[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fudFMnjVKNThWZud73zt-2sO3afS_qXytG6sBcd5LGw4":8,"$f_nxDwOCrfsEwyVdF1CuA4CfZKpn5yGHYeUgQPG3OpTA":58,"$fJ8XqhadlBJ9ix-AOn_Aed2qECLZHrpEq72FmypLfzv0":59,"$f8C65-GmbYMD8pBfp--xWOnEmso6GzR67mogfJqpWKvk":63},{"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":57},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":22,"videoTotal":23,"isConcern":7,"title":24,"coverVertical":15,"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":22,"url":56},14396,864050,[],"","陈茂芳",0,"慢性病、心血管，消化道等相关疾病诊疗","上海市静安区曹家渡街道社区卫生服务中心","全科医疗","副主任医师",4,8,"急性上呼吸道感染","https://cdn.yishi-tong.com/console/3/oaNEy0OjzzZyXS8jgooEoXApwT7JpS1A.png",1,"WEBVTT\n\n00:04.149 --> 00:04.999\n大家晚上好。\n\n00:05.780 --> 00:06.405\n现在呢，\n\n00:06.405 --> 00:08.954\n我们一起和大家讨论一个话题，\n\n00:08.954 --> 00:13.779\n是关于急性上呼吸道感染的这个问题。\n\n00:16.025 --> 00:18.850\n感冒就是咱们说的上呼吸道感染，\n\n00:18.850 --> 00:20.375\n就是咱们平时说的感冒，\n\n00:21.125 --> 00:25.426\n那么我们通过几以下几个方面来？\n\n00:26.371 --> 00:27.221\n讨论这个话题，\n\n00:27.221 --> 00:28.221\n第一个是概述，\n\n00:28.670 --> 00:29.871\n第二个是病因，\n\n00:30.221 --> 00:32.421\n第三个是临床表现，\n\n00:32.820 --> 00:34.120\n第四个是诊断，\n\n00:34.421 --> 00:36.520\n第五个是治疗与预防，\n\n00:36.721 --> 00:43.471\n来通过这几个下面的问题来讨论关于急性上呼吸道感染的这个问题。\n\n00:47.286 --> 00:47.562\n首先，\n\n00:47.562 --> 00:48.736\n我们来了解一下，\n\n00:49.036 --> 00:49.411\n嗯，\n\n00:49.411 --> 00:50.486\n什么是感冒？\n\n00:51.036 --> 00:51.637\n那么，\n\n00:51.637 --> 00:56.036\n上呼吸道感染就是咱们说的急性上呼吸道感染。\n\n00:56.137 --> 00:58.911\n它的名称又叫做a URI，\n\n00:58.911 --> 00:59.937\n是一个简称，\n\n01:00.437 --> 01:01.887\n它是指鼻腔。\n\n01:02.909 --> 01:07.609\n咽或者是喉部急性的炎症的盖层，\n\n01:08.058 --> 01:11.109\n它的主要的病原体是病毒，\n\n01:11.609 --> 01:14.109\n少数是由细菌引起。\n\n01:14.658 --> 01:17.708\n常见的类型有普通感冒。\n\n01:18.539 --> 01:24.189\n病毒性咽炎、喉炎、疱疹性咽颊炎等等，\n\n01:24.638 --> 01:29.888\n就是说是主要是病毒引起的那少数都是采细菌引起的。\n\n01:30.338 --> 01:31.713\n那么另外呢，\n\n01:31.713 --> 01:34.738\n咱们来了解一下它的流行病学的特点。\n\n01:35.439 --> 01:35.914\n那么，\n\n01:35.914 --> 01:37.738\n急性上呼吸道感染，\n\n01:37.738 --> 01:42.838\n它的流行病学特点是它全年都可以发病，\n\n01:43.289 --> 01:45.088\n冬季特别多，\n\n01:45.539 --> 01:47.988\n春季也比较多，\n\n01:47.988 --> 01:48.738\n各阶段。