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--> 00:00.259\n嗯，\n\n00:00.259 --> 00:01.159\n各位老师好，\n\n00:01.159 --> 00:03.459\n我是来自奉贤区凤城医院的，\n\n00:03.559 --> 00:04.859\n今天给大家。\n\n00:05.604 --> 00:07.653\n就是共同学习一下一个农民费。\n\n00:09.340 --> 00:10.390\n农民费的。\n\n00:11.171 --> 00:17.822\n疾病概述、病因、发病机制、流行病学、临床表现和诊断、鉴别诊断。\n\n00:18.451 --> 00:18.951\n一个字。\n\n00:19.784 --> 00:21.884\n治疗预防病案分析之类的啊。\n\n00:22.850 --> 00:27.049\n首先我们农民肺实际上是一个职业性的肺病。\n\n00:27.399 --> 00:28.299\n农民肺。\n\n00:29.313 --> 00:33.263\n它的定义就是外源外源性的过敏性肺泡炎。\n\n00:34.641 --> 00:36.341\n就是一个过敏性的肺炎，\n\n00:36.541 --> 00:42.041\n农民肺的病因就是吸入霉变的植物粉尘中的抗原物质。\n\n00:43.925 --> 00:46.576\n我们历史和研究的进展啊。\n\n00:47.363 --> 00:50.414\n这一首次描述的时间是1932年。\n\n00:50.763 --> 00:54.214\n发病率的变化就是农民机械化后，\n\n00:54.214 --> 00:56.113\n发达国家发病率在下降。\n\n00:56.414 --> 01:01.813\n研究的进展包括免疫机制、诊断技术和治疗方法的改进。\n\n01:05.022 --> 01:05.272\n嗯，\n\n01:05.272 --> 01:09.171\n病因和发病机制首先我们看看病因啊。\n\n01:09.421 --> 01:10.571\n病因的分析，\n\n01:11.022 --> 01:15.321\n主要抗原就是一个嗜热的放线。\n\n01:15.321 --> 01:21.772\n放线菌曲霉菌常见的来源就是霉变的稻谷、谷物和甘草。\n\n01:22.491 --> 01:23.291\n暴露的环境，\n\n01:23.291 --> 01:25.092\n潮湿温暖环境，\n\n01:25.342 --> 01:26.842\n潮湿温暖的环境，\n\n01:27.141 --> 01:28.391\n那发病机制。\n\n01:29.152 --> 01:30.552\n超敏反应的类型。\n\n01:31.440 --> 01:33.739\n三型和4型的超敏反应。\n\n01:34.428 --> 01:36.828\n免疫机制激活抗原进入了肺泡，\n\n01:37.127 --> 01:38.828\n激活了免疫细胞。\n\n01:39.987 --> 01:44.237\n病理结果就是炎症和肉芽组织肉芽肿的形成。\n\n01:45.379 --> 01:46.330\n病理变化，\n\n01:46.379 --> 01:49.379\n急性期的病理变化就是肺泡壁的炎症，\n\n01:49.629 --> 01:51.230\n淋巴细胞的浸润。\n\n01:52.047 --> 01:54.697\n慢性气的变化就是一个肺纤维化，\n\n01:54.748 --> 01:55.547\n蜂窝肺。\n\n01:56.300 --> 02:00.150\n那诊断依据主要结结合临床的表现和影像学。\n\n02:01.852 --> 02:07.928\n你的流行病学就是发病率和高危的人群那发病率的差异。\n\n02:08.078 --> 02:11.378\n发病率发达国家是0.5%.3%，\n\n02:11.677 --> 02:14.677\n那发展中的国家就5%.10%了。\n\n02:15.205 --> 02:17.205\n那高危职业就是一个农民，\n\n02:17.205 --> 02:18.305\n谷物的加工，\n\n02:18.606 --> 02:20.305\n畜牧业的从业者。\n\n02:21.451 --> 02:23.175\n与农民机械化相关，\n\n02:23.576 --> 02:25.501\n农业机械化的程度低，\n\n02:25.501 --> 02:26.725\n就发病率高。\n\n02:27.854 --> 02:30.104\n还有一个就是地区分布和原因啊，\n\n02:30.253 --> 02:32.604\n那高发的地区就是中国的南方，\n\n02:33.003 --> 02:36.304\n像印度等气候潮湿、农业发达地区。