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--> 00:00.935\n好。\n\n00:02.088 --> 00:06.939\n我们今天一起来探讨一下急性扁桃体炎的这个概述啊。\n\n00:18.836 --> 00:21.285\n那么我们首先从目录上看呢，\n\n00:21.285 --> 00:22.836\n我们要从五个方面，\n\n00:22.885 --> 00:23.510\n第一呢，\n\n00:23.510 --> 00:25.285\n是疾病的定义和病因，\n\n00:25.436 --> 00:26.236\n第二点呢，\n\n00:26.236 --> 00:27.686\n是临床表现和诊断，\n\n00:27.736 --> 00:29.486\n第三是治疗方案。\n\n00:30.280 --> 00:30.979\n和管理，\n\n00:30.979 --> 00:32.854\n第四是预后与康复啊，\n\n00:32.854 --> 00:34.029\n第五是。\n\n00:35.688 --> 00:36.664\n预后与康复。\n\n00:36.664 --> 00:37.339\n第五是。\n\n00:38.931 --> 00:40.582\n预防与健康教育。\n\n00:43.763 --> 00:44.213\n那么，\n\n00:44.213 --> 00:45.138\n从第一点呢，\n\n00:45.138 --> 00:47.362\n我们看一下疾病的定义和病因啊。\n\n00:47.612 --> 00:50.312\n这个急性扁桃体炎的基本概念呢，\n\n00:50.463 --> 00:54.263\n它是由扁桃体组织的这个急性炎症，\n\n00:54.362 --> 00:56.763\n多由细菌或者病毒感染引起，\n\n00:56.812 --> 01:00.763\n表现为咽喉的这个疼痛发热等症状。\n\n01:00.862 --> 01:01.287\n那么，\n\n01:01.287 --> 01:03.338\n发病率跟流行病学特点呢，\n\n01:03.338 --> 01:05.587\n主要是儿童发病率较高，\n\n01:05.587 --> 01:07.612\n秋冬两季为高发期。\n\n01:09.016 --> 01:10.217\n集体生活呢，\n\n01:10.217 --> 01:10.942\n容易爆发，\n\n01:11.192 --> 01:13.791\n年龄多在3.15岁之间。\n\n01:13.942 --> 01:14.342\n那么，\n\n01:14.342 --> 01:15.516\n疾病分类和类型呢，\n\n01:15.516 --> 01:17.641\n多为细菌性细菌呢，\n\n01:17.641 --> 01:18.916\n多以链球菌为主，\n\n01:18.916 --> 01:21.291\n病毒是胰腺病毒为主的两类。\n\n01:21.442 --> 01:21.842\n那么，\n\n01:21.842 --> 01:23.641\n结节症状更加严重，\n\n01:23.641 --> 01:25.291\n易伴发这个脓肿啊。\n\n01:25.391 --> 01:27.516\n与其他咽喉炎的鉴别相比呢，\n\n01:27.516 --> 01:30.666\n扁桃体炎以扁桃体肿大脓点为特征，\n\n01:30.666 --> 01:34.842\n而普通咽炎及粘膜充血没有扁桃体的明显的改变，\n\n01:35.141 --> 01:36.967\n那么病因与诱因呢？\n\n01:36.967 --> 01:39.041\n细菌的感染是主要的病原。\n\n01:39.978 --> 01:42.478\nA组的贝塔溶溶血性链球菌呢，\n\n01:42.478 --> 01:43.903\n是最常见的病原体，\n\n01:44.103 --> 01:47.954\n肺炎链球菌、葡萄球菌等也可以引发感染。\n\n01:48.054 --> 01:48.554\n那么，\n\n01:48.554 --> 01:50.653\n病毒感染的相关类型呢，\n\n01:50.653 --> 01:53.829\n主要是有腺病毒、流感病毒、EB病毒等，\n\n01:53.829 --> 01:56.204\n均可以导致病毒性的扁桃体炎，\n\n01:56.204 --> 01:57.179\n症状较轻，\n\n01:57.179 --> 01:58.853\n但传染性比较强。