\n\n01:48.772 --> 01:48.946\n段，\n\n01:48.946 --> 01:52.372\n其实各每个年龄的阶段都可以发病。\n\n01:53.353 --> 01:55.353\n其实就是一年四季都可以发病，\n\n01:55.353 --> 01:55.853\n但是呢，\n\n01:55.853 --> 01:59.954\n以春和冬这两个季节发病多啊，\n\n01:59.954 --> 02:03.353\n每个年龄阶段男女老少都会发病。\n\n02:03.653 --> 02:04.304\n但是呢，\n\n02:04.304 --> 02:07.153\n以儿童的发病率要比较高。\n\n02:07.554 --> 02:09.279\n那么传播的途径呢，\n\n02:09.279 --> 02:11.503\n以飞沫传播为主，\n\n02:11.854 --> 02:14.654\n也可以通过接触传播。\n\n02:15.104 --> 02:15.753\n所以呢，\n\n02:15.753 --> 02:19.203\n就是空气流通是很重要的。\n\n02:21.451 --> 02:21.975\n第二个呢，\n\n02:21.975 --> 02:24.100\n我们来了解一下它的病因。\n\n02:25.300 --> 02:25.901\n那么，\n\n02:26.251 --> 02:28.050\n急性上呼吸道感染，\n\n02:28.201 --> 02:30.050\n它的常见的病因呢，\n\n02:30.050 --> 02:31.901\n是病毒。\n\n02:32.822 --> 02:33.173\n感染，\n\n02:33.272 --> 02:37.373\n那么常见的病毒的种类包括鼻病毒。\n\n02:38.225 --> 02:44.225\n冠状病毒、流感病毒、副鼻副流感病毒。\n\n02:44.815 --> 02:47.264\n呼吸道合胞病毒存在。\n\n02:48.391 --> 02:49.141\n其中呢，\n\n02:49.141 --> 02:54.591\n鼻病毒是成人普通感冒的主要的病原体，\n\n02:55.042 --> 02:58.042\n大概占30%.50%，\n\n02:58.792 --> 03:01.742\n那么就是刚刚说的这个病毒种类，\n\n03:02.141 --> 03:02.542\n嗯，\n\n03:02.542 --> 03:03.391\n鼻病毒。\n\n03:04.080 --> 03:09.429\n冠状病毒、流感病毒、副流感病毒、呼吸道合胞病毒。\n\n03:11.257 --> 03:17.457\n它是它的病毒的那个发生率是占主要病原体的30%.50%，\n\n03:17.707 --> 03:18.957\n所以是很高的。\n\n03:19.307 --> 03:22.957\n那么它的病理发病机制是什么呢？\n\n03:23.257 --> 03:24.807\n它主要是病毒，\n\n03:25.057 --> 03:29.307\n它可以通过呼吸道的黏膜的表面的受体。\n\n03:30.098 --> 03:36.548\n呼吸道的黏膜的表面的受体吸附并侵入细胞，\n\n03:36.998 --> 03:39.649\n在细胞内复制繁殖，\n\n03:40.149 --> 03:42.598\n导致局部组织损伤，\n\n03:42.899 --> 03:44.798\n引起炎症反应。\n\n03:45.098 --> 03:46.748\n就是比如说一个病毒，\n\n03:46.949 --> 03:48.649\n你这样理解它，\n\n03:48.649 --> 03:55.623\n通过呼吸道鼻子到这个呼吸鼻子的鼻粘膜吸入以后，\n\n03:55.623 --> 03:57.498\n它黏附在鼻粘膜上，\n\n03:57.848 --> 03:58.524\n然后呢，\n\n03:58.524 --> 04:00.348\n它再侵入你鼻粘。\n\n04:00.419 --> 04:01.119\n膜的细胞，\n\n04:01.570 --> 04:05.070\n然后在鼻粘膜细胞里进行复制繁殖，\n\n04:05.619 --> 04:07.119\n然后引起鼻塞，\n\n04:07.320 --> 04:12.570\n就是它的肿鼻塞水肿胀鼻子肿胀鼻就造成鼻塞，\n\n04:13.520 --> 04:14.794\n然后引起发炎，\n\n04:14.794 --> 04:16.570\n然后再引起一系列的反应，\n\n04:16.869 --> 04:20.519\n就是这就是解释白话就是这个意思。