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--> 00:04.722\n嗯，\n\n00:04.722 --> 00:05.684\n大家好，\n\n00:05.684 --> 00:09.796\n本期我们为大家带来的是急性咽炎全景缩写。\n\n00:16.697 --> 00:18.297\n那么我们要我们会从，\n\n00:18.646 --> 00:19.047\n嗯，\n\n00:19.197 --> 00:20.297\n咽炎的针貌，\n\n00:20.447 --> 00:21.996\n咽炎的症状与体征。\n\n00:22.957 --> 00:24.306\n英语的诊断与评分。\n\n00:25.271 --> 00:27.021\n咽炎的并发症与危害，\n\n00:27.322 --> 00:28.871\n以及咽炎的治疗路径，\n\n00:28.871 --> 00:31.121\n还有它的一个预防与总结等。\n\n00:32.037 --> 00:33.662\n六个方面来为大家进行。\n\n00:33.662 --> 00:34.487\n我们的一个。\n\n00:36.025 --> 00:36.724\n运营的介绍。\n\n00:39.166 --> 00:41.616\n那么首先我们什么是咽炎呢？\n\n00:44.548 --> 00:44.749\n嗯，\n\n00:45.398 --> 00:49.249\n我们咽痛背后有哪些免疫风火呢？\n\n00:49.749 --> 00:51.848\n首先是要明白我们咽炎的定义，\n\n00:51.848 --> 00:52.598\n还有范围。\n\n00:53.048 --> 00:53.548\n那么，\n\n00:53.548 --> 00:55.598\n咽炎病变范围它更广。\n\n00:56.568 --> 00:57.592\n而扁桃体炎呢，\n\n00:57.592 --> 00:59.818\n主要集中在腭扁桃体。\n\n01:00.790 --> 01:02.040\n两者可以同时发生，\n\n01:02.290 --> 01:04.690\n形成急性扁桃体咽炎，\n\n01:05.139 --> 01:06.940\n但病变核心部位不同，\n\n01:06.989 --> 01:09.639\n诊断和治疗需要区别对待。\n\n01:10.440 --> 01:10.889\n那么，\n\n01:10.889 --> 01:13.339\n我们的咽炎与扁桃体炎的区别是什么呢？\n\n01:14.386 --> 01:14.761\n嗯，\n\n01:14.761 --> 01:17.585\n急性咽炎是咽部粘膜。\n\n01:19.261 --> 01:24.861\n粘膜下组织及淋巴组织的急性炎症常为上呼吸道感染的一部分，\n\n01:25.261 --> 01:27.111\n那么病变范围比较广泛，\n\n01:27.511 --> 01:29.261\n涵盖整个咽腔，\n\n01:29.810 --> 01:32.411\n那么与急性扁桃体炎密切相关，\n\n01:32.411 --> 01:34.261\n但又有部分区别。\n\n01:35.782 --> 01:38.932\n那么我们咽炎它有哪些病因呢？\n\n01:39.333 --> 01:41.833\n首先是病毒主导细菌刺激。\n\n01:43.023 --> 01:45.072\n也就是说我们主要是以病毒为主，\n\n01:45.172 --> 01:47.472\n但是也有部分是细菌感染。\n\n01:48.123 --> 01:50.722\n那么什么是病毒性咽炎呢？\n\n01:51.023 --> 01:53.172\n我们病毒性咽炎它是。\n\n01:54.372 --> 01:56.921\n有我们的急性咽炎呢，\n\n01:56.921 --> 02:01.272\n有70%.80%是由病毒感染引起的。\n\n02:01.722 --> 02:02.097\n嗯，\n\n02:02.097 --> 02:06.171\n比如说鼻病毒、冠状病毒、腺病毒等。\n\n02:06.472 --> 02:07.522\n那么症状呢，\n\n02:07.522 --> 02:08.322\n相对较轻，\n\n02:08.522 --> 02:09.772\n它有自限性，\n\n02:10.572 --> 02:15.772\n常伴咳嗽、流涕、声音嘶哑等卡他症状。