\n\n02:37.207 --> 02:37.832\n那原因呢，\n\n02:37.832 --> 02:39.233\n就是有个气候条件，\n\n02:39.233 --> 02:41.557\n农业的习惯和防护意识的不足。\n\n02:43.285 --> 02:44.686\n是一个季节性的发病，\n\n02:44.686 --> 02:47.485\n就是雨季和收购季节发病率比较高。\n\n02:49.291 --> 02:49.666\n首先，\n\n02:49.666 --> 02:51.091\n我们看看临床表现啊，\n\n02:51.091 --> 02:53.341\n急性期的临床症状和体征。\n\n02:54.160 --> 02:54.585\n发热，\n\n02:54.585 --> 02:55.210\n咳嗽。\n\n02:56.052 --> 02:58.501\n就暴露后就4.8小时就发病了。\n\n02:59.218 --> 03:00.067\n呼吸困难，\n\n03:00.067 --> 03:00.768\n有呼吸，\n\n03:00.917 --> 03:03.268\n其中有肺部的湿罗音发干。\n\n03:04.192 --> 03:04.742\n乏力。\n\n03:05.516 --> 03:06.166\n就是暴露，\n\n03:06.216 --> 03:08.266\n脱离暴露后就可以缓解。\n\n03:09.835 --> 03:12.009\n慢性期的症状和体征有，\n\n03:12.009 --> 03:14.835\n慢性咳嗽、进行性的呼吸困难。\n\n03:15.611 --> 03:19.611\n体重下降、杵状指、肺纤维化的体征。\n\n03:20.524 --> 03:21.574\n那影像学表现，\n\n03:22.223 --> 03:24.973\n急性期磨玻璃样的改变小的结节影，\n\n03:25.274 --> 03:27.524\n慢性期就是一个蜂窝肺，\n\n03:27.623 --> 03:28.623\n肺纤维化。\n\n03:30.975 --> 03:32.125\n并并发症，\n\n03:32.375 --> 03:34.774\n并发症就是常见的这个肺纤维化，\n\n03:34.774 --> 03:36.375\n严重的影响了肺功能。\n\n03:37.302 --> 03:41.251\n还有一个就是呼吸衰竭导致患者死亡的主要原因。\n\n03:42.020 --> 03:44.395\n第三就一个肺动脉高压啊，\n\n03:44.395 --> 03:45.820\n也是并发症之一。\n\n03:46.820 --> 03:48.369\n诊断和鉴别诊断。\n\n03:49.714 --> 03:51.065\n诊断和鉴别诊断啊，\n\n03:51.065 --> 03:53.164\n我们就是临床表现。\n\n03:54.007 --> 03:55.057\n有一个暴露史，\n\n03:55.207 --> 03:56.557\n症状、体征，\n\n03:56.608 --> 03:58.858\n影像学表现，\n\n03:58.858 --> 04:00.408\nCT有特征性的表现。\n\n04:01.158 --> 04:02.408\n实验室的检查，\n\n04:02.658 --> 04:06.007\n我有血清特异性的抗体F分析。\n\n04:09.462 --> 04:12.611\n鉴别诊断我们就一个监测性的肺病。\n\n04:13.582 --> 04:13.882\n嗯。\n\n04:14.899 --> 04:15.899\n间质性的肺病，\n\n04:15.899 --> 04:19.399\n还有一个特发性的肺纤维化结节病。\n\n04:20.220 --> 04:20.445\n嗯，\n\n04:20.445 --> 04:21.769\n病史结合检查，\n\n04:21.820 --> 04:24.920\n需要结合病史、影像学和实验室的检查。\n\n04:25.709 --> 04:26.984\n诊断工具，\n\n04:26.984 --> 04:30.160\nCT就高封闭的CT是一个重要的工具，\n\n04:30.559 --> 04:31.959\n肺功能的测定，\n\n04:32.209 --> 04:34.809\n它是可以评估疾病的严重程度。\n\n04:35.579 --> 04:38.380\n还有一个分析就是零发比例的分析啊。\n\n04:39.959 --> 04:41.209\n治疗和预后。\n\n04:42.161 --> 04:43.861\n首先说一个治疗原则。\n\n04:44.712 --> 04:45.337\n治疗原则，\n\n04:45.337 --> 04:45.636\n第一，\n\n04:45.636 --> 04:47.736\n首先要脱离过敏源啊，\n\n04:47.736 --> 04:49.962\n避免接触霉变的植物粉尘。\n\n04:50.890 --> 04:52.339\n第二就是药物治疗，\n\n04:52.739 --> 04:56.589\n药物治疗我们常见就是糖皮质激素治疗和免疫抑制治疗。