\n\n04:21.170 --> 04:22.070\n然后呢，\n\n04:22.070 --> 04:24.220\n我们再来了解刚刚说的是病毒，\n\n04:24.720 --> 04:25.295\n然后呢，\n\n04:25.295 --> 04:29.869\n我们来看一下细菌感染继发细菌感染的情况呢，\n\n04:29.869 --> 04:30.170\n是。\n\n04:30.466 --> 04:32.966\n在病毒感染的基础上，\n\n04:33.265 --> 04:37.290\n机体的免疫力下降的时候呢，\n\n04:37.290 --> 04:39.765\n容易继发细菌感染，\n\n04:40.015 --> 04:50.165\n如流血溶溶血性链球菌、肺炎链球菌、葡萄酒球菌等等。\n\n04:50.515 --> 04:50.915\n嗯，\n\n04:51.665 --> 04:55.466\n包括这个细菌的其实种类是非常的繁多，\n\n04:55.966 --> 04:59.966\n它主要是病毒感染以后身体免疫力下降了。\n\n05:00.432 --> 05:00.707\n所以呢，\n\n05:00.707 --> 05:02.881\n引起了其他的病细菌的感染，\n\n05:02.932 --> 05:08.332\n比如说我们这溶血性链球菌、肺炎链球菌和葡萄球菌。\n\n05:08.582 --> 05:13.432\n因为平时这些细菌在空气中都夹杂的存在，\n\n05:14.381 --> 05:17.282\n所以当你的免疫力下降的时候呢，\n\n05:17.282 --> 05:20.006\n就很容易聚发到，\n\n05:20.006 --> 05:25.032\n就它的细菌就病毒就病毒感染以后，\n\n05:25.032 --> 05:28.332\n就细菌就感染以后就繁殖，\n\n05:28.832 --> 05:29.481\n所以呢，\n\n05:29.481 --> 05:30.131\n病毒。\n\n05:30.432 --> 05:32.332\n而细菌感染的诱因呢，\n\n05:32.332 --> 05:43.182\n是因为过度的疲劳、劳累、受凉、淋雨、气候变化等等因素都可能成为诱因。\n\n05:43.682 --> 05:44.082\n嗯，\n\n05:44.082 --> 05:45.907\n这些因素的这些诱因呢，\n\n05:45.907 --> 05:48.332\n可以诱发机体的防御功能，\n\n05:48.582 --> 05:51.631\n使得细菌趁虚而入。\n\n05:52.231 --> 05:54.381\n这就是细菌感染的一个诱因，\n\n05:54.582 --> 05:56.731\n就是因为在病毒感染以后。\n\n05:57.178 --> 05:57.428\n嗯，\n\n05:57.727 --> 06:01.328\n再加上人的劳累受凉淋雨啊，\n\n06:01.627 --> 06:02.653\n气候变化呀，\n\n06:02.653 --> 06:03.828\n还有包括熬夜呀，\n\n06:03.977 --> 06:04.328\n嗯，\n\n06:04.328 --> 06:05.227\n心情不好啊，\n\n06:05.227 --> 06:06.828\n什么这些都可以是诱因。\n\n06:07.227 --> 06:07.953\n然后呢，\n\n06:07.953 --> 06:09.727\n破坏机械的防御机能，\n\n06:09.877 --> 06:10.928\n那么细菌呢，\n\n06:10.928 --> 06:12.178\n就趁虚而入。\n\n06:17.122 --> 06:19.472\n那我们来看一下它的临床表现。\n\n06:19.822 --> 06:25.872\n急性上呼吸道感染的临床表现是多数患者会出现。\n\n06:27.325 --> 06:29.274\n不同程度的发热，\n\n06:29.625 --> 06:33.174\n一般是低热或者是中度的热，\n\n06:33.524 --> 06:34.975\n少数是高热，\n\n06:35.225 --> 06:38.225\n体温可以达到39°以上，\n\n06:38.524 --> 06:41.424\n发热可以持续一到3天，\n\n06:41.924 --> 06:43.024\n感染以后呢，\n\n06:43.024 --> 06:44.375\n会出现头痛，\n\n06:44.825 --> 06:45.625\n头晕，\n\n06:45.975 --> 06:48.174\n四肢无力等等症状。\n\n06:48.524 --> 06:49.200\n这个呢，\n\n06:49.200 --> 06:51.174\n以机体的免疫系统对。