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--> 00:05.538\n各位大家好，\n\n00:05.987 --> 00:06.362\n嗯，\n\n00:06.362 --> 00:11.788\n我今天为大家讲的课题是急性呼吸道感染预防手册。\n\n00:13.187 --> 00:14.713\n今天讲的内容包括，\n\n00:14.713 --> 00:17.038\n一、认识急性呼吸道感染，\n\n00:17.288 --> 00:19.388\n二、区分感染与感冒，\n\n00:19.638 --> 00:21.687\n三、感染的治疗方式，\n\n00:21.837 --> 00:22.238\n四。\n\n00:23.365 --> 00:25.065\n感染的预防与处理。\n\n00:26.504 --> 00:26.754\n嗯。\n\n00:28.177 --> 00:31.326\n首先我们先讲一讲认识急性呼吸道感染。\n\n00:31.826 --> 00:33.777\n这个感染的基本概念是？\n\n00:35.458 --> 00:36.883\n指的是感染，\n\n00:36.883 --> 00:40.258\n指病原体入侵人体后发生的一种反应，\n\n00:40.508 --> 00:44.859\n就像流感病毒经飞沫可以进入呼吸道，\n\n00:44.859 --> 00:46.708\n引发急性呼吸道的症状，\n\n00:46.708 --> 00:48.258\n出现发热、咳嗽等，\n\n00:48.359 --> 00:50.234\n这既体现感染的概念，\n\n00:50.234 --> 00:53.159\n也属于急性道呼吸感染的这样一个范畴。\n\n00:54.201 --> 00:55.402\n常见感染的类型，\n\n00:55.751 --> 00:57.451\n最常见的感染当中呢，\n\n00:57.501 --> 01:00.801\n病毒是引发急性呼吸道感染较为普遍的，\n\n01:00.902 --> 01:01.751\n比如呢，\n\n01:01.852 --> 01:05.652\n流感病毒所致的流感出现高热咳嗽等症状，\n\n01:05.751 --> 01:07.652\n细菌也可以导致肺炎等。\n\n01:07.902 --> 01:13.402\n与感染基本概念中病原体入侵致病的这样机制是相符合的。\n\n01:15.319 --> 01:17.220\n感染的主要症状包括呢，\n\n01:17.220 --> 01:19.019\n发热、咳嗽等表现。\n\n01:19.370 --> 01:22.769\n感染患者感染后可以出现持续的高热，\n\n01:23.220 --> 01:25.319\n体温最高可达39°，\n\n01:25.519 --> 01:26.970\n伴有剧烈的咳嗽，\n\n01:27.120 --> 01:28.169\n呼吸急促。\n\n01:28.269 --> 01:30.995\n这些典型表现呢，\n\n01:30.995 --> 01:32.569\n符合急性呼吸道。\n\n01:33.560 --> 01:34.710\n感染的一个特征，\n\n01:34.810 --> 01:36.861\n常常由病毒感染所引发。\n\n01:37.411 --> 01:39.261\n呼吸的一个异常情况，\n\n01:39.261 --> 01:42.210\n呼吸频率过快且伴随高热咳嗽，\n\n01:42.611 --> 01:45.310\n可能是急性呼吸道感染所引发的，\n\n01:45.310 --> 01:47.185\n如流感病毒所导致，\n\n01:47.185 --> 01:49.185\n还伴有痰液增多，\n\n01:49.185 --> 01:52.560\n喉咙肿痛等感染等常见的表现。\n\n01:52.960 --> 01:55.511\n喉咙疼痛的特征包括啊，\n\n01:55.511 --> 01:58.911\n喉咙疼痛可能表现为刺痛或者灼热感，\n\n01:59.060 --> 02:00.960\n并伴随着吞咽困难，\n\n02:01.011 --> 02:03.460\n在急性呼吸道感染时尤为明显。\n\n02:03.811 --> 02:07.412\n与发热咳嗽等感染主要症状可以共同出现，\n\n02:07.811 --> 02:10.761\n提示可能存在病毒或者细菌感染。