\n\n04:57.324 --> 04:58.473\n第三个就是氧疗，\n\n04:59.223 --> 05:00.973\n改善他的低氧血症。\n\n05:02.406 --> 05:02.680\n嗯，\n\n05:02.680 --> 05:03.506\n药物治疗，\n\n05:03.506 --> 05:05.230\n我们首先一个糖皮质激素，\n\n05:05.230 --> 05:06.156\n像泼尼松，\n\n05:06.506 --> 05:08.305\n就是一个急性期的治疗。\n\n05:09.063 --> 05:11.063\n免疫抑制治疗就环磷酰胺，\n\n05:11.164 --> 05:13.514\n就像这种难治性的病例。\n\n05:15.342 --> 05:16.592\n氧疗和康复，\n\n05:17.092 --> 05:19.391\n氧疗可以改善生活质量，\n\n05:19.791 --> 05:21.291\n延长生存期，\n\n05:21.842 --> 05:24.641\n康复一个肺功能的康复训练。\n\n05:25.291 --> 05:26.842\n包括营养支持治疗。\n\n05:30.187 --> 05:30.488\n嗯。\n\n05:31.730 --> 05:33.279\n还有一个就是预防。\n\n05:33.980 --> 05:35.380\n预防与控制。\n\n05:36.372 --> 05:39.522\n首先就是改善工作环境。\n\n05:40.794 --> 05:43.644\n通过通风防尘措施，\n\n05:44.243 --> 05:46.394\n机械化的收割啊，\n\n05:46.394 --> 05:48.093\n失业湿湿事，\n\n05:48.093 --> 05:48.944\n作业降尘。\n\n05:50.082 --> 05:51.082\n改善环境。\n\n05:52.066 --> 05:53.665\n环境的改善的效果有效，\n\n05:53.665 --> 05:56.415\n可以减少霉变植物粉尘的暴露。\n\n05:57.059 --> 05:58.010\n农业机械化。\n\n05:58.791 --> 06:01.516\n所以发达国家农民的肺发病率低，\n\n06:01.516 --> 06:02.992\n我们就要农业机械化。\n\n06:04.376 --> 06:05.226\n个人防护，\n\n06:05.425 --> 06:07.425\n一个就是口罩防护服，\n\n06:07.726 --> 06:10.825\nN九五的口罩防尘服的保护。\n\n06:11.769 --> 06:11.994\n嗯，\n\n06:11.994 --> 06:13.269\n还有一个防护的效果，\n\n06:13.269 --> 06:14.320\n正确佩戴。\n\n06:15.075 --> 06:18.026\n才能有效的显著降低发病的风险。\n\n06:18.962 --> 06:19.911\n健康教育。\n\n06:20.704 --> 06:21.878\n提高防护意识，\n\n06:21.878 --> 06:23.604\n减少农民的肺发生。\n\n06:26.122 --> 06:28.497\n首先接下来我们看看一个病例分析，\n\n06:28.847 --> 06:30.398\n急性的农民肺的。\n\n06:31.647 --> 06:32.196\n案例。\n\n06:33.510 --> 06:34.535\n一个患者的信息，\n\n06:34.535 --> 06:35.459\n患者男性，\n\n06:35.510 --> 06:36.410\n45岁。\n\n06:37.179 --> 06:39.579\n收割谷物后的发病诊断，\n\n06:39.579 --> 06:42.730\n一期血清抗体阳性，\n\n06:42.730 --> 06:44.679\nCT提示磨玻璃样的改变。\n\n06:45.678 --> 06:45.953\n嗯，\n\n06:45.953 --> 06:47.053\n治疗效果啊，\n\n06:47.053 --> 06:49.578\n治疗效果就是糖皮质激素治疗以后，\n\n06:49.578 --> 06:51.078\n症状明显的改善了。\n\n06:53.236 --> 06:55.036\n慢性农民肺的案例。\n\n06:56.161 --> 06:57.236\n患者女性，\n\n06:57.236 --> 06:57.911\n50岁，\n\n06:58.212 --> 07:00.361\n长期接触霉变的稻草。\n\n07:01.040 --> 07:03.339\n诊断依据CT提示肺纤维化。\n\n07:04.052 --> 07:06.302\n血项就是一个淋巴细胞的增高。