\n\n06:51.990 --> 06:52.240\nCome,\n\n06:52.740 --> 06:53.140\n对。\n\n06:54.411 --> 07:00.161\n抗病原体有关消耗感染以后，\n\n07:00.161 --> 07:05.011\n出现了头痛、头晕、四肢没有力气等等这些情况。\n\n07:05.462 --> 07:06.087\n这个呢，\n\n07:06.087 --> 07:06.886\n这些情况呢，\n\n07:06.886 --> 07:14.361\n和积极的免疫系统对那个病原体的抗病原对抗病原体有关系。\n\n07:14.562 --> 07:15.187\n所以呢，\n\n07:15.187 --> 07:17.812\n会消耗大量的能量物质。\n\n07:18.161 --> 07:20.286\n因为消耗了大量的能量物质，\n\n07:20.286 --> 07:20.761\n所以呢，\n\n07:20.761 --> 07:24.611\n病人会出现头痛、头晕、四肢乏。\n\n07:24.644 --> 07:25.644\n乏力没有力气，\n\n07:25.894 --> 07:26.269\n嗯，\n\n07:26.269 --> 07:29.894\n就是因为他就就是说头痛乏力吧，\n\n07:30.044 --> 07:34.194\n因为它大量的消耗了这个人体的一个能量物质。\n\n07:36.032 --> 07:36.733\n然后呢，\n\n07:36.733 --> 07:38.257\n刚刚我们说的是全身症状，\n\n07:38.257 --> 07:40.333\n一个是发热、头痛、乏力，\n\n07:40.583 --> 07:42.032\n就是全身的症状。\n\n07:42.233 --> 07:42.833\n然后呢，\n\n07:42.833 --> 07:44.933\n我们来了解一下局部的症状。\n\n07:46.718 --> 07:49.919\n鼻部的症状初期呢，\n\n07:49.919 --> 07:53.919\n有鼻部的干燥灼热感，\n\n07:54.169 --> 07:55.019\n随后呢，\n\n07:55.019 --> 07:57.069\n出现打喷嚏流涕。\n\n07:57.669 --> 07:59.669\n初期是清水样，\n\n07:59.968 --> 08:01.894\n那么两到三天以后呢，\n\n08:01.894 --> 08:03.019\n是变稠了，\n\n08:03.169 --> 08:04.618\n可以伴有鼻塞。\n\n08:04.968 --> 08:10.169\n大多是因为鼻粘膜充血肿胀和分泌物增多所致，\n\n08:10.468 --> 08:11.419\n就是鼻塞。\n\n08:11.468 --> 08:13.919\n我们都感冒过鼻塞，\n\n08:14.169 --> 08:15.868\n鼻子那个打喷嚏。\n\n08:16.739 --> 08:20.690\n开始清清洗以后就变稠了，\n\n08:20.739 --> 08:21.940\n以后还会鼻塞，\n\n08:21.940 --> 08:24.690\n还会充血和变脓等等，\n\n08:24.839 --> 08:25.815\n就是鼻塞。\n\n08:25.815 --> 08:26.640\n鼻部症状。\n\n08:26.940 --> 08:27.714\n第二个呢，\n\n08:27.714 --> 08:30.540\n来看一下咽部的症状。\n\n08:30.540 --> 08:34.289\n咽部主要是有咽干咽痒咽痛，\n\n08:34.739 --> 08:35.789\n吞咽时呢，\n\n08:35.789 --> 08:37.090\n疼痛加重。\n\n08:37.489 --> 08:41.390\n检查可见咽部充血水肿，\n\n08:41.690 --> 08:45.789\n扁桃体可有滤泡增生甚至化。\n\n08:45.935 --> 08:47.135\n化脓性的渗出，\n\n08:47.635 --> 08:50.286\n这是那个鼻咽部的症状，\n\n08:50.585 --> 08:53.036\n包括咽干、咽痒、咽痛。\n\n08:53.435 --> 08:54.510\n吞咽时候呢，\n\n08:54.510 --> 08:55.585\n咽痛加重，\n\n08:55.835 --> 08:59.236\n检查可以出现咽部的充血水肿，\n\n08:59.536 --> 09:02.585\n扁桃体可以滤泡增生，\n\n09:02.885 --> 09:05.536\n甚至是化脓性的炎症。\n\n09:05.585 --> 09:08.185\n则渗出是喉咙，\n\n09:08.435 --> 09:09.385\n一个是鼻子，\n\n09:09.385 --> 09:10.986\n一个是一个是鼻部，\n\n09:10.986 --> 09:11.736\n一个是喉咙。