\n\n02:11.412 --> 02:13.436\n感染的病因包括呢，\n\n02:13.436 --> 02:17.011\n病毒细菌因素、流感病毒啊，\n\n02:17.011 --> 02:21.111\n肺炎链球菌等病原体是引发疾病的这样一个关键因素。\n\n02:21.412 --> 02:23.787\n他们通过飞沫传播等途径呢，\n\n02:23.787 --> 02:24.962\n可以进入人体，\n\n02:25.311 --> 02:27.212\n导致急性呼吸道炎症，\n\n02:27.212 --> 02:30.212\n引发咳嗽发热等症状。\n\n02:30.611 --> 02:32.611\n环境影响情况，\n\n02:32.611 --> 02:33.611\n空气污染。\n\n02:33.811 --> 02:34.811\n严重的地区呢，\n\n02:34.811 --> 02:36.912\n污染物刺激呼吸道黏膜，\n\n02:37.011 --> 02:39.162\n可以降低黏膜的防御力。\n\n02:39.462 --> 02:39.861\n嗯，\n\n02:40.212 --> 02:44.712\n如同为病毒入侵打开方便之门，\n\n02:44.912 --> 02:47.912\n易引起类似呼吸道感染的这样一个病症，\n\n02:48.011 --> 02:51.212\n这便是环境对健康影响的一种表现。\n\n02:52.061 --> 02:53.311\n类风湿关节炎，\n\n02:53.311 --> 02:55.962\n所以自身免疫系统的一种紊乱，\n\n02:56.162 --> 02:58.611\n患者免疫系统错误攻击关节，\n\n02:58.811 --> 02:59.686\n其发病呢，\n\n02:59.686 --> 03:00.761\n与感染有关。\n\n03:01.572 --> 03:03.171\n某些病原体感染以后，\n\n03:03.171 --> 03:04.871\n可能诱发免疫的异常，\n\n03:05.022 --> 03:08.722\n类似急性呼吸道感染可能成为主要的一个诱因。\n\n03:09.421 --> 03:10.171\n二呢，\n\n03:10.171 --> 03:12.921\n就是要区分感染与感冒啊，\n\n03:12.921 --> 03:13.897\n它的症状呢，\n\n03:13.897 --> 03:16.197\n常有差异性的表现啊。\n\n03:16.197 --> 03:17.347\n最主要的差别呢，\n\n03:17.347 --> 03:18.072\n在于呢，\n\n03:18.072 --> 03:20.397\n发热程度的区别啊。\n\n03:20.397 --> 03:23.697\n低热多见于病毒感染的早期，\n\n03:23.697 --> 03:27.447\n急性呼吸道感染患者体温略微升高啊，\n\n03:27.447 --> 03:28.921\n伴有轻微的鼻塞。\n\n03:29.272 --> 03:30.046\n高热呢，\n\n03:30.046 --> 03:31.822\n可能是细菌感染引起。\n\n03:31.876 --> 03:33.475\n的体温骤然升高，\n\n03:33.626 --> 03:35.225\n且伴有剧烈咳嗽，\n\n03:35.475 --> 03:39.975\n咽喉肿痛等明显的呼吸道的一个症状的一个差异，\n\n03:40.225 --> 03:41.725\n咳嗽的特征也不一样。\n\n03:41.725 --> 03:43.151\n急性呼吸道感染时呢，\n\n03:43.151 --> 03:45.826\n咳嗽特征是有区别的，\n\n03:45.826 --> 03:47.925\n有的呈现干咳无痰，\n\n03:48.276 --> 03:48.626\n嗯，\n\n03:48.626 --> 03:50.925\n是病毒刺激呼吸道所导致的，\n\n03:51.026 --> 03:52.501\n有的则伴有黄疸，\n\n03:52.501 --> 03:55.826\n常提示细菌感染症状差异明显，\n\n03:55.925 --> 03:58.975\n可以影响患者的诊断与治疗啊，\n\n03:58.975 --> 04:00.626\n流涕的情况也有差异。\n\n04:00.725 --> 04:01.826\n呼吸道感染。\n\n04:01.852 --> 04:02.401\n的时候呢，\n\n04:02.401 --> 04:04.802\n不同患者流涕表现是有区别的。