\n\n01:59.810 --> 02:01.761\n环境与生活习惯的影响，\n\n02:01.861 --> 02:06.511\n受凉、疲劳、吸烟、空气污染等都会降低抵抗力，\n\n02:06.661 --> 02:08.210\n增加感染的风险。\n\n02:08.261 --> 02:09.686\n不良卫生习惯呢，\n\n02:09.686 --> 02:11.110\n容易传播病原体，\n\n02:11.110 --> 02:12.460\n也容易造成感染。\n\n02:13.067 --> 02:13.393\n那么，\n\n02:13.393 --> 02:15.143\n免疫功能与易感性关系呢，\n\n02:15.143 --> 02:17.018\n儿童免疫系统尚未成熟，\n\n02:17.218 --> 02:18.817\n老年人免疫力下降，\n\n02:18.867 --> 02:22.692\n均以感扁桃体慢性扁桃体炎患者呢，\n\n02:22.692 --> 02:27.292\n也是复发率比较高的传播途径和预防第一呢，\n\n02:27.292 --> 02:29.518\n传播途径有飞沫传播机制。\n\n02:29.667 --> 02:33.718\n那么患者咳嗽打喷嚏时释放含病原体的飞沫，\n\n02:33.817 --> 02:36.567\n被他人吸入后可能导致感染，\n\n02:36.567 --> 02:37.718\n然后距离呢，\n\n02:37.718 --> 02:39.667\n为是1米左右。\n\n02:40.233 --> 02:40.408\n那么，\n\n02:40.408 --> 02:48.332\n所以要不要近距离的对着患者或者是其他的家人进行咳嗽什么的，\n\n02:48.332 --> 02:50.132\n会容易导致飞沫的感染。\n\n02:50.332 --> 02:50.757\n那么，\n\n02:50.757 --> 02:52.332\n季节性的流行特点呢，\n\n02:52.332 --> 02:55.595\n主要是秋冬季节因为室内通风差，\n\n02:55.595 --> 02:56.582\n人群聚集呢，\n\n02:56.582 --> 02:57.632\n发病率容易上升。\n\n02:57.783 --> 03:00.608\n那么春季流感的这个流行区域呢，\n\n03:00.608 --> 03:02.082\n病毒感染也会增多，\n\n03:02.233 --> 03:04.582\n所以也会导致感染会上升。\n\n03:04.682 --> 03:05.033\n那么，\n\n03:05.033 --> 03:06.507\n接触传播的风险呢，\n\n03:06.507 --> 03:08.733\n接触患者分泌物污染的物品，\n\n03:08.783 --> 03:10.182\n如餐具、玩具。\n\n03:10.514 --> 03:13.565\n在触摸口鼻都可能间接传播病原体，\n\n03:13.764 --> 03:15.764\n个人防护措施建议呢，\n\n03:15.764 --> 03:16.914\n一个要勤洗手，\n\n03:16.914 --> 03:17.615\n戴口罩。\n\n03:18.427 --> 03:19.826\n避免共用餐具，\n\n03:19.927 --> 03:21.276\n保持室内通风，\n\n03:21.276 --> 03:22.201\n增强体质，\n\n03:22.201 --> 03:23.776\n可以降低感染的风险。\n\n03:30.070 --> 03:30.520\n那么，\n\n03:30.520 --> 03:31.095\n其次呢，\n\n03:31.095 --> 03:33.320\n是临床表现和诊断啊。\n\n03:33.720 --> 03:37.070\n第二点内容就是那么典型的症状分析呢，\n\n03:37.070 --> 03:37.669\n第一呢，\n\n03:37.669 --> 03:39.770\n咽喉疼痛的特征，\n\n03:39.770 --> 03:41.395\n咽喉疼痛剧烈啊，\n\n03:41.395 --> 03:44.520\n吞咽时加重可以放射至耳部啊，\n\n03:44.520 --> 03:47.270\n扁桃体表面可见白色脓点或渗出。\n\n03:48.039 --> 03:48.214\n那么，\n\n03:48.214 --> 03:52.740\n第二发病全身症状常见高热可以达39°以上，\n\n03:52.740 --> 03:54.190\n伴随寒战，\n\n03:54.190 --> 03:54.839\n头痛，\n\n03:54.839 --> 03:55.414\n乏力，\n\n03:55.414 --> 03:57.339\n肌肉酸痛等全身不适的症状。