\n\n09:11.786 --> 09:13.085\n这是局部的症状，\n\n09:13.236 --> 09:15.685\n全身就是发热头痛。\n\n09:15.940 --> 09:16.340\n法力。\n\n09:17.927 --> 09:18.903\n我们来看一下，\n\n09:18.903 --> 09:21.403\n是诊断首先呢，\n\n09:21.403 --> 09:25.328\n我们要医生对病人的这个病情进行询问，\n\n09:25.627 --> 09:27.627\n进行病史的采集，\n\n09:28.078 --> 09:31.078\n了解患者的起病的时间，\n\n09:31.677 --> 09:32.078\n嗯，\n\n09:32.078 --> 09:34.078\n症状的发展的过程，\n\n09:34.578 --> 09:40.627\n是否有发热、咳嗽咳痰咽痛等等情况，\n\n09:41.127 --> 09:44.627\n以及症状的严重程度等等。\n\n09:44.978 --> 09:46.627\n我们了解一下，\n\n09:46.627 --> 09:47.403\n询问病史，\n\n09:47.403 --> 09:47.927\n了解。\n\n09:48.271 --> 09:49.096\n第二个呢，\n\n09:49.096 --> 09:51.671\n我们要询问一下流行病学史。\n\n09:52.911 --> 09:56.510\n询问近期是否接触过类似的患者，\n\n09:57.010 --> 10:00.710\n所在地区是否有疾病流行等情况，\n\n10:01.111 --> 10:01.710\n这样呢，\n\n10:01.710 --> 10:03.911\n有助于判断这个感染源。\n\n10:04.560 --> 10:06.635\n因为就是我们询问病人时候，\n\n10:06.635 --> 10:12.361\n就是要注意问一下病人的这个近期是不是有接触过类似的患者。\n\n10:12.661 --> 10:13.010\n嗯，\n\n10:13.010 --> 10:15.960\n你所在的地区是不是其他人也有感冒啊？\n\n10:16.210 --> 10:17.010\n这样的话呢，\n\n10:17.010 --> 10:18.560\n我们可以了解一下，\n\n10:18.710 --> 10:20.361\n感染源在什么地方。\n\n10:22.065 --> 10:22.591\n第二个呢，\n\n10:22.591 --> 10:24.116\n是体格检查，\n\n10:24.765 --> 10:29.366\n一般的检查是包括观察患者的一般的状态，\n\n10:29.765 --> 10:31.515\n包括精神状态啊，\n\n10:31.515 --> 10:34.841\n神志等等语言等等，\n\n10:34.841 --> 10:36.866\n反反病人的反应啊。\n\n10:37.216 --> 10:37.841\n另外呢，\n\n10:37.841 --> 10:39.815\n可以测体温，\n\n10:39.866 --> 10:43.815\n可以测呼吸和脉搏等等生命体征。\n\n10:44.315 --> 10:45.065\n第二个呢，\n\n10:45.065 --> 10:46.366\n是局部的检查，\n\n10:46.716 --> 10:49.216\n可以检查鼻腔。\n\n10:49.952 --> 10:56.802\n咽部的部位查看有没有充血肿胀分泌物等异常的情况，\n\n10:57.151 --> 10:59.802\n必要的时候进行肺部的听诊，\n\n11:00.202 --> 11:02.651\n排除下呼吸道感染。\n\n11:03.302 --> 11:08.202\n因为鼻子和喉咙都是有不舒服，\n\n11:08.202 --> 11:08.726\n所以呢，\n\n11:08.726 --> 11:11.202\n我们可以让病人张嘴看一下。\n\n11:11.502 --> 11:11.851\n嗯，\n\n11:11.851 --> 11:13.226\n如果有鼻腔镜的话呢，\n\n11:13.226 --> 11:13.827\n可以看一下，\n\n11:13.827 --> 11:18.901\n也可以打撑开来看一下有没有充血肿胀和分泌物等异常。\n\n11:19.502 --> 11:20.151\n另外呢。\n\n11:20.195 --> 11:22.945\n还要可以进行肺部的听诊，\n\n11:22.945 --> 11:26.995\n排除一下下呼吸道感染的情况。