21.445\n我们的抗生素是没有效果的。\n\n08:21.545 --> 08:25.670\n因为急性上感70%以上为病毒感染抗生素，\n\n08:25.670 --> 08:28.144\n它不能缩短病程或减轻症状。\n\n08:29.519 --> 08:30.044\n并且，\n\n08:30.044 --> 08:36.619\n滥用抗生素的危害都有多容易导致耐药、肠道菌群紊乱还有药物过敏。\n\n08:36.818 --> 08:37.268\n那么，\n\n08:37.268 --> 08:39.468\n我们在何时需要使用抗生素呢？\n\n08:39.669 --> 08:42.919\n我们只有在明确或高度怀疑细菌感染时，\n\n08:43.119 --> 08:44.818\n由医生评估后使用。\n\n08:45.218 --> 08:46.869\n比如说有扁桃体化脓，\n\n08:46.968 --> 08:50.693\n有中耳炎、鼻窦炎、实验室检查提示细菌，\n\n08:50.693 --> 08:53.744\n比如说我们的血常规白细胞中性比升高，\n\n08:53.744 --> 08:54.268\nCRB升高，\n\n08:54.619 --> 08:56.869\n那么我们不能够随意自行购买，\n\n08:57.068 --> 08:59.268\n随意的停药或者是共享处方。\n\n08:59.841 --> 09:02.341\n以免造成我们抗生素的滥用，\n\n09:02.392 --> 09:05.142\n导致耐药还有我们的药物过敏。\n\n09:07.364 --> 09:11.965\n那么我们急性上呼吸道感染如何做到防患未然呢？\n\n09:12.065 --> 09:15.015\n是我们要如何预防和增强我们的免疫力呢？\n\n09:16.013 --> 09:17.763\n首先是要切断传播链，\n\n09:18.013 --> 09:20.263\n要注意手卫生和口罩。\n\n09:20.513 --> 09:21.914\n我们要勤洗手，\n\n09:22.114 --> 09:25.314\n用流动水以及肥皂揉搓20秒，\n\n09:25.614 --> 09:28.164\n要重点是清洁我们的指尖、指缝，\n\n09:28.463 --> 09:29.564\n要戴口罩，\n\n09:29.763 --> 09:31.513\n在人群密集处佩戴，\n\n09:31.713 --> 09:33.864\n要每4个小时更换一次，\n\n09:34.263 --> 09:36.164\n要勤通风与消毒，\n\n09:36.513 --> 09:37.814\n要每日通风，\n\n09:37.864 --> 09:40.963\n清洁门把手、手机等高接触表面。\n\n09:42.783 --> 09:43.258\n同时，\n\n09:43.258 --> 09:45.033\n我们要增强内在的防御，\n\n09:45.283 --> 09:48.783\n要疫苗接种与健康的生活方式。\n\n09:49.333 --> 09:49.684\n嗯，\n\n09:49.684 --> 09:51.083\n我们的疫苗接种的话，\n\n09:51.083 --> 09:53.033\n要每年接种流感疫苗。\n\n09:53.955 --> 09:54.354\n嗯，\n\n09:54.554 --> 09:58.655\n这样可以降低30%.70%的发病风险。\n\n09:59.005 --> 09:59.554\n同时，\n\n09:59.554 --> 10:03.554\n每周要保持150分钟左右的中等强度运动。\n\n10:04.205 --> 10:04.554\n嗯，\n\n10:04.554 --> 10:05.354\n要戒烟，\n\n10:05.354 --> 10:06.455\n并远离二手烟，\n\n10:06.655 --> 10:08.179\n同时要均衡饮食，\n\n10:08.179 --> 10:09.479\n要有充足的睡眠，\n\n10:09.479 --> 10:10.804\n大于7小时。\n\n10:12.135 --> 10:13.085\n要管理压力，\n\n10:13.335 --> 10:17.236\n要维持我们的心态，\n\n10:18.435 --> 10:21.685\n保持一个乐观的心理健康。