\n\n07:07.714 --> 07:08.714\n治疗的方案，\n\n07:08.714 --> 07:11.765\n我们就是一个长期的氧疗和肺功能的训练，\n\n07:11.765 --> 07:12.714\n康复训练。\n\n07:13.794 --> 07:14.093\n嗯，\n\n07:14.544 --> 07:15.093\n第三，\n\n07:15.093 --> 07:17.044\n我们看看一个误诊的病例分析，\n\n07:17.644 --> 07:18.618\n患者男性，\n\n07:18.618 --> 07:19.294\n60岁。\n\n07:20.115 --> 07:22.115\n误诊为特发性的肺纤维化。\n\n07:23.505 --> 07:25.480\n接下来还是一个F，\n\n07:25.579 --> 07:28.730\n就是确诊了农民肺经验训。\n\n07:28.829 --> 07:32.980\n经验的教训就是要详细询问暴露史的重要性。\n\n07:37.053 --> 07:37.604\n预防。\n\n07:39.097 --> 07:40.697\n预防措施的效果，\n\n07:41.697 --> 07:43.148\n常见预防措施，\n\n07:43.548 --> 07:45.597\n健康教育、个人防护。\n\n07:46.514 --> 07:47.664\n那效果显示。\n\n07:48.858 --> 07:49.683\n效果显示，\n\n07:49.683 --> 07:52.458\n就某农村庄发病率显著的下降。\n\n07:53.148 --> 07:55.298\n关键数据发病率显著的下降。\n\n07:58.372 --> 08:01.296\n是个我们一个总结和答疑总结的要点啊，\n\n08:01.296 --> 08:03.171\n总结的要点我们就是一个。\n\n08:04.953 --> 08:07.303\n农民肺是可以预防的疾病。\n\n08:08.221 --> 08:09.372\n农民费属于。\n\n08:10.167 --> 08:12.118\n职业性的肺病可以预防。\n\n08:13.863 --> 08:17.537\n早期诊断治疗就非常的重要。\n\n08:17.537 --> 08:19.613\n早期诊断和治疗对农民一辈子。\n\n08:20.403 --> 08:20.553\n嗯，\n\n08:20.553 --> 08:21.854\n所以至关重要的。\n\n08:22.511 --> 08:23.911\n还有一个预防措施的有效，\n\n08:23.911 --> 08:25.812\n通过健康教育和防护，\n\n08:26.011 --> 08:27.661\n发病率显著的下降。\n\n08:29.378 --> 08:30.428\n答疑环节啊，\n\n08:30.428 --> 08:35.078\n答疑就是针对农民肺的病因症状进行。\n\n08:36.062 --> 08:36.361\n嗯，\n\n08:36.361 --> 08:36.762\n就。\n\n08:39.791 --> 08:42.241\n分还可以分享一下我们治疗经验，\n\n08:42.541 --> 08:44.291\n我们最主要是要照这种。\n\n08:45.218 --> 08:45.518\n嗯，\n\n08:45.768 --> 08:48.218\n农民会实际上还是比较常见的，\n\n08:48.218 --> 08:51.367\n特别这种农业技术不发达的地方，\n\n08:51.718 --> 08:52.518\n一个是。\n\n08:53.328 --> 08:54.177\n收割的季节，\n\n08:54.478 --> 08:55.752\n环境比较潮湿，\n\n08:55.752 --> 08:56.552\n霉变了。\n\n08:56.552 --> 08:59.328\n这种稻谷的霉变就是。\n\n09:01.177 --> 09:04.028\n这种这种农民都基本上没有防护意识，\n\n09:04.228 --> 09:04.653\n对吧，\n\n09:04.653 --> 09:06.302\n基本上都不是戴口罩呀，\n\n09:06.302 --> 09:11.278\n防护都都都没有没有有效的戴N九五的口罩防护服的弄那个。\n\n09:12.406 --> 09:12.956\n基本上，\n\n09:12.956 --> 09:14.856\n而且这稻谷都是雨季啊，\n\n09:14.856 --> 09:17.057\n这种防霉了都在都在那个。\n\n09:17.729 --> 09:20.929\n所以这种农民费就是一个职业病嘛。\n\n09:21.635 --> 09:21.786\n还，\n\n09:21.786 --> 09:22.236\n还是。\n\n09:24.617 --> 09:27.218\n农村偏远的地方还是比较常见的。\n\n09:28.510 --> 09:31.359\n那最最主要的还是一个早期的发现。