\n\n03:57.440 --> 03:57.839\n那么，\n\n03:57.839 --> 03:58.714\n扁桃体肿大呢？\n\n03:58.714 --> 04:01.014\n扁桃体明显充血肿大，\n\n04:01.014 --> 04:02.714\n表面覆盖脓性的分泌物，\n\n04:02.714 --> 04:05.789\n严重的时候可以导致呼吸困难或者吞咽困难。\n\n04:05.990 --> 04:09.440\n淋巴结肿大的特点主要是颌下淋巴结肿大，\n\n04:09.490 --> 04:10.164\n压痛，\n\n04:10.164 --> 04:10.964\n质地较硬，\n\n04:10.964 --> 04:12.089\n活动度差，\n\n04:12.190 --> 04:14.589\n是局部感染扩散的这个重要标志。\n\n04:15.787 --> 04:17.062\n并发症第一呢，\n\n04:17.062 --> 04:21.687\n局部并发症的类型包括扁桃体周围脓肿、咽喉脓肿，\n\n04:21.687 --> 04:23.386\n表现为颈肿啊，\n\n04:23.386 --> 04:24.437\n颈部的肿胀，\n\n04:24.437 --> 04:25.386\n张口困难，\n\n04:25.536 --> 04:27.837\n这个时候需要及时引流治疗。\n\n04:27.886 --> 04:28.562\n第二呢，\n\n04:28.562 --> 04:33.812\n全身性并发症风险可能会引发风湿热、肾小球肾炎、心肌炎等，\n\n04:33.812 --> 04:37.036\n与链球菌感染后的这个免疫反应密切相关。\n\n04:37.760 --> 04:37.985\n那么，\n\n04:37.985 --> 04:39.485\n脓肿形成的征兆呢？\n\n04:39.485 --> 04:41.760\n首先有一个持续的高热，\n\n04:41.760 --> 04:43.510\n单侧的咽痛加剧，\n\n04:43.661 --> 04:45.210\n颈部的胀僵硬，\n\n04:45.210 --> 04:48.811\n提示脓肿形成需影像学检查确诊。\n\n04:48.911 --> 04:53.061\n长期未处理的后果是长反复的感染，\n\n04:53.061 --> 04:54.510\n可以导致扁桃体炎，\n\n04:54.610 --> 04:58.311\n甚至引发中耳炎、鼻窦炎等临近器官的病变。\n\n04:59.109 --> 05:00.959\n诊断标准和方法呢，\n\n05:00.959 --> 05:03.709\n主要是一个病史采集的要点。\n\n05:03.859 --> 05:04.359\n那么，\n\n05:04.359 --> 05:11.160\n详细询问患者的发病时间、症状特点、既往的接触史和既往史。\n\n05:11.510 --> 05:11.959\n那么，\n\n05:11.959 --> 05:14.859\n重点记录发热、疼痛和用药的情况。\n\n05:15.209 --> 05:15.609\n那么，\n\n05:15.609 --> 05:19.709\n体格检查的重点观察扁桃体的大小、表面分泌物，\n\n05:19.709 --> 05:21.434\n检查颈部的淋巴结，\n\n05:21.434 --> 05:24.459\n评估呼吸和吞咽功能是否受限。\n\n05:25.834 --> 05:27.134\n临时检查项目，\n\n05:27.334 --> 05:29.933\n血常规可以显示白细胞的升高，\n\n05:29.933 --> 05:31.484\nC反应蛋白阳性，\n\n05:31.634 --> 05:34.433\n咽试子培养可以明确病原体类型。\n\n05:34.634 --> 05:36.509\n那么影像学检查应用呢？\n\n05:36.509 --> 05:39.683\n超声或者CT可以辅助诊断脓肿，\n\n05:39.683 --> 05:41.334\n排除其他的颈部感染，\n\n05:41.334 --> 05:43.433\n指导穿刺或者手术治疗方案。\n\n05:45.335 --> 05:45.561\n嗯，\n\n05:45.561 --> 05:46.135\n第三呢，\n\n05:46.135 --> 05:48.835\n我们看一下这个治疗方案与管理啊。