\n\n10:25.039 --> 10:25.414\n那么，\n\n10:25.414 --> 10:28.039\n当我们得了急性上呼吸道感染的时候，\n\n10:28.239 --> 10:32.138\n我们要做到出院与随访要平稳过渡，\n\n10:32.138 --> 10:33.939\n要做到预防复发。\n\n10:34.638 --> 10:35.114\n那么，\n\n10:35.114 --> 10:36.689\n我们出院要注意哪些呢？\n\n10:36.789 --> 10:38.513\n首先是一个平稳的过渡，\n\n10:38.513 --> 10:39.289\n防止复发，\n\n10:39.638 --> 10:42.039\n要遵从医生的医嘱去用药，\n\n10:42.039 --> 10:42.789\n还有复查。\n\n10:43.088 --> 10:43.789\n同时呢，\n\n10:43.789 --> 10:45.489\n要及时了解药物的信息，\n\n10:45.838 --> 10:47.539\n要完成足量的疗程，\n\n10:48.039 --> 10:53.088\n并且两周后要门诊复查血常规CRP评估恢复情况。\n\n10:53.439 --> 10:54.039\n当然，\n\n10:54.039 --> 10:55.239\n也不是绝对。\n\n10:55.588 --> 10:55.987\n嗯，\n\n10:57.138 --> 11:00.388\n我们大部分患者出院的时候会有一个出院小结。\n\n11:00.588 --> 11:02.437\n那么在出院小结的最后呢，\n\n11:02.437 --> 11:07.038\n都有相关出院带药的使用方法和使用的一个疗程。\n\n11:07.288 --> 11:08.513\n如果说有疑问的，\n\n11:08.513 --> 11:10.187\n要及时询问我们的医生。\n\n11:10.538 --> 11:10.937\n嗯，\n\n11:11.038 --> 11:13.288\n要及时的进行，\n\n11:13.888 --> 11:14.487\n复诊。\n\n11:15.038 --> 11:19.288\n如果说出院后再次出现发热，\n\n11:19.338 --> 11:22.138\n那么就要及时到我们的门诊。\n\n11:22.697 --> 11:24.396\n或者是急诊去复查，\n\n11:25.046 --> 11:26.646\n因为有可能，\n\n11:26.947 --> 11:28.697\n抗生素的治疗疗程不够，\n\n11:28.747 --> 11:31.997\n会导致我们残余细菌再次复发。\n\n11:33.177 --> 11:35.877\n那么同时要做到环境与防护，\n\n11:36.226 --> 11:39.276\n那么一周内要避免人群密集场所，\n\n11:39.526 --> 11:41.226\n要居家保持通风。\n\n11:41.627 --> 11:43.927\n如果症状复发或者是加重了，\n\n11:43.976 --> 11:45.827\n我们要及时到医院就诊。\n\n11:46.598 --> 11:47.098\n那么，\n\n11:47.098 --> 11:50.848\n我们关于急性上呼吸道如何做到长期管理呢？\n\n11:50.947 --> 11:53.598\n要建立一个个人的呼吸健康档案，\n\n11:53.797 --> 11:57.947\n实现从被动治病到主动防病的一个转变。\n\n11:58.497 --> 11:58.822\n嗯，\n\n11:58.822 --> 12:00.648\n我们要记录发病的情况。\n\n12:01.614 --> 12:05.164\n实验室要记录症状、用药以及疗效，\n\n12:05.664 --> 12:07.314\n我们要定期体检，\n\n12:07.763 --> 12:08.138\n嗯，\n\n12:08.138 --> 12:10.601\n要关注我们的肺功能、胸片等，\n\n12:10.601 --> 12:12.564\n同时要与医生保持联系，\n\n12:12.564 --> 12:14.914\n要制定个体化预防方案。\n\n12:15.314 --> 12:15.763\n那么，\n\n12:15.763 --> 12:18.213\n我们要如何去记录发病的情况呢？\n\n12:18.414 --> 12:18.963\n比如说，\n\n12:18.963 --> 12:21.713\n在家的时候要记录好自己的体温。