\n\n04:05.001 --> 04:05.927\n有的患者呢，\n\n04:05.927 --> 04:07.901\n清水样的鼻涕是不断的。\n\n04:08.001 --> 04:08.852\n患者呢，\n\n04:08.852 --> 04:10.451\n也伴有严重的鼻塞。\n\n04:10.651 --> 04:11.352\n有的呢，\n\n04:11.352 --> 04:12.901\n是黄脓色的鼻涕，\n\n04:13.251 --> 04:14.802\n且鼻腔有灼热感。\n\n04:14.802 --> 04:15.501\n这些呢，\n\n04:15.951 --> 04:18.652\n差异体现了症状的一个不同的表现。\n\n04:20.430 --> 04:21.781\n感染持续时间，\n\n04:21.881 --> 04:24.055\n急性呼吸道感染当中呢，\n\n04:24.055 --> 04:25.680\n普通感冒啊，\n\n04:25.680 --> 04:27.881\n持续时间约为3.7天。\n\n04:28.080 --> 04:29.080\n而流感呢，\n\n04:29.080 --> 04:30.680\n因为发病周期比较长，\n\n04:30.930 --> 04:33.031\n嗯症状可持续达两周。\n\n04:33.430 --> 04:35.131\n两者在病程上呢，\n\n04:35.131 --> 04:37.830\n长短上存在明显的一个差异。\n\n04:38.180 --> 04:40.781\n感冒的恢复时长也存在差异。\n\n04:41.031 --> 04:42.080\n普通感冒呢，\n\n04:42.080 --> 04:43.680\n通常5.7天恢复，\n\n04:44.080 --> 04:48.131\n但若因急性呼吸道感染引发如流感病毒所致呢，\n\n04:48.180 --> 04:50.230\n发病周期延长至一到两。\n\n04:50.359 --> 04:52.959\n中恢复时间也相应的拉长，\n\n04:53.260 --> 04:56.010\n与感染类型和个体密切相关。\n\n04:56.910 --> 04:59.910\n三就是感染的这样一个治疗的方式。\n\n05:00.459 --> 05:03.260\n急性呼吸道病毒感染以后呢，\n\n05:03.260 --> 05:08.010\n急性呼吸道病毒感染也包括流感病毒、鼻病毒等引起的，\n\n05:08.160 --> 05:10.609\n但治疗的核心是对症治疗。\n\n05:12.216 --> 05:17.290\n因为多数病毒感染目前没有特效的抗病毒药物治疗呢，\n\n05:17.290 --> 05:18.816\n最主要是缓解症状，\n\n05:18.865 --> 05:22.615\n增强机体自身清除病毒的这样一个能力。\n\n05:23.265 --> 05:25.290\n一般的基础治疗包括呢，\n\n05:25.290 --> 05:27.765\n充分的休息睡眠，\n\n05:27.816 --> 05:30.515\n为免疫系统对抗病毒提供条件，\n\n05:30.665 --> 05:31.265\n补水，\n\n05:31.265 --> 05:32.265\n多饮温水，\n\n05:32.265 --> 05:34.115\n维持身体水分的平衡，\n\n05:34.415 --> 05:35.316\n预防脱水，\n\n05:35.316 --> 05:37.415\n尤其尤其是在发热的时候，\n\n05:37.765 --> 05:38.115\n嗯，\n\n05:38.115 --> 05:40.841\n饮食应适当的补充蛋白质，\n\n05:40.841 --> 05:41.716\n如蛋奶。\n\n05:42.463 --> 05:46.014\n瘦肉和维生素以增强患者的一个抵抗力。\n\n05:46.463 --> 05:47.514\n对症治疗呢，\n\n05:47.514 --> 05:49.414\n是需要医生指导用药的，\n\n05:49.514 --> 05:51.914\n如发热、头痛、肌肉酸痛等。\n\n05:51.914 --> 05:53.963\n用对乙酰氨基酚、布洛芬，\n\n05:54.213 --> 05:59.039\n避免重复用含有同类成分的复方药物啊，\n\n05:59.039 --> 06:01.039\n以免引起药物的重叠。