\n\n02:16.501 --> 02:16.802\n那么，\n\n02:16.951 --> 02:18.401\n细菌性咽炎呢？\n\n02:18.852 --> 02:19.227\n嗯，\n\n02:19.227 --> 02:24.451\n我们咽炎20%.30%是由细菌感染引起的。\n\n02:24.751 --> 02:27.802\n如A组被胆溶血性链球菌，\n\n02:28.052 --> 02:29.802\n它的症状常更重，\n\n02:30.201 --> 02:31.201\n起病较急，\n\n02:31.701 --> 02:32.701\n常有高热，\n\n02:33.001 --> 02:34.251\n并且咽痛明显，\n\n02:34.501 --> 02:36.701\n扁桃体可有脓性渗出。\n\n02:37.460 --> 02:37.634\n那么，\n\n02:37.634 --> 02:38.860\n非典型病原体，\n\n02:39.410 --> 02:46.309\n比如说肺炎支原体、肺炎衣原体等非典型病原体也可引起咽炎。\n\n02:46.360 --> 02:46.826\n那么，\n\n02:46.826 --> 02:49.410\n多见于青少年以及成人。\n\n02:49.809 --> 02:50.559\n表现呢，\n\n02:50.559 --> 02:52.110\n为持续的干咳，\n\n02:52.309 --> 02:54.009\n还有低热等症状。\n\n02:58.531 --> 03:00.830\n那么我们咽炎常见哪些症状？\n\n03:00.830 --> 03:02.630\n还有有什么体征呢？\n\n03:04.164 --> 03:06.414\n我们主要是三痛三部，\n\n03:06.414 --> 03:10.863\n揭示我们的病毒性咽炎血炎是一个典型的症状，\n\n03:11.113 --> 03:14.014\n那么会有我们会有一个咽部的干燥，\n\n03:14.514 --> 03:15.514\n咽部灼热，\n\n03:15.613 --> 03:17.363\n还有咽部的粗糙感，\n\n03:17.813 --> 03:22.363\n那么随后会出现我们咽痛在吞咽的时候会加重。\n\n03:23.078 --> 03:25.328\n那么可以放射到耳部，\n\n03:25.328 --> 03:29.828\n同时伴有刺激性咳嗽、咳痰等局部症状。\n\n03:30.712 --> 03:31.011\n那么，\n\n03:31.011 --> 03:32.361\n全身症状有哪些呢？\n\n03:32.811 --> 03:33.162\n嗯，\n\n03:33.162 --> 03:34.962\n它由病原体而异。\n\n03:35.462 --> 03:35.861\n嗯，\n\n03:35.861 --> 03:37.962\n病毒性咽炎可有乏力，\n\n03:38.212 --> 03:39.511\n有肌肉酸痛。\n\n03:39.912 --> 03:40.287\n嗯，\n\n03:40.287 --> 03:41.486\n细菌性咽炎的话，\n\n03:41.486 --> 03:43.162\n常伴突发高热，\n\n03:43.462 --> 03:45.936\n比如说体温大于38°，\n\n03:45.936 --> 03:47.912\n40°会有头痛，\n\n03:47.962 --> 03:50.761\n有寒颤等全身症状。\n\n03:51.361 --> 03:51.712\n嗯，\n\n03:51.712 --> 03:53.511\n它的伴随症状有哪些呢？\n\n03:53.662 --> 03:55.212\n我们常见鼻塞。\n\n03:56.065 --> 03:57.365\n流涕，\n\n03:57.365 --> 03:59.565\n那么流涕主要是以病毒多见，\n\n03:59.916 --> 04:01.266\n还有声音嘶哑。\n\n04:01.466 --> 04:03.065\n当我们出现声音嘶哑呢，\n\n04:03.065 --> 04:05.216\n提示喉部已经受到了影响。