\n\n12:22.536 --> 12:22.661\n嗯，\n\n12:22.661 --> 12:24.210\n要记录上自己的症状，\n\n12:24.210 --> 12:25.085\n有没有咳嗽，\n\n12:25.536 --> 12:26.835\n有没有胸闷气短，\n\n12:26.986 --> 12:28.385\n有没有头晕头痛，\n\n12:28.885 --> 12:30.486\n有没有水肿，\n\n12:30.585 --> 12:32.536\n有没有心悸胸痛，\n\n12:32.986 --> 12:37.835\n以及有没有活动后气喘加重等一些症状。\n\n12:37.986 --> 12:38.460\n那么，\n\n12:38.460 --> 12:39.911\n用药要记住哪些呢？\n\n12:39.911 --> 12:40.361\n比如说，\n\n12:40.361 --> 12:42.585\n有没有吃过相关的抗生素，\n\n12:42.835 --> 12:45.286\n有没有吃过退热药啊，\n\n12:45.286 --> 12:47.786\n有没有其他的慢性病的药物使用，\n\n12:47.786 --> 12:49.635\n比如说高血压、糖尿病的药，\n\n12:49.935 --> 12:52.685\n还有一些肿瘤患者有没有进行。\n\n12:52.799 --> 12:55.400\n靶向药物的治疗或者是化疗，\n\n12:56.200 --> 12:58.125\n那么疗效是指什么呢？\n\n12:58.125 --> 13:03.250\n就比如说你吃了抗生素有没有症状缓解？\n\n13:04.187 --> 13:04.937\n吃了退热药，\n\n13:05.086 --> 13:06.586\n温度有没有下降？\n\n13:06.586 --> 13:08.486\n下降后有没有再次复发？\n\n13:09.736 --> 13:10.137\n嗯，\n\n13:10.187 --> 13:11.512\n或者是有咳嗽，\n\n13:11.512 --> 13:15.336\n或者是有胸闷等症状的咳嗽胸闷有没有缓解？\n\n13:15.786 --> 13:16.236\n那么，\n\n13:16.236 --> 13:16.937\n定期体检，\n\n13:16.937 --> 13:18.637\n我们要去体检什么呢？\n\n13:19.336 --> 13:20.887\n应当去哪些科室呢？\n\n13:20.986 --> 13:21.411\n那么，\n\n13:21.411 --> 13:22.387\n定期体检的话，\n\n13:22.387 --> 13:26.137\n其实主要是复查血常规来看我们的炎症指标，\n\n13:26.486 --> 13:28.137\n同时要关注肺功能。\n\n13:28.236 --> 13:32.536\n关注肺功能的目的是要关注我们肺脏有没有存在呼吸衰竭，\n\n13:32.687 --> 13:34.336\n有没有存在通气。\n\n13:34.435 --> 13:37.236\n功能障碍有没有存在气道高反应性？\n\n13:37.536 --> 13:39.036\n那么完善胸片呢，\n\n13:39.036 --> 13:40.935\n或者是CT也可以。\n\n13:41.085 --> 13:44.435\n我们是为了随访有没有肺炎，\n\n13:44.536 --> 13:46.161\n或者是有肺炎的病人，\n\n13:46.161 --> 13:49.135\n他的肺炎的吸收情况怎么样？\n\n13:49.635 --> 13:51.935\n那么我们要与医生保持联系，\n\n13:52.135 --> 13:53.536\n其目的是什么呢？\n\n13:53.685 --> 13:56.486\n一方面是可以更好的进行随访，\n\n13:56.885 --> 13:59.161\n出现症状可以及时与医生联系，\n\n13:59.161 --> 14:02.185\n得到一个专业的诊疗和救治。\n\n14:02.536 --> 14:03.036\n同时，\n\n14:03.036 --> 14:03.986\n我们要制定。\n\n14:04.416 --> 14:07.216\n个体化预防预防方案，\n\n14:08.166 --> 14:12.440\n那么我们最终的目标是提升上呼吸道粘膜的屏障功能，\n\n14:12.440 --> 14:13.565\n减少发病频率，\n\n14:13.565 --> 14:15.216\n要提升我们的生活质量。