\n\n09:32.237 --> 09:33.013\n早期的发现，\n\n09:33.013 --> 09:34.437\n我们最主要还是通过一个。\n\n09:35.935 --> 09:38.385\n一个病病原学的调查，\n\n09:38.585 --> 09:40.385\n病史的详细询问，\n\n09:40.685 --> 09:42.385\n那么患者的有症状急，\n\n09:42.385 --> 09:43.736\n特别是急性期的，\n\n09:43.885 --> 09:46.536\n急性期像肺CT就可以明确的诊断。\n\n09:47.168 --> 09:48.442\n一个磨玻璃样的改变，\n\n09:48.442 --> 09:49.218\n小结节，\n\n09:49.268 --> 09:51.317\n小结节影对吧？\n\n09:51.768 --> 09:52.643\n在慢性期，\n\n09:52.643 --> 09:56.317\n我们就可以明显的就是一个蜂窝肺和肺纤维化。\n\n09:56.953 --> 10:00.054\n特别就是我们要肺纤维化了，\n\n10:00.153 --> 10:03.203\n它就影响了肺的呼吸功能。\n\n10:04.268 --> 10:05.692\n就会出现呼吸衰竭。\n\n10:05.692 --> 10:07.918\n导致患者死亡的一个主要原因。\n\n10:08.523 --> 10:11.273\n常见的还有一个并发症就是肺动脉高压。\n\n10:13.461 --> 10:15.461\n最主要还是一个鉴别诊断。\n\n10:16.549 --> 10:22.349\n鉴别诊断他们我们常规的实验室检查里就是一个特异性的抗体。\n\n10:23.614 --> 10:26.664\n一个抗四热放线菌的抗体，\n\n10:26.713 --> 10:28.013\n还有一个淋巴细胞，\n\n10:28.364 --> 10:28.838\n对吧？\n\n10:28.838 --> 10:30.114\n大于40%。\n\n10:30.828 --> 10:31.427\n鉴别诊断，\n\n10:31.427 --> 10:33.228\n我们就是一个监测性的肺病。\n\n10:34.059 --> 10:35.434\n因为它也是个肺纤维化，\n\n10:35.434 --> 10:37.210\n我们都是一个肺结节病，\n\n10:37.210 --> 10:38.609\n怎么怎么来鉴别？\n\n10:39.455 --> 10:40.406\n最佳通过。\n\n10:41.236 --> 10:42.286\n结合他的病史，\n\n10:42.536 --> 10:46.335\n像这种都是一般有接触这种农业操作的，\n\n10:46.335 --> 10:49.861\n这种接触霉变的这种稻谷啊，\n\n10:49.861 --> 10:50.536\n谷物的。\n\n10:51.216 --> 10:54.815\n农业操作的这种农民就是很典型的病史。\n\n10:58.286 --> 10:59.236\n诊断的工具，\n\n10:59.236 --> 11:01.586\n我们最常见的就是一个肺CT。\n\n11:02.468 --> 11:03.869\n还有一个肺功能测定呢，\n\n11:03.869 --> 11:05.744\n我们最主要还是预防一下，\n\n11:05.794 --> 11:08.943\n就是评估一下它的严重程度啊，\n\n11:08.943 --> 11:09.994\n看看慢性，\n\n11:09.994 --> 11:11.443\n特别是慢性的这种。\n\n11:12.440 --> 11:13.989\n慢性的职业农民。\n\n11:13.989 --> 11:14.739\n农民肺。\n\n11:15.562 --> 11:15.986\n对吧，\n\n11:15.986 --> 11:17.861\n他的他的肺功能。\n\n11:19.000 --> 11:22.224\n肺功能长期长期这种慢性的这种病人，\n\n11:22.224 --> 11:26.700\n还是要还是要长期的氧疗来改善他的。\n\n11:27.526 --> 11:28.726\n改善他的那个。\n\n11:29.924 --> 11:30.924\n改善他的那个，\n\n11:31.374 --> 11:31.773\n嗯。\n\n11:33.322 --> 11:36.021\n患者的生活质量条件对吧，\n\n11:36.021 --> 11:39.122\n还有个通过延长它的生存期，\n\n11:39.971 --> 11:41.771\n我们还有一个就是一个康复。\n\n11:42.710 --> 11:45.934\n最常见的一个肺功能的康复训练啊，\n\n11:45.934 --> 11:47.760\n长期的营养支持治疗。