\n\n04:06.169 --> 04:06.569\n嗯，\n\n04:06.619 --> 04:08.619\n病毒性咽炎多有咳嗽，\n\n04:08.669 --> 04:10.169\n还有鼻部的症状，\n\n04:10.468 --> 04:12.018\n且具有自限性。\n\n04:16.881 --> 04:17.307\n那么，\n\n04:17.307 --> 04:22.282\n我们咽炎主要表现在粘膜的里面充血还有滤泡的增生。\n\n04:22.682 --> 04:23.157\n那么，\n\n04:23.157 --> 04:27.782\n粘膜充血是指咽炎咽部的粘膜弥漫性充血肿胀，\n\n04:27.981 --> 04:30.532\n它是急性咽炎的典型体征。\n\n04:30.881 --> 04:31.356\n那么，\n\n04:31.356 --> 04:32.256\n检查的时候呢，\n\n04:32.256 --> 04:37.332\n我们可以看见腭弓咽后壁等部位粘膜明显发红。\n\n04:37.932 --> 04:38.432\n那么，\n\n04:38.432 --> 04:42.082\n淋巴滤泡增生是指咽喉壁淋巴滤泡红肿。\n\n04:42.796 --> 04:45.747\n有时可以见到黄白色点状的渗出物，\n\n04:45.997 --> 04:48.696\n这是咽部免疫反应的表现。\n\n04:49.734 --> 04:52.084\n那么它有助于我们判断炎症的程度。\n\n04:54.428 --> 04:56.528\n那么我们的咽炎是如何诊断，\n\n04:56.628 --> 04:59.778\n以及我们咽缘它需要怎样评分呢？\n\n05:00.750 --> 05:04.299\n全是生量化细菌的风险，\n\n05:06.299 --> 05:08.000\n一个是central标准，\n\n05:08.450 --> 05:10.600\n给人的central标准。\n\n05:14.488 --> 05:14.613\n嗯，\n\n05:14.613 --> 05:16.537\n平分项包括我们的发热，\n\n05:16.988 --> 05:19.437\n体温要大于38°C，\n\n05:19.687 --> 05:20.687\n无咳嗽，\n\n05:21.138 --> 05:22.937\n颈前淋巴结肿痛，\n\n05:23.437 --> 05:25.338\n还有一个扁桃体渗出，\n\n05:25.687 --> 05:27.575\n或者是有肿胀等。\n\n05:27.575 --> 05:28.537\n第二呢，\n\n05:28.537 --> 05:30.037\n是我们的年龄的因素，\n\n05:30.537 --> 05:30.888\n嗯，\n\n05:30.888 --> 05:33.338\n年龄3.10岁要加一分。\n\n05:34.067 --> 05:36.368\n如果年龄大于45岁减1分，\n\n05:36.768 --> 05:38.717\n那么通过这些评分项，\n\n05:38.917 --> 05:44.118\n我们可以初步判断我们的CAS感染的可能性。\n\n05:45.160 --> 05:47.160\n那么我们评分它有什么意义呢？\n\n05:47.709 --> 05:49.809\n如果我们评分大于等于4分，\n\n05:50.059 --> 05:51.809\n那么阴性感染可能性大，\n\n05:52.059 --> 05:53.809\n进行病理学检查，\n\n05:54.309 --> 05:56.035\n如果小于等于两分呢，\n\n05:56.035 --> 05:57.309\n则作为病毒性。\n\n05:57.983 --> 05:59.333\n可暂缓抗生素。\n\n06:01.009 --> 06:02.384\n我们临床应用，\n\n06:02.683 --> 06:03.959\n那么该评分呢？\n\n06:03.959 --> 06:06.884\n将主观症状转化为量化的一个决策，\n\n06:07.234 --> 06:08.834\n减少不必要处方，\n\n06:09.084 --> 06:12.433\n确保真正需要治疗者及时的一个用药。\n\n06:18.765 --> 06:21.415\n那么我们角膜溃疡急重症红线。\n\n06:22.273 --> 06:25.072\n首先是我们的EB病毒性咽炎。