\n\n06:01.039 --> 06:02.813\n使用药物过量，\n\n06:03.213 --> 06:03.563\n嗯，\n\n06:03.563 --> 06:05.313\n如有鼻塞、流涕呢，\n\n06:05.313 --> 06:07.739\n可以使用伪麻黄碱啊，\n\n06:07.739 --> 06:10.489\n流涕打喷嚏等过敏样的症状时候呢，\n\n06:10.489 --> 06:11.914\n可以使用氯雷他定。\n\n06:13.558 --> 06:15.507\n咳嗽咳痰干咳呢，\n\n06:15.507 --> 06:16.907\n可以用右美沙芬，\n\n06:17.157 --> 06:18.483\n痰多呢，\n\n06:18.483 --> 06:19.032\n不易咳，\n\n06:19.032 --> 06:22.458\n是用可以使用氨溴索或者乙酰半胱氨酸。\n\n06:22.907 --> 06:24.483\n抗病毒治疗当中呢，\n\n06:24.483 --> 06:26.782\n要严格遵从医嘱啊。\n\n06:26.782 --> 06:28.308\n流感病毒感染以后呢，\n\n06:28.308 --> 06:32.558\n发病48小时内可以使用奥司他韦扎那。\n\n06:33.544 --> 06:37.194\n对症治疗需要在医生指导下用药。\n\n06:37.194 --> 06:38.368\n发热的话呢，\n\n06:38.368 --> 06:41.044\n或者伴有头痛、肌肉酸痛，\n\n06:41.144 --> 06:48.044\n是要用对乙酰氨基酚、布洛芬等非甾体类的消炎药进行抗炎止痛治疗。\n\n06:48.194 --> 06:48.868\n但是呢，\n\n06:48.868 --> 06:52.743\n要避免重复使用含同类成分的复方药物，\n\n06:52.743 --> 06:54.144\n以防药物过量。\n\n06:54.493 --> 06:55.944\n如鼻塞流涕呢，\n\n06:55.944 --> 06:59.194\n鼻塞可以用伪麻黄碱流流涕，\n\n06:59.194 --> 07:00.093\n打喷嚏呢，\n\n07:00.144 --> 07:03.743\n伴有过敏样症状可以使用氯雷他定啊。\n\n07:03.989 --> 07:04.739\n咳嗽咳痰呢，\n\n07:04.739 --> 07:06.364\n干咳可以使用右美沙芬，\n\n07:06.364 --> 07:12.690\n痰多不易咳可以使用氨溴索乙酰半胱氨酸等治疗。\n\n07:12.989 --> 07:16.589\n抗病毒治疗需要严格遵从医嘱啊。\n\n07:16.589 --> 07:17.640\n流感病毒呢，\n\n07:17.640 --> 07:23.739\n可以在发病的48小时内用奥司他韦扎那米韦缩短病程啊。\n\n07:24.713 --> 07:26.864\n降低重症的风险啊，\n\n07:26.864 --> 07:28.563\n起到抗病毒的作用。\n\n07:28.664 --> 07:30.813\n呼吸道合胞病毒呢，\n\n07:30.813 --> 07:34.264\n可以用帕利珠单抗预防高危儿童。\n\n07:34.563 --> 07:37.914\n利巴韦林仅限于用于重症治疗，\n\n07:37.914 --> 07:40.063\n需要严格评估副作用。\n\n07:40.364 --> 07:41.463\n新冠病毒呢，\n\n07:41.463 --> 07:44.713\n跟依依照病情啊，\n\n07:44.764 --> 07:46.813\n包括年龄基础疾病等，\n\n07:46.813 --> 07:52.014\n用纳玛特韦利托那韦片、阿兹夫定等进行抗病毒治疗，\n\n07:52.014 --> 07:54.164\n但均需要符合用药指征。\n\n07:55.010 --> 07:56.459\n其他注意事项包括呢，\n\n07:56.459 --> 07:58.734\n不能盲目使用抗生素啊，\n\n07:58.734 --> 08:00.285\n对病毒是没有效的，\n\n08:00.285 --> 08:01.410\n也不能滥用。\n\n08:02.523 --> 08:04.498\n治耐药的药物啊，\n\n08:04.498 --> 08:05.674\n要及时就医。\n\n08:05.873 --> 08:07.824\n对持续高热超过三天，\n\n08:07.824 --> 08:08.773\n呼吸困难，\n\n08:08.824 --> 08:09.848\n咳嗽剧烈，\n\n08:09.848 --> 08:12.723\n伴有胸痛、意识模糊等情况的，\n\n08:12.924 --> 08:13.299\n嗯，\n\n08:13.299 --> 08:14.773\n需要及时就医。