\n\n11:52.453 --> 11:52.953\n其次，\n\n11:52.953 --> 11:55.354\n我们要改善患者的工作环境，\n\n11:55.703 --> 11:56.953\n要避免接触，\n\n11:57.004 --> 11:57.604\n对吧？\n\n11:57.604 --> 11:59.153\n降低实施作业的。\n\n12:00.098 --> 12:00.997\n降尘啊，\n\n12:01.297 --> 12:04.197\n那么有效减少霉变和粉尘的暴露。\n\n12:05.418 --> 12:05.718\n嗯。\n\n12:06.581 --> 12:09.031\n特别减少肺疾病的发生。\n\n12:10.169 --> 12:10.469\n嗯。\n\n12:11.690 --> 12:12.140\n那么。\n\n12:12.856 --> 12:14.606\n操作中我们就是一个防护，\n\n12:14.856 --> 12:16.531\n有条件的就创造条件，\n\n12:16.531 --> 12:19.181\n就是N95的口罩的防护，\n\n12:19.181 --> 12:20.455\n防尘服的保护。\n\n12:21.107 --> 12:24.958\n而且要正确的佩戴N95的口罩啊，\n\n12:25.658 --> 12:27.132\n健康教育很重要，\n\n12:27.132 --> 12:29.408\n就是提高患者意识，\n\n12:29.408 --> 12:30.757\n减少农民病的发生。\n\n12:33.005 --> 12:33.306\n嗯，\n\n12:33.705 --> 12:36.505\n像这种病还是要长期的正规的治疗，\n\n12:36.755 --> 12:38.505\n特别这种慢性病的治，\n\n12:38.556 --> 12:41.005\n慢性病的治疗就是啊。\n\n12:42.138 --> 12:43.288\n我增加免疫力嘛，\n\n12:43.288 --> 12:46.288\n免疫抑制治疗特别难治性的这种，\n\n12:46.588 --> 12:49.187\n但是像我们这种一线城市基本上很少，\n\n12:49.388 --> 12:52.088\n就是偏远的地区会比较多一点啊，\n\n12:52.588 --> 12:55.062\n就是还是提高患者的生活质量啊。\n\n12:55.062 --> 12:57.388\n首先要脱离过敏源啊，\n\n12:57.388 --> 13:00.088\n积极的配合药物治疗后期。\n\n13:00.989 --> 13:02.190\n后期要配服的，\n\n13:02.190 --> 13:05.590\n这种配合配合氧疗呀，\n\n13:06.190 --> 13:08.340\n提高患者的生活质量啊。\n\n13:09.135 --> 13:10.361\n你这种慢性期的，\n\n13:10.361 --> 13:12.986\n我们只能说提高提高他的生。\n\n13:13.892 --> 13:14.791\n提高生活质量，\n\n13:14.791 --> 13:17.216\n延长它的生存期啊，\n\n13:17.216 --> 13:18.466\n加强功能锻炼，\n\n13:18.466 --> 13:19.392\n康复训练。\n\n13:20.252 --> 13:20.401\n嗯，\n\n13:20.401 --> 13:22.601\n现在康复训练还是蛮蛮那个的，\n\n13:22.651 --> 13:23.752\n还是蛮多的。\n\n13:24.611 --> 13:25.812\n营养支持治疗。\n\n13:28.481 --> 13:31.331\n所以所以说最主要最主要还是要避免啊，\n\n13:31.331 --> 13:33.632\n首先我们要避免加强健康教育，\n\n13:33.632 --> 13:35.406\n避免患者的这种接触，\n\n13:35.406 --> 13:36.531\n接触这种人。\n\n13:37.179 --> 13:38.130\n接触的环境。\n\n13:38.955 --> 13:40.656\n脱离过敏源啊，\n\n13:41.106 --> 13:44.106\n其次急性期我们要积极的配合治疗，\n\n13:44.306 --> 13:45.406\n明确诊断。\n\n13:45.656 --> 13:47.356\n急性期的激素治疗，\n\n13:47.356 --> 13:48.705\n免疫制剂的治疗，\n\n13:49.156 --> 13:50.606\n提高患者的生存，\n\n13:50.606 --> 13:51.755\n提高患者的。\n\n13:52.385 --> 13:54.286\n提高改善患者的生存质量，\n\n13:54.286 --> 13:55.935\n延长生存期啊。