\n\n06:25.072 --> 06:26.773\nEB病毒它引起的咽炎呢，\n\n06:26.773 --> 06:28.872\n扁桃体由后双样渗出，\n\n06:29.372 --> 06:31.372\n伴全身的淋巴结肿大，\n\n06:31.622 --> 06:33.722\n那么脾肝脾肿大，\n\n06:33.722 --> 06:34.572\n还有脾肿。\n\n06:34.972 --> 06:39.173\n那么血常规常见异性淋巴细胞是大于10%的。\n\n06:40.308 --> 06:42.433\n还有我们的急性会咽炎，\n\n06:42.433 --> 06:44.558\n急性会咽炎是急危重症。\n\n06:45.747 --> 06:46.497\n咽痛剧烈，\n\n06:46.497 --> 06:48.997\n但咽部检查可无异常。\n\n06:49.548 --> 06:52.697\n主要症状是为吞咽困难、鼻炎，\n\n06:52.697 --> 06:54.697\n还有吸气性呼吸困难。\n\n06:55.298 --> 06:55.822\n那么，\n\n06:55.822 --> 06:57.148\n猩红热，\n\n06:57.148 --> 07:01.497\n我们的猩红热是由A组链球菌产红等毒素引起，\n\n07:01.898 --> 07:08.298\n有杨梅舌、口周苍白圈及全身的弥漫性充血性点状皮疹。\n\n07:11.151 --> 07:13.376\n那么我们的咽炎它有哪些并发症，\n\n07:13.376 --> 07:14.800\n还有哪些危害呢？\n\n07:16.485 --> 07:18.085\n首先是局部的蔓延，\n\n07:18.085 --> 07:19.536\n还有免疫后的损伤。\n\n07:19.885 --> 07:20.360\n那么，\n\n07:20.360 --> 07:22.286\n我们局部并发症有哪些呢？\n\n07:22.485 --> 07:25.286\n我们咽炎可以向邻近的组织扩散，\n\n07:25.436 --> 07:33.135\n会引起急性中耳炎、鼻窦炎、喉炎、扁桃体周围脓肿、咽喉脓肿等。\n\n07:34.186 --> 07:34.561\n嗯，\n\n07:34.561 --> 07:35.210\n也就是说，\n\n07:35.210 --> 07:36.436\n我们局部的话，\n\n07:36.686 --> 07:39.036\n可能会出现一个耳痛。\n\n07:40.101 --> 07:41.652\n或者是淋巴结的肿大，\n\n07:41.951 --> 07:43.502\n它就是鼻窦炎，\n\n07:43.701 --> 07:45.627\n比如说鼻塞、喉炎，\n\n07:45.627 --> 07:46.701\n就是声音嘶哑。\n\n07:47.101 --> 07:47.552\n那么，\n\n07:47.552 --> 07:50.277\n扁桃体周围脓肿就是可能会看到扁桃体有肿大，\n\n07:50.277 --> 07:52.152\n或者扁桃体周围可以见到化脓。\n\n07:52.552 --> 07:52.951\n那么，\n\n07:52.951 --> 07:53.677\n咽喉脓肿的话，\n\n07:53.677 --> 07:56.601\n就是可以看到我们的咽喉壁会有一个脓肿的形成。\n\n07:57.002 --> 07:57.427\n那么，\n\n07:57.427 --> 07:59.002\n它全身并发症有哪些呢？\n\n07:59.451 --> 07:59.902\n那么，\n\n07:59.902 --> 08:01.052\n我们的链球菌感染的话，\n\n08:01.052 --> 08:03.502\n和可以诱发我们的急性风湿热，\n\n08:03.502 --> 08:04.601\n肾小球肾炎。\n\n08:05.686 --> 08:07.686\n它是因为免疫交叉反应所致，\n\n08:07.735 --> 08:09.436\n是积极治疗链球菌。\n\n08:11.122 --> 08:11.497\n嗯，\n\n08:11.497 --> 08:13.122\n菌性咽炎的主要目的，\n\n08:13.372 --> 08:14.947\n那么我们急性风湿热，\n\n08:14.947 --> 08:16.523\n急性肾小球肾炎，\n\n08:16.572 --> 08:17.773\n它有哪些症状呢？