\n\n14:15.666 --> 14:16.416\n所以说，\n\n14:16.716 --> 14:17.116\n嗯，\n\n14:17.116 --> 14:22.341\n当我们遇到急性上呼吸道感染的时候，\n\n14:22.341 --> 14:23.265\n首先是要。\n\n14:24.145 --> 14:24.495\n嗯，\n\n14:24.495 --> 14:25.395\n及时就医，\n\n14:25.796 --> 14:27.945\n及时记录好自己的症状。\n\n14:28.245 --> 14:30.346\n如果体温超过三十八度五，\n\n14:30.596 --> 14:32.796\n要及时服用我们的退热药。\n\n14:33.706 --> 14:35.432\n但是在服用退热药的同时呢，\n\n14:35.432 --> 14:38.956\n要注意不能够重复或者是过量的服用，\n\n14:39.106 --> 14:41.156\n需要遵照我们的说明书。\n\n14:42.036 --> 14:42.685\n或者是医嘱，\n\n14:42.835 --> 14:46.185\n如果说在不明确如何服用的时候，\n\n14:46.185 --> 14:48.435\n一定要及时的咨询我们的医生，\n\n14:48.685 --> 14:54.786\n以免过度服药导致我们出现肝损或其他脏器功能的一个损伤。\n\n14:54.786 --> 14:57.260\n如果说在进行口服抗生素呢，\n\n14:57.260 --> 15:01.335\n要及时的明确是细菌感染还是病毒感染。\n\n15:01.486 --> 15:03.135\n因为如果是病毒感染的话，\n\n15:03.135 --> 15:04.935\n可能抗生素是没有效果的。\n\n15:05.765 --> 15:06.716\n如果是细菌感染，\n\n15:06.716 --> 15:08.866\n那么就要及时口服我们的抗生素。\n\n15:09.015 --> 15:09.416\n那么，\n\n15:09.416 --> 15:10.991\n在抗生素服用的同时呢，\n\n15:10.991 --> 15:14.565\n要注意抗生素治疗的疗程以及治疗的剂量，\n\n15:14.666 --> 15:17.666\n还有抗生素的那个服用方式，\n\n15:18.116 --> 15:22.666\n以避免滥用抗生素导致耐药和出现药物过敏反应。\n\n15:22.916 --> 15:23.315\n好，\n\n15:23.315 --> 15:24.166\n谢谢大家。\n\n","v0d47cg10004d76bijiljhtbrm41031g",929,949,"2026-01-26 12:50:18"," 急性上呼吸道感染症状、治疗与预防指南 | 专业医学视频讲解  "," 急性上呼吸道感染,感冒症状,病毒性感冒治疗,呼吸道疾病预防,喉咙痛发烧,鼻塞咳嗽,家庭护理方法  "," 本视频详细讲解急性上呼吸道感染的典型症状（如发热、咳嗽、鼻塞）、科学治疗方式及有效预防措施，帮助您区分普通感冒与流感，并提供实用的家庭护理技巧。适用于患者及关注呼吸道健康的普通人群观看学习。","2026-06-11 10:25:44",[35],{"menuId":36,"menuName":37,"parentId":17,"orderNum":38,"path":39,"component":40,"isFrame":41,"isCache":42,"menuType":43,"visible":24,"status":17,"createDept":6,"remark":15,"createTime":44,"children":45,"columnImage":46,"columnLogo":47,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":48,"seoKeywords":49,"seoDescription":50,"contentNum":6,"promotionalPoster":51,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":52,"routerPath":39,"componentInfo":40},"1986622624134549505","科普视频",3,"video","/video.html","1","0","T","2025-11-07 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