\n\n08:14.773 --> 08:18.449\n对于老人、儿童、孕妇等有基础疾病的，\n\n08:18.449 --> 08:20.574\n如遇症症状加重呢，\n\n08:20.574 --> 08:22.424\n也应及时就医治疗。\n\n08:23.549 --> 08:23.899\n嗯。\n\n08:26.255 --> 08:26.554\n嗯。\n\n08:28.459 --> 08:28.584\n嗯，\n\n08:28.584 --> 08:30.959\n治疗的手段差异，\n\n08:31.459 --> 08:34.158\n主要是抗感染治疗的方式。\n\n08:34.458 --> 08:37.708\n感冒用药的选择上跟特殊治疗的情况，\n\n08:38.109 --> 08:40.758\n针对急性呼吸系统的感染，\n\n08:40.859 --> 08:44.809\n轻症可以用抗病毒的药物或抗生素进行口服治疗，\n\n08:44.859 --> 08:48.408\n重症则需要静脉给药或者机械通气治疗。\n\n08:48.609 --> 08:49.908\n不同感染程度呢，\n\n08:49.908 --> 08:52.458\n它的治疗手段是存在明显差异的。\n\n08:52.559 --> 08:56.458\n感冒用药也需要结合症状与病因啊，\n\n08:56.458 --> 08:57.008\n如呢，\n\n08:57.008 --> 08:58.234\n病毒感染啊，\n\n08:58.234 --> 08:58.609\n像。\n\n08:58.713 --> 09:00.314\n流感这种病毒感染，\n\n09:00.364 --> 09:02.713\n轻症可以口服抗病毒药物，\n\n09:02.763 --> 09:05.314\n重症需要静脉给药治疗。\n\n09:05.564 --> 09:06.614\n对于细菌感染，\n\n09:06.614 --> 09:07.963\n如细菌性的肺炎呢，\n\n09:07.963 --> 09:09.414\n需要用抗生素治疗，\n\n09:09.463 --> 09:11.963\n可以口服或者静脉治疗，\n\n09:11.963 --> 09:13.114\n但都是要。\n\n09:14.176 --> 09:18.083\n让医生根据患者的病情决定，\n\n09:18.083 --> 09:21.226\n不可以随意联合抗病毒药物与抗生素，\n\n09:21.526 --> 09:24.375\n需要先明确感染的类型的，\n\n09:24.526 --> 09:29.075\n明确一下到底是病毒还是细菌感染来选择药物。\n\n09:29.125 --> 09:31.476\n对于特殊治疗情况下呢，\n\n09:31.476 --> 09:37.676\n特殊治疗情况如急性呼吸道感染患者对常规的抗生素耐药的时候呢，\n\n09:37.676 --> 09:41.526\n需采用更高级的药物或者联合用药，\n\n09:41.575 --> 09:44.575\n这体现了治疗手段上的差异要求。\n\n09:44.614 --> 09:45.138\n医生呢，\n\n09:45.138 --> 09:45.614\n灵活，\n\n09:45.914 --> 09:46.739\n并且呢，\n\n09:46.739 --> 09:48.114\n能够调整方案。\n\n09:48.908 --> 09:49.257\n嗯。\n\n09:51.106 --> 09:51.431\n四呢，\n\n09:51.431 --> 09:53.755\n就是要处理好感染以后，\n\n09:54.056 --> 09:57.830\n嗯再次感染的一个预防与处理啊，\n\n09:57.830 --> 09:59.955\n日常的这样的预防措施呢，\n\n09:59.955 --> 10:01.205\n包括几个方面，\n\n10:01.406 --> 10:02.056\n一是呢，\n\n10:02.056 --> 10:03.406\n环境的一个清洁，\n\n10:03.406 --> 10:05.406\n另外就是个人卫生的要点，\n\n10:05.556 --> 10:07.955\n还有就要增强免疫力啊。