\n\n13:58.885 --> 13:59.760\n就觉还是现在，\n\n13:59.760 --> 14:02.060\n不过农村里面机械化操作也多了，\n\n14:02.060 --> 14:08.536\n这种农民肺的发病率还是还是较较比较以前就明显的明显的有下降了。\n\n14:10.133 --> 14:11.984\n机械化操作就是还有一个嘛，\n\n14:11.984 --> 14:13.133\n就是没变的东西。\n\n14:14.179 --> 14:15.804\n鱼变的粉尘暴露，\n\n14:15.804 --> 14:18.179\n接触还要还是要要少接触。\n\n14:19.013 --> 14:19.314\n嗯。\n\n14:20.263 --> 14:22.064\n潮湿的环境都有脚劲，\n\n14:22.064 --> 14:27.013\n潮湿暖和的环境都会都是导致这个农民会发生的。\n\n14:27.635 --> 14:28.286\n主要因素。\n\n14:31.307 --> 14:33.557\n最主要还是要做健康教育啊，\n\n14:33.557 --> 14:34.656\n我们我们这边。\n\n14:35.901 --> 14:36.351\n这边。\n\n14:38.054 --> 14:41.403\n我们这边中国的南方还是比以前好很多了。\n\n14:44.112 --> 14:46.213\n基本基本上都是机械化操作。\n\n14:49.911 --> 14:50.210\n嗯，\n\n14:50.210 --> 14:51.411\n像急性期的话，\n\n14:51.411 --> 14:53.960\n有发热、咳嗽、呼吸困难，\n\n14:54.210 --> 14:55.460\n有乏力的症状。\n\n14:55.460 --> 14:57.486\n我们急性期的患者，\n\n14:57.486 --> 14:59.861\n还是我们要早期的治疗，\n\n15:00.060 --> 15:02.260\n就一定要脱离暴露的部位，\n\n15:02.710 --> 15:03.085\n对吧，\n\n15:03.085 --> 15:03.885\n脱离暴露物，\n\n15:03.885 --> 15:04.611\n我们就是。\n\n15:05.489 --> 15:05.789\n你。\n\n15:07.021 --> 15:08.971\n进行了血项CT的检查，\n\n15:08.971 --> 15:10.171\n明确诊断以后，\n\n15:10.421 --> 15:12.771\n就激素、免疫制剂的治疗，\n\n15:13.572 --> 15:14.221\n氧疗。\n\n15:15.867 --> 15:17.242\n急性期早期治疗，\n\n15:17.242 --> 15:18.117\n早期发现。\n\n15:19.138 --> 15:20.038\n那么其次，\n\n15:20.038 --> 15:21.112\n通过健康教育，\n\n15:21.112 --> 15:22.388\n让患者。\n\n15:23.625 --> 15:27.526\n这种避免接触这种霉变的霉毒啊，\n\n15:27.526 --> 15:29.676\n这种潮湿的环境。\n\n15:30.539 --> 15:30.739\n嗯。\n\n15:32.106 --> 15:34.556\n避免就是下一次的这种这种。\n\n15:35.693 --> 15:38.343\n变成一个慢性慢性的疾病啊，\n\n15:38.693 --> 15:40.044\n谢谢大家的分享。\n\n","v0347cg10004d74unfqljhteokh4jh4g",954,889,"2026-03-03 00:01:26","2026-06-11 18:20:29",[33],{"menuId":34,"menuName":35,"parentId":17,"orderNum":36,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":25,"status":17,"createDept":6,"remark":15,"createTime":42,"children":43,"columnImage":44,"columnLogo":45,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":46,"seoKeywords":47,"seoDescription":48,"contentNum":6,"promotionalPoster":49,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":50,"routerPath":37,"componentInfo":38},"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, 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