\n\n11:29.215 --> 11:29.440\n嗯，\n\n11:29.440 --> 11:32.614\n然后我们来了解一下预治疗预防。\n\n11:34.120 --> 11:37.671\n治疗的原则是首先是对症治疗，\n\n11:38.221 --> 11:43.020\n根据患者的不同的症状给予相应的处理，\n\n11:43.320 --> 11:47.520\n比如发热可以使用解热镇痛类药物，\n\n11:47.770 --> 11:50.471\n咳嗽可以给止咳药物，\n\n11:50.671 --> 11:54.770\n对于轻症的患者一般不需要使用抗生素。\n\n11:55.370 --> 11:57.096\n那么抗感染治疗呢？\n\n11:57.096 --> 11:58.421\n如果有的病人呢，\n\n11:58.520 --> 12:00.320\n是什么样情况下使用呢？\n\n12:00.620 --> 12:04.020\n如果是有的病人有细菌感染的证据就是。\n\n12:04.125 --> 12:05.926\n经过血常规的检查，\n\n12:06.426 --> 12:14.026\n可以根据敏感的实验结果选择合适的抗生素进行治疗。\n\n12:14.948 --> 12:18.749\n这是那个对症治疗和抗感染治疗，\n\n12:19.398 --> 12:22.948\n那么我们再来了解一下预防的措施。\n\n12:24.213 --> 12:24.888\n首先，\n\n12:24.888 --> 12:27.562\n我们要增强自身的免疫力，\n\n12:27.913 --> 12:30.763\n保持良好的生活习惯，\n\n12:31.112 --> 12:33.062\n如作息规律，\n\n12:33.062 --> 12:35.562\n作息合理的饮食，\n\n12:35.963 --> 12:37.413\n适量的运动，\n\n12:37.663 --> 12:40.112\n提高机体的免疫力。\n\n12:40.562 --> 12:42.413\n这是提高免疫力方面。\n\n12:42.612 --> 12:45.612\n第二是预防感染传播，\n\n12:46.163 --> 12:46.987\n首先呢，\n\n12:46.987 --> 12:48.763\n是要注重个人卫生，\n\n12:49.013 --> 12:50.062\n勤洗手，\n\n12:50.362 --> 12:53.263\n避免前往人员密集的场所。\n\n12:53.994 --> 12:55.193\n必须要必要时候呢，\n\n12:55.193 --> 12:58.794\n戴口罩减少交叉感染的机会，\n\n12:59.143 --> 13:01.643\n就是预防传感染的传播。\n\n13:02.693 --> 13:03.093\n嗯，\n\n13:03.093 --> 13:03.818\n另外呢，\n\n13:03.818 --> 13:08.843\n其实我们还可以通过那个接种疫苗，\n\n13:09.193 --> 13:13.143\n就是让病人增加群体的免疫力，\n\n13:13.294 --> 13:14.093\n这样呢，\n\n13:14.294 --> 13:18.119\n可以让病人得到更好的免疫，\n\n13:18.119 --> 13:24.143\n提前就是增强就减少他的那个感染的病毒的发。\n\n13:24.239 --> 13:24.539\n发生。\n\n13:31.671 --> 13:35.872\n我们刚刚讲的是我们来回顾一下刚才的这个话题，\n\n13:36.271 --> 13:40.072\n因为急性上呼吸道感染是我们常见的这个一个问题，\n\n13:40.421 --> 13:41.171\n所以呢，\n\n13:41.171 --> 13:44.221\n我们是一个是很重要的一个问题。\n\n13:44.622 --> 13:46.921\n虽然我们每个人都得过感冒，\n\n13:46.921 --> 13:47.447\n但是呢，\n\n13:47.447 --> 13:48.247\n我们今天呢，\n\n13:48.247 --> 13:49.846\n从这下面几个方面呢，\n\n13:49.846 --> 13:53.021\n对上呼吸道感染进行了概述，\n\n13:53.622 --> 13:54.021\n嗯，\n\n13:54.221 --> 14:01.872\n就是病因、临床表现以及怎样的诊断和治疗与预防等等进行。