\n\n10:08.205 --> 10:10.955\n我们对于环境清洁来说呢，\n\n10:11.005 --> 10:12.856\n要保持室内空气的流通，\n\n10:13.156 --> 10:13.856\n定期呢，\n\n10:13.856 --> 10:18.106\n含有用含氯的消毒剂擦拭家具表面等啊，\n\n10:18.106 --> 10:21.306\n采用清洁措施也可以减少病原体的。\n\n10:21.354 --> 10:27.054\n滋生勤洗手戴手套戴口罩等预防行为呢，\n\n10:27.054 --> 10:31.653\n相结合就能降低急性呼吸道疾病感染的这样一个风险。\n\n10:32.104 --> 10:34.028\n个人卫生上面呢，\n\n10:34.028 --> 10:36.903\n勤洗手可减少手上的病菌，\n\n10:37.054 --> 10:39.429\n尤其在接触公共物品以后呢，\n\n10:39.429 --> 10:41.153\n是预防疾病的一个关键。\n\n10:41.453 --> 10:43.254\n像流感高发季节呢，\n\n10:43.254 --> 10:47.703\n要做好手卫生就能降低急性呼吸道疾病的感染风险。\n\n10:48.104 --> 10:51.304\n日常佩戴口罩也处于此类预防的一种。\n\n10:51.349 --> 10:51.799\n措施，\n\n10:52.000 --> 10:53.250\n增强免疫力，\n\n10:53.500 --> 10:54.900\n运动预防的建议，\n\n10:54.950 --> 10:57.099\n坚持每日慢跑或者游泳，\n\n10:57.099 --> 10:58.500\n能增强心肺功能，\n\n10:58.500 --> 10:59.599\n提升免疫力，\n\n10:59.650 --> 11:02.549\n减少日常感冒等小病的发生，\n\n11:02.900 --> 11:04.674\n尤其是在流感季节呢，\n\n11:04.674 --> 11:06.250\n对于强健体魄，\n\n11:06.299 --> 11:08.700\n可以降低急性呼吸道感染的风险，\n\n11:08.849 --> 11:10.500\n助力快速的恢复。\n\n11:12.419 --> 11:16.219\n感染的应对措施包括及时就医啊，\n\n11:16.419 --> 11:24.919\n建议也包括了如出现持续的高热、嗯剧烈咳嗽等急性呼吸道感染症状时应第一时间就医。\n\n11:24.969 --> 11:29.520\n医生会依据感染的类型制定抗病毒或者抗感染的方案，\n\n11:29.669 --> 11:31.969\n避免延误病情啊，\n\n11:31.969 --> 11:34.919\n引发疾病的一个加重引起啊，\n\n11:34.919 --> 11:41.895\n如重症肺炎等重症并发症隔离防护的措施在公共场所呢，\n\n11:41.895 --> 11:42.369\n应配。\n\n11:42.486 --> 11:43.435\n佩戴医用口罩，\n\n11:43.585 --> 11:45.986\n勤洗手并保持社交距离，\n\n11:46.085 --> 11:48.435\n可有效阻断病毒的传播。\n\n11:48.685 --> 11:51.585\n若出现发热、咳嗽等急性呼吸道症状，\n\n11:51.585 --> 11:53.536\n应立即采取居家隔离，\n\n11:53.585 --> 11:55.885\n并启动感染应对的一个方案。\n\n11:56.435 --> 11:59.010\n饮食护理要点上饮食护理上呢，\n\n11:59.010 --> 12:01.635\n对容易发生急性呼吸道感染的人，\n\n12:01.786 --> 12:05.435\n应多摄入富含维C的果蔬来增强免疫力。\n\n12:05.585 --> 12:06.286\n同时，\n\n12:06.486 --> 12:07.460\n若已感染，\n\n12:07.460 --> 12:09.486\n要避免辛辣油腻的食物，\n\n12:09.536 --> 12:12.286\n配合感染应对的治疗。\n\n12:12.481 --> 12:12.856\n策略呢，\n\n12:12.856 --> 12:14.781\n来助力身体的一个恢复，\n\n12:15.281 --> 12:18.531\n对严重感染的识别跟应急的一个处理。\n\n12:18.632 --> 12:21.606\n对于高危症状要进行识啊，\n\n12:21.606 --> 12:24.081\n高危症状也应及紧急处理。\n\n12:24.331 --> 12:28.231\n持续高热常提示是一种高危症状。