\n\n08:17.773 --> 08:20.072\n比如说风湿热可能就是全身出现。\n\n08:21.080 --> 08:21.180\n嗯，\n\n08:21.180 --> 08:23.131\n红肿显对称性的，\n\n08:23.680 --> 08:24.805\n那么另外一个呢，\n\n08:24.805 --> 08:25.730\n肾小球肾炎。\n\n08:27.985 --> 08:28.286\n嗯。\n\n08:29.597 --> 08:29.798\n嗯。\n\n08:32.271 --> 08:33.771\n那么肾小球肾炎呢，\n\n08:34.322 --> 08:37.372\n是指我们感染后可能会出现血尿。\n\n08:38.443 --> 08:39.643\n这是最主要的症状，\n\n08:40.093 --> 08:43.093\n所以说我们一定要引起这种重视。\n\n08:46.247 --> 08:49.247\n那么我们咽炎有哪一些治疗路径呢？\n\n08:50.950 --> 08:53.549\n首先是对症为主要慎选抗生素。\n\n08:54.549 --> 08:56.200\n它分为一般治疗。\n\n08:57.155 --> 08:57.405\n嗯，\n\n08:57.405 --> 09:00.054\n对症治疗还有我们的一个病因的治疗。\n\n09:00.705 --> 09:01.179\n那么，\n\n09:01.179 --> 09:02.804\n一般治疗它有哪些呢？\n\n09:03.104 --> 09:03.455\n嗯，\n\n09:03.455 --> 09:04.455\n首先是休息，\n\n09:04.655 --> 09:05.705\n因为休息呢，\n\n09:05.705 --> 09:07.905\n可以促进我们免疫力的恢复。\n\n09:08.304 --> 09:09.854\n要保持足够的睡眠，\n\n09:09.854 --> 09:11.554\n要大于等于7个小时。\n\n09:12.408 --> 09:12.533\n嗯，\n\n09:12.533 --> 09:13.708\n同时要多饮水，\n\n09:14.059 --> 09:15.258\n因为多饮水的话，\n\n09:15.258 --> 09:17.359\n有利于促进我们身体的代谢，\n\n09:17.508 --> 09:21.859\n加快我们这个毒素的排出，\n\n09:22.309 --> 09:24.708\n还有就是有利于我们咽部的湿润。\n\n09:25.380 --> 09:29.330\n同时在饮食上我们要禁流食或软食，\n\n09:29.780 --> 09:33.179\n避免吃刺激油腻的食物。\n\n09:34.145 --> 09:36.120\n因为如果吃刺激或油腻的食物的话，\n\n09:36.120 --> 09:38.145\n会加重我们的症状，\n\n09:38.145 --> 09:39.745\n导致咽喉部的不适加重。\n\n09:40.145 --> 09:40.745\n同时呢，\n\n09:40.745 --> 09:42.895\n我们要有一个戒烟戒酒。\n\n09:43.578 --> 09:44.353\n因为烟酒的话，\n\n09:44.353 --> 09:45.927\n会刺激我们的咽喉壁。\n\n09:46.776 --> 09:47.776\n导致咽炎加重，\n\n09:48.077 --> 09:50.827\n同时要保持空气湿润。\n\n09:51.577 --> 09:51.927\n嗯，\n\n09:51.927 --> 09:54.976\n要为我们的患者要提供一个基础的知识，\n\n09:55.276 --> 09:57.377\n比如说给他吃一些对症的药物。\n\n09:58.184 --> 10:00.359\n要缓解他的这个不适的症状，\n\n10:00.958 --> 10:03.208\n那么我们的对症治疗有哪一些呢？\n\n10:04.086 --> 10:04.336\n比如说，\n\n10:04.336 --> 10:06.262\n我们出现发热，\n\n10:06.262 --> 10:07.786\n体温大于38°五，\n\n10:07.937 --> 10:10.286\n我们需要口服解热镇痛药物，\n\n10:10.286 --> 10:12.536\n比如说对乙酰氨基酚啊，\n\n10:12.536 --> 10:13.486\n还有布洛芬。