\n\n14:01.924 --> 14:04.023\n的这个分析，\n\n14:04.924 --> 14:12.723\n我们首先是知道它的既定义流行病学的特点，\n\n14:13.424 --> 14:15.874\n以及它的病因，\n\n14:15.874 --> 14:19.348\n以及它的那个一个是病因，\n\n14:19.348 --> 14:20.773\n就是咱们说的是病，\n\n14:20.773 --> 14:26.973\n多数是病毒感染和那个合并的这个少数是细菌感染以及并发细菌感染。\n\n14:27.424 --> 14:28.148\n另外呢，\n\n14:28.148 --> 14:30.174\n就是它的临床表现，\n\n14:30.523 --> 14:31.874\n包括全身的。\n\n14:31.940 --> 14:33.065\n症状，\n\n14:33.065 --> 14:33.640\n发热，\n\n14:33.690 --> 14:34.340\n头痛，\n\n14:34.340 --> 14:34.989\n乏力，\n\n14:35.239 --> 14:36.265\n还有就是呢，\n\n14:36.265 --> 14:37.114\n局部的症状，\n\n14:37.114 --> 14:39.190\n包括鼻部的症状，\n\n14:39.390 --> 14:41.065\n咽部的症状等等，\n\n14:41.065 --> 14:43.739\n进行那个判断。\n\n14:43.989 --> 14:49.289\n然后通过这个他的这个这个临床表现，\n\n14:49.390 --> 14:52.440\n我们可以得到了这个病史，\n\n14:52.789 --> 14:54.739\n然后分析他的流行病学，\n\n14:55.140 --> 14:57.539\n然后对对他进行体格检查，\n\n14:57.989 --> 14:59.640\n然后对他们进行诊断，\n\n14:59.789 --> 15:01.190\n预防好。\n\n15:01.932 --> 15:03.007\n今天我的话题呢，\n\n15:03.007 --> 15:03.682\n就到这里，\n\n15:03.682 --> 15:07.882\n谢谢大家的这个聆听与观看。\n\n15:08.432 --> 15:08.807\n嗯，\n\n15:08.807 --> 15:10.132\n感谢大家。\n\n","v0347cg10004d767ppiljht8r19cubgg",918,562,"2026-01-27 00:02:48","急性上呼吸道感染症状与治疗 | 专业医学指南  ","急性上呼吸道感染,感冒症状,病毒性咽炎,扁桃体炎治疗,呼吸道感染预防  ","了解急性上呼吸道感染（如感冒、咽炎、扁桃体炎）的典型症状、病因及科学治疗方法，包含家庭护理建议和就医时机判断，帮助您快速康复并预防并发症。","2026-06-11 14:31:23",[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":15,"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,"https://vod.haohuanjiao.com/huanjiao/specialistVideo/864050/a4370406-51fe-422e-be67-cd4673d65699.tmp?a=0&auth_key=1789013495-965177fe291c41b08b7b557bee9f7906-0-fd9ed0cfe938480c4318a3eacd5b7400&br=368&bt=368&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0347cg10004d767ppiljht8r19cubgg&er=0&l=20260811015618A22B4A62FE6365F8A0D6&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=amVmNDtrb3M6OjczNGY3M0Apang8dXdtbHM5ZzMzajo2eWdkcjZvcWdmbTNhLS1kNDBzc2RfYC41ZWltNDQxLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":56,"message":6,"data":6,"success":57},{"code":9,"msg":10,"message":6,"data":60,"success":57},{"pageNo":26,"pageSize":61,"result":62,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":64,"success":57},{"authors":65,"appraiseDimensionScoresVos":66},[],[]]