\n\n12:28.331 --> 12:28.682\n嗯，\n\n12:28.682 --> 12:32.206\n最常见的症状包括体温大于39°，\n\n12:32.206 --> 12:33.132\n伴有寒颤，\n\n12:33.432 --> 12:34.406\n呼吸急促，\n\n12:34.406 --> 12:35.106\n低血压，\n\n12:35.106 --> 12:37.682\n白细胞明显升高等情况。\n\n12:37.932 --> 12:38.406\n那么，\n\n12:38.406 --> 12:40.257\n紧急处理的办法包括呢，\n\n12:40.257 --> 12:42.182\n立即隔离监测血氧。\n\n12:42.481 --> 12:44.932\n感染的指标若出现血氧骤降呢，\n\n12:44.932 --> 12:48.781\n应立即转诊至上级医院进行治疗。\n\n12:49.031 --> 12:53.531\n这个就是我们这个感染的识别以及应急处理的一个方法。\n\n12:54.513 --> 12:56.564\n那么感染当中呢，\n\n12:56.564 --> 12:58.814\n最主要的还是一个药物的选择。\n\n12:58.963 --> 13:00.463\n一般来说呢，\n\n13:00.463 --> 13:04.989\n因为急性的呼吸道病毒感染也是呼吸道的一种常见病，\n\n13:04.989 --> 13:07.914\n特别是在季节交替的时候呢，\n\n13:07.914 --> 13:12.963\n像这样子的秋末冬初是非常高发的一种情况。\n\n13:13.213 --> 13:18.364\n那么感染以后首要的就是识别患者的一个症状啊，\n\n13:18.414 --> 13:21.039\n是不是存在感染的症状，\n\n13:21.039 --> 13:22.463\n包括就是发热。\n\n13:22.513 --> 13:23.588\n另外呢，\n\n13:23.588 --> 13:24.763\n对于呼吸道感染。\n\n13:24.809 --> 13:25.409\n来说呢，\n\n13:25.409 --> 13:31.284\n呼吸道的感染的症状是最为明显的一个定位体征啊，\n\n13:31.284 --> 13:32.784\n主要是鼻部的症状，\n\n13:32.784 --> 13:33.859\n像鼻塞呀，\n\n13:33.859 --> 13:35.659\n流涕呀，\n\n13:35.960 --> 13:38.534\n还有就是打喷嚏呀，\n\n13:38.534 --> 13:41.859\n部分患者还会出现黄脓的鼻涕，\n\n13:41.960 --> 13:44.159\n那就是提示常常提示呢，\n\n13:44.159 --> 13:46.109\n是有合并细菌感染了。\n\n13:46.409 --> 13:47.359\n那么啊，\n\n13:47.359 --> 13:48.960\n除了鼻子的症状呢，\n\n13:48.960 --> 13:51.184\n还可以合并有咽喉的症状，\n\n13:51.184 --> 13:52.085\n如咽痒啊，\n\n13:52.085 --> 13:53.784\n咽痛啊，\n\n13:53.784 --> 13:54.760\n咽部的。\n\n13:54.797 --> 13:56.047\n不适啊，\n\n13:56.297 --> 13:57.072\n这些呢，\n\n13:57.072 --> 13:58.598\n都是咽部的一个症状，\n\n13:58.697 --> 13:59.297\n那么。\n\n14:00.080 --> 14:02.429\n上呼吸道感染还包括呢，\n\n14:02.429 --> 14:03.729\n气管的一个症状，\n\n14:04.080 --> 14:04.429\n嗯，\n\n14:04.429 --> 14:05.455\n气管的症状呢，\n\n14:05.455 --> 14:06.380\n包括啊。\n\n14:07.466 --> 14:07.742\n嗯，\n\n14:07.742 --> 14:09.716\n支气管内的一个干燥啊，\n\n14:10.067 --> 14:11.642\n咳嗽啊，\n\n14:11.642 --> 14:12.517\n咽痒啊，\n\n14:12.666 --> 14:14.916\n那么重症的话会出现啊，\n\n14:14.916 --> 14:16.341\n呼吸困难啊，\n\n14:16.341 --> 14:18.567\n活动以后气促等等症状。