\n\n10:14.036 --> 10:16.687\n如果是我们局部症状的一个缓解的话，\n\n10:16.836 --> 10:19.687\n我们可以吃复方氯己定含素液。\n\n10:20.374 --> 10:20.823\n还有就是，\n\n10:20.823 --> 10:22.223\n西比利安，\n\n10:22.223 --> 10:22.723\n含片，\n\n10:23.174 --> 10:26.023\n以此来缓解我们那个咽部的疼痛，\n\n10:26.223 --> 10:26.823\n还有，\n\n10:26.823 --> 10:27.223\n嗯，\n\n10:27.223 --> 10:28.223\n我们的发热。\n\n10:29.335 --> 10:31.984\n那么咽炎它的病因治疗有哪些呢？\n\n10:32.484 --> 10:33.984\n比如说病毒性咽炎，\n\n10:34.234 --> 10:35.585\n我们病毒性咽炎的话，\n\n10:35.585 --> 10:37.885\n通常是不需要抗生素治疗的，\n\n10:38.284 --> 10:39.934\n它因为具有自限性，\n\n10:40.184 --> 10:42.609\n如果是流感的病毒引起的，\n\n10:42.609 --> 10:44.284\n我们可以口服奥司他韦。\n\n10:45.958 --> 10:47.908\n如果是细菌感染的话，\n\n10:48.059 --> 10:50.559\n我们首先是要选青霉素类，\n\n10:50.609 --> 10:51.008\n嗯，\n\n10:51.708 --> 10:53.109\n或头孢菌素类。\n\n10:53.911 --> 10:55.161\n如果是过敏的患者，\n\n10:55.310 --> 10:57.411\n我们可以吃阿奇霉素的。\n\n10:57.760 --> 10:58.185\n那么，\n\n10:58.185 --> 11:00.060\n我们在吃这些药物的时候呢，\n\n11:00.060 --> 11:02.060\n肯定是要遵从医嘱，\n\n11:02.060 --> 11:03.260\n询问医生的意见。\n\n11:03.611 --> 11:05.460\n因为不然会导致药物的滥用，\n\n11:05.460 --> 11:07.411\n或者是导致我们的药物过敏。\n\n11:10.362 --> 11:10.788\n那么，\n\n11:10.788 --> 11:12.413\n危重红线与住院底线，\n\n11:12.513 --> 11:14.812\n我们什么时候咽炎需要住院呢？\n\n11:15.112 --> 11:16.713\n当我们出现呼吸困难，\n\n11:16.963 --> 11:18.913\n比如说吸气性呼吸困难，\n\n11:19.013 --> 11:22.013\n要警惕急性会咽炎堵塞了我们的气道，\n\n11:22.213 --> 11:23.862\n那么我们需要即刻就医，\n\n11:23.862 --> 11:25.713\n因为它可能会危及生命。\n\n11:26.349 --> 11:27.650\n如果我们有吞咽困难，\n\n11:27.650 --> 11:29.650\n比如说吞咽困难致流炎，\n\n11:29.900 --> 11:33.049\n可能是扁桃体周围脓肿或者是咽喉脓肿，\n\n11:33.299 --> 11:38.700\n我们需要及时转诊到耳鼻喉科来及时的进行诊治。\n\n11:39.653 --> 11:41.177\n如果说我们出现高热不退，\n\n11:41.328 --> 11:43.078\n比如说高热超过了三天，\n\n11:43.078 --> 11:45.627\n或者是症状持续了一个星期没有改善，\n\n11:45.927 --> 11:47.552\n我们需要进一步检查，\n\n11:47.552 --> 11:48.328\n还有治疗。\n\n11:49.356 --> 11:50.356\n当我们出现呢，\n\n11:50.356 --> 11:55.330\n比如说关节痛、皮疹、心慌、尿色改变，\n\n11:56.080 --> 11:58.830\n我们要警惕风湿热或者是肾炎，\n\n11:58.830 --> 11:59.931\n需要立即就医。