\n\n05:49.036 --> 05:49.460\n那么，\n\n05:49.460 --> 05:51.135\n首先是药药物治疗。\n\n05:51.135 --> 05:51.710\n第一呢，\n\n05:51.710 --> 05:57.485\n对症治疗的药物选择高热的时候可以用对乙酰氨基酚或者布洛芬，\n\n05:57.835 --> 06:01.635\n含咽痛或含氟西D碘或者是含片。\n\n06:01.985 --> 06:02.485\n那么，\n\n06:02.485 --> 06:03.110\n咳嗽呢，\n\n06:03.110 --> 06:05.186\n可以选用美沙芬缓解症状。\n\n06:05.335 --> 06:06.335\n局部用药呢，\n\n06:06.335 --> 06:08.536\n可以用复方硼砂溶液漱口，\n\n06:08.585 --> 06:09.786\n每日3.4次，\n\n06:09.786 --> 06:12.311\n或局部喷雾剂直接喷洒咽喉，\n\n06:12.311 --> 06:13.936\n减轻红肿的症状。\n\n06:14.481 --> 06:16.182\n抗生素的使用指针呢，\n\n06:16.182 --> 06:19.481\n细菌感染确诊后需尽早的使用抗菌素，\n\n06:19.582 --> 06:22.131\n首选青霉素类疗程呢，\n\n06:22.131 --> 06:24.182\n5.7天确保足量足疗程，\n\n06:24.182 --> 06:25.082\n避免耐药。\n\n06:25.381 --> 06:25.782\n那么，\n\n06:25.782 --> 06:26.907\n用药注意事项，\n\n06:26.907 --> 06:28.631\n避免滥用抗菌素，\n\n06:28.631 --> 06:30.532\n需分一组完成疗程。\n\n06:30.532 --> 06:32.131\n注意药物的过敏史，\n\n06:32.282 --> 06:34.282\n定期复查肝肾功能，\n\n06:34.282 --> 06:35.782\n观察不良反应。\n\n06:37.282 --> 06:38.782\n对药物治疗啊，\n\n06:38.782 --> 06:41.381\n首先是休息和饮食的建议，\n\n06:41.582 --> 06:43.506\n那么保证充足的睡眠，\n\n06:43.506 --> 06:44.832\n避免剧烈运动。\n\n06:44.932 --> 06:45.657\n饮食呢，\n\n06:45.657 --> 06:46.907\n宜清淡温凉，\n\n06:46.907 --> 06:47.932\n多饮温水，\n\n06:47.932 --> 06:49.856\n忌辛辣刺激性食物，\n\n06:49.856 --> 06:51.231\n少量多餐。\n\n06:51.532 --> 06:52.532\n物理治疗呢，\n\n06:52.532 --> 06:55.881\n可以用超短波治疗，\n\n06:55.881 --> 06:58.182\n理疗缓解局部的这个炎症，\n\n06:58.282 --> 07:02.582\n或用冷雾化吸入减轻这个咽部的水肿，\n\n07:02.582 --> 07:04.131\n促进粘膜修复。\n\n07:04.481 --> 07:05.981\n中医辅助治疗呢，\n\n07:05.981 --> 07:07.682\n中认为主这个病。\n\n07:07.757 --> 07:08.532\n他发炎呢，\n\n07:08.532 --> 07:09.907\n属于属风热症，\n\n07:10.007 --> 07:15.257\n可以用银翘散加减或含服西瓜霜含片清热解毒。\n\n07:15.458 --> 07:15.983\n那么，\n\n07:15.983 --> 07:17.757\n家庭护理的要点呢，\n\n07:17.757 --> 07:21.458\n主要是保持室内的空气流通，\n\n07:21.657 --> 07:22.808\n温度要适宜，\n\n07:22.808 --> 07:24.007\n用温盐水漱口，\n\n07:24.108 --> 07:25.282\n每日2.3次，\n\n07:25.282 --> 07:26.632\n避免大声喊叫，\n\n07:26.632 --> 07:27.708\n减少刺激。