\n\n14:18.916 --> 14:20.692\n对于这些症状呢，\n\n14:20.692 --> 14:22.517\n要及时的进行识别。\n\n14:24.208 --> 14:28.283\n如发现多个症状合并发生的时候呢，\n\n14:28.283 --> 14:29.607\n就要进行就诊。\n\n14:29.807 --> 14:30.507\n由于呢，\n\n14:30.507 --> 14:31.982\n病毒感染呼吸道呢，\n\n14:31.982 --> 14:33.958\n是会影响患者的呼吸的。\n\n14:34.007 --> 14:34.757\n常常呢，\n\n14:34.757 --> 14:36.807\n还会伴有重症的情况。\n\n14:36.958 --> 14:38.958\n那如果出现呼吸困难，\n\n14:38.958 --> 14:39.833\n憋闷啊，\n\n14:39.833 --> 14:42.007\n喘促啊，\n\n14:42.807 --> 14:45.307\n还有就是剧烈咳嗽啊。\n\n14:46.070 --> 14:46.294\n嗯，\n\n14:46.294 --> 14:47.744\n不能入睡啊，\n\n14:47.744 --> 14:49.445\n胸闷胸痛啊，\n\n14:49.445 --> 14:53.520\n特别是伴有止痒氧分压的降低的时候呢，\n\n14:53.520 --> 14:56.619\n常常提示这是一种重症的症状。\n\n14:56.820 --> 14:58.020\n重症感染呢，\n\n14:58.119 --> 14:59.669\n一定要及时就医，\n\n14:59.770 --> 15:04.770\n尤其是特殊人群或者有基础疾病的人群。\n\n15:05.119 --> 15:06.119\n特殊人群呢，\n\n15:06.119 --> 15:09.119\n就包括我们的老人、儿童啊，\n\n15:09.270 --> 15:11.969\n孕妇这些特殊人群或者呢，\n\n15:11.969 --> 15:12.919\n既往啊，\n\n15:12.919 --> 15:13.270\n有。\n\n15:13.922 --> 15:14.973\n免疫系统疾病，\n\n15:14.973 --> 15:20.572\n服用免疫制剂的患者这时候就应该及时就医，\n\n15:20.572 --> 15:24.797\n避免病情的加重出现急危重症啊，\n\n15:24.797 --> 15:28.273\n呼吸衰竭而影响患者的生命啊。\n\n15:28.523 --> 15:29.797\n这种情况下呢，\n\n15:29.797 --> 15:32.773\n是不应该在家里自行治疗的，\n\n15:32.822 --> 15:37.023\n应及时到医院就诊排除重症啊，\n\n15:37.122 --> 15:38.773\n适当的用药啊，\n\n15:38.773 --> 15:42.723\n让在医生跟护士的协助下啊，\n\n15:42.773 --> 15:44.023\n配合医院的。\n\n15:44.221 --> 15:50.697\n治疗以及医院的这样一个监护的措施下来治疗这样的话呢，\n\n15:50.697 --> 15:54.622\n才能够使患者病情得到有效的控制，\n\n15:54.721 --> 16:02.671\n降低急危重症出现死亡甚至致残这些重症的后果。\n\n16:02.822 --> 16:07.697\n那么今天我们对于呼吸道病毒感染的这个患者宣教呢，\n\n16:07.697 --> 16:08.521\n就到这里，\n\n16:08.521 --> 16:09.421\n谢谢大家。\n\n","v0347cg10004d768g22ljhtb3tdrdadg",974,749,"2026-01-26 13:12:18","区分感染与感冒","急性呼吸道感染预防手册，认识急性呼吸道感染","2026-06-11 12:02:56",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":27,"status":17,"createDept":6,"remark":25,"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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