\n\n12:00.281 --> 12:01.580\n那么，\n\n12:01.931 --> 12:02.656\n皮疹的话，\n\n12:02.656 --> 12:06.755\n我们通常是会采用对称性大片。\n\n12:06.755 --> 12:07.781\n如果是心慌，\n\n12:07.880 --> 12:09.630\n我们要小心心肌炎。\n\n12:09.880 --> 12:11.806\n如果尿色改变是指哪些呢？\n\n12:11.806 --> 12:13.731\n比如说出现了血尿、酱色尿，\n\n12:13.731 --> 12:15.181\n那么我们要警惕肾炎，\n\n12:15.330 --> 12:17.830\n这个需要及时就医去明确诊断。\n\n12:19.965 --> 12:24.065\n那么关于我们那个咽炎的预防有哪些呢？\n\n12:25.818 --> 12:28.119\n第一方面要强化我们的屏障，\n\n12:28.119 --> 12:29.268\n还有切断刺激，\n\n12:29.768 --> 12:31.968\n主要是要增强我们的抵抗力，\n\n12:32.318 --> 12:34.768\n一方面是我们要规律作息。\n\n12:35.825 --> 12:37.349\n要保持充足的睡眠。\n\n12:38.372 --> 12:38.572\n嗯，\n\n12:39.223 --> 12:41.922\n要保持每周。\n\n12:42.945 --> 12:43.096\n嗯，\n\n12:43.096 --> 12:44.695\n150分钟左右的锻炼，\n\n12:45.745 --> 12:46.945\n来增强抵抗力。\n\n12:46.945 --> 12:47.320\n同时，\n\n12:47.320 --> 12:48.695\n我们要均衡的营养。\n\n12:49.453 --> 12:52.703\n要补充足够的能量，\n\n12:52.854 --> 12:54.403\n同时要适度锻炼。\n\n12:55.638 --> 12:56.888\n提升我们身体免疫力，\n\n12:57.138 --> 12:57.539\n嗯，\n\n12:57.588 --> 13:00.138\n以此来降低我们这个感染的风险。\n\n13:01.354 --> 13:03.203\n同时我们要避免传染，\n\n13:03.604 --> 13:04.879\n在流行季节的话，\n\n13:04.879 --> 13:06.403\n我们要勤于戴口罩，\n\n13:06.453 --> 13:07.804\n要勤洗手。\n\n13:08.666 --> 13:10.517\n同时要保持室内的通风，\n\n13:11.017 --> 13:12.742\n我们要减少飞沫，\n\n13:12.742 --> 13:14.166\n还有接触传播。\n\n13:15.013 --> 13:16.664\n以此来避免被传染。\n\n13:19.086 --> 13:20.887\n我们要避免刺激，\n\n13:21.086 --> 13:22.512\n那么避免刺激的话，\n\n13:22.512 --> 13:24.187\n主要是一方面要戒烟。\n\n13:24.387 --> 13:28.137\n因为烟雾含有大量的毒素、尼古丁等，\n\n13:28.387 --> 13:30.036\n它会刺激我们的咽喉壁，\n\n13:30.036 --> 13:31.387\n加重我们的咽部症状。\n\n13:31.586 --> 13:32.062\n同时，\n\n13:32.062 --> 13:33.437\n我们要避免接触粉尘。\n\n13:34.192 --> 13:37.291\n因为粉尘会导致我们过敏，\n\n13:37.492 --> 13:39.541\n或者是会刺激我们的咽部，\n\n13:39.992 --> 13:42.392\n同时要避免接触我们的有害气体。\n\n13:43.825 --> 13:44.026\n嗯，\n\n13:44.375 --> 13:46.825\n要保持我们室内的空气湿度，\n\n13:47.276 --> 13:49.776\n以此来减少我们这个咽部的刺激。