\n\n07:29.572 --> 07:32.372\n症的处理流流程首先，\n\n07:32.523 --> 07:32.872\n嗯，\n\n07:32.872 --> 07:34.372\n住院的治疗标准，\n\n07:34.523 --> 07:36.548\n如果患者因为扁桃体发炎，\n\n07:36.548 --> 07:37.372\n高热不退，\n\n07:37.773 --> 07:41.822\n出现呼吸困难、吞咽困难或出现并发症的，\n\n07:41.822 --> 07:44.097\n需要住院密切监测生命体征，\n\n07:44.097 --> 07:45.773\n防止病情的恶化。\n\n07:45.923 --> 07:46.347\n那么，\n\n07:46.347 --> 07:48.072\n静药静脉用药方案呢，\n\n07:48.072 --> 07:51.648\n这种患首选青霉素及静滴，\n\n07:51.648 --> 07:53.122\n或者根据药敏调整，\n\n07:53.222 --> 07:57.798\n必要时连用糖皮质激素快速控制炎症并发症的处理呢，\n\n07:57.798 --> 07:59.523\n如果并发扁桃体周围脓肿，\n\n07:59.523 --> 07:59.972\n需要。\n\n08:00.033 --> 08:04.683\n及时切开一个高热惊厥的是给予镇静药预防脑损伤，\n\n08:05.183 --> 08:06.933\n那么还有就是病情，\n\n08:06.933 --> 08:07.783\n病情的监测，\n\n08:07.783 --> 08:11.058\n药物测量体温、心率、呼吸频率，\n\n08:11.058 --> 08:12.834\n观察有无呼吸困难，\n\n08:13.033 --> 08:14.683\n颈部僵硬等危象，\n\n08:14.683 --> 08:17.533\n那么用于及时调整治疗方案。\n\n08:20.970 --> 08:23.070\n第四是预后与康复啊。\n\n08:23.816 --> 08:25.091\n疾病转播的特点呢，\n\n08:25.091 --> 08:30.566\n第一自然病程急性扁桃体炎自然病程通常为7.10天，\n\n08:30.716 --> 08:32.991\n若未能及时治疗，\n\n08:32.991 --> 08:34.466\n可以延长至两周，\n\n08:34.565 --> 08:36.116\n症状逐渐缓解。\n\n08:36.315 --> 08:36.716\n那么，\n\n08:36.716 --> 08:39.140\n第二是慢性化风险因素，\n\n08:39.140 --> 08:40.341\n长期的吸烟，\n\n08:40.341 --> 08:41.515\n免疫力低下，\n\n08:41.866 --> 08:43.265\n未彻底治疗，\n\n08:43.265 --> 08:46.341\n容易导致慢性化扁桃体反复肿大，\n\n08:46.341 --> 08:47.216\n需要警惕。\n\n08:47.849 --> 08:49.650\n那么治愈率和复发率呢？\n\n08:49.650 --> 08:51.049\n及时规范的治疗。\n\n08:53.547 --> 08:53.848\n嗯。\n\n08:54.916 --> 08:56.267\n可以提高治愈率，\n\n08:56.267 --> 08:57.916\n可以达90%以上。\n\n08:58.932 --> 09:00.132\n但如果反复感染，\n\n09:00.132 --> 09:02.132\n年复发力超过三次，\n\n09:02.231 --> 09:04.882\n那么就比较要引起重视。\n\n09:04.981 --> 09:06.831\n最后评估的这个指标，\n\n09:07.031 --> 09:14.331\n那么症状缓解时间、体温恢复的正常的时间、扁桃体肿大消退的时间和实验室指标改善，\n\n09:14.382 --> 09:16.632\n主要是评预后的评估标准。\n\n09:17.601 --> 09:19.302\n康复指导的建议，\n\n09:19.851 --> 09:21.927\n恢复期的这个饮食调整，\n\n09:21.927 --> 09:24.577\n那么你选择温凉并消化食物，\n\n09:24.577 --> 09:25.776\n避免辛辣刺激，\n\n09:25.776 --> 09:26.502\n多饮水，\n\n09:26.502 --> 09:27.601\n补充蛋白质，\n\n09:27.802 --> 09:29.302\n促进粘膜的修复。