\n\n13:51.119 --> 13:51.518\n嗯，\n\n13:51.518 --> 13:53.544\n如果说我们有出现症状了，\n\n13:53.544 --> 13:54.669\n需要及时就医。\n\n13:55.268 --> 13:55.619\n嗯，\n\n13:55.619 --> 13:57.268\n有症状的话要及时处理。\n\n13:57.268 --> 13:58.419\n比如说有发热了，\n\n13:58.419 --> 13:59.518\n要及时退热。\n\n14:00.567 --> 14:03.968\n当然要体温大于三十等于三十八度五的时候，\n\n14:04.317 --> 14:08.218\n那么同时我们在就诊的时候要确诊是不是抑菌性感染。\n\n14:08.877 --> 14:11.103\n如果是确诊是面菌感染的话，\n\n14:11.103 --> 14:14.228\n我们要完成全程的抗生素的一个治疗。\n\n14:15.106 --> 14:15.281\n嗯，\n\n14:15.281 --> 14:16.306\n中间不能停药，\n\n14:16.306 --> 14:18.906\n不然的话容易导致残留病菌的复发。\n\n14:19.505 --> 14:21.705\n我们要五有五做三步口诀。\n\n14:22.703 --> 14:24.603\n不做就是要有足量的抗生素，\n\n14:24.603 --> 14:25.703\n如疗程10天，\n\n14:26.052 --> 14:27.203\n要高热补液，\n\n14:27.252 --> 14:28.578\n温盐水漱口，\n\n14:28.578 --> 14:29.752\n及时复诊评估。\n\n14:30.103 --> 14:31.453\n第二是三个不做，\n\n14:31.752 --> 14:33.703\n那么就是不能自行停药，\n\n14:33.903 --> 14:35.752\n不能滥用广谱抗生素。\n\n14:36.679 --> 14:37.754\n不能有龙胎了，\n\n14:37.754 --> 14:38.379\n要硬扛。\n\n14:39.471 --> 14:40.322\n因为硬扛的话，\n\n14:40.322 --> 14:42.322\n可能会导致我们的疾病的加重。\n\n14:42.322 --> 14:42.921\n毕竟，\n\n14:43.072 --> 14:44.796\n咽炎一旦严重了，\n\n14:44.796 --> 14:46.421\n会诱发我们的。\n\n14:47.770 --> 14:48.020\n嗯，\n\n14:48.870 --> 14:49.570\n肾炎，\n\n14:49.770 --> 14:52.870\n还有就是其他的一些并发症。\n\n14:54.380 --> 14:55.330\n急性咽炎呢，\n\n14:55.330 --> 14:56.630\n是我们的一个常见病，\n\n14:56.731 --> 14:58.431\n绝大多数是病毒引起，\n\n14:58.731 --> 15:00.380\n它具有一个自限性。\n\n15:00.630 --> 15:01.056\n那么，\n\n15:01.056 --> 15:02.531\n治疗以对症支持为主，\n\n15:02.531 --> 15:06.481\n关键是在于识别少数需要抗生素治疗的细菌性咽炎，\n\n15:06.580 --> 15:07.681\n以缓解症状，\n\n15:07.931 --> 15:09.481\n缩短病程并预防。\n\n15:10.247 --> 15:12.221\n并预防严重的并发症啊，\n\n15:12.221 --> 15:13.896\n谢谢您的观看。\n\n","v0d47cg10004d7688v2ljht8044hnlm0",923,670,"2026-01-26 13:16:47"," 急性咽炎全景速解：症状、治疗与预防指南  "," 急性咽炎,咽炎症状,咽炎治疗,咽喉疼痛,咽炎预防,呼吸道感染,喉咙发炎  "," 本视频全面解析急性咽炎的病因、典型症状、快速治疗方法及日常预防措施，帮助您科学应对咽喉肿痛问题，并提供实用的家庭护理建议。适合反复咽炎患者及关注呼吸道健康的人群观看。","2026-06-11 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