\n\n09:29.452 --> 09:30.677\n那么定期复查，\n\n09:30.677 --> 09:33.502\n安排治疗后一到两周内，\n\n09:33.502 --> 09:34.901\n如果症状未缓解，\n\n09:34.901 --> 09:36.252\n虚弱出现并发症，\n\n09:36.252 --> 09:38.651\n需进一步检查调整治疗方案。\n\n09:39.164 --> 09:42.140\n运动与活动的这个限制恢复期呢，\n\n09:42.140 --> 09:43.239\n避免剧烈运动，\n\n09:43.239 --> 09:44.414\n建议休息一周，\n\n09:44.414 --> 09:46.390\n逐步恢复这个日常活动，\n\n09:46.390 --> 09:48.414\n防止过度劳累诱发复发。\n\n09:48.614 --> 09:49.015\n那么，\n\n09:49.015 --> 09:51.015\n生活习惯的改变包括。\n\n09:52.318 --> 09:53.294\n规律的作息，\n\n09:53.294 --> 09:54.643\n戒烟的限酒，\n\n09:54.643 --> 09:55.768\n注意口腔卫生，\n\n09:55.869 --> 09:57.869\n减少接触病原体机会啊，\n\n09:57.869 --> 09:59.718\n降低这个复发的风险。\n\n10:00.479 --> 10:02.080\n长期管理的策略，\n\n10:02.580 --> 10:05.429\n一个复预防复发的措施，\n\n10:05.630 --> 10:07.054\n加强个人卫生，\n\n10:07.054 --> 10:07.729\n勤洗手，\n\n10:07.729 --> 10:11.030\n避免人群密集场所季节交替时注意保暖，\n\n10:11.030 --> 10:12.229\n预防交叉感染。\n\n10:12.479 --> 10:14.255\n免疫的增强方法呢，\n\n10:14.255 --> 10:15.405\n均衡的饮食，\n\n10:15.405 --> 10:16.780\n长期啊，\n\n10:16.979 --> 10:18.005\n均衡的饮食，\n\n10:18.005 --> 10:19.205\n补充维生素C，\n\n10:19.205 --> 10:20.804\n适当这个锻炼，\n\n10:20.804 --> 10:22.054\n保持充足的睡眠，\n\n10:22.054 --> 10:23.679\n必要时使用免疫调节剂。\n\n10:23.780 --> 10:24.205\n那么，\n\n10:24.205 --> 10:26.005\n扁桃体切除的指针呢，\n\n10:26.005 --> 10:27.604\n年复发大于零五次，\n\n10:27.604 --> 10:30.880\n扁桃体肥大影响呼吸、吞咽或形成。\n\n10:30.952 --> 10:33.552\n脓肿的可以考虑手术切除根治，\n\n10:33.702 --> 10:36.601\n那么还有就是心理健康的这个关注，\n\n10:36.702 --> 10:38.677\n那么长期反复的感染呢，\n\n10:38.677 --> 10:41.952\n可以诱发就是容易引发焦虑啊，\n\n10:41.952 --> 10:43.752\n会给予一个心理疏导，\n\n10:43.851 --> 10:44.226\n嗯，\n\n10:44.226 --> 10:46.427\n鼓励患者积极的配合治疗，\n\n10:46.427 --> 10:48.252\n增强康复的这种信心。\n\n10:48.651 --> 10:49.476\n那么啊，\n\n10:49.476 --> 10:50.052\n以上呢，\n\n10:50.052 --> 10:53.002\n就主要是这个扁桃体发炎的一些。\n\n10:54.236 --> 10:55.036\n治疗啊，\n\n10:55.036 --> 10:56.361\n临床表现等等。\n\n10:56.361 --> 10:57.336\n那么最后呢，\n\n10:57.437 --> 11:04.536\n我们讲我们疾病治疗主要是有预防、预防和健康的这个教育能力有分几点，\n\n11:04.536 --> 11:05.211\n第一呢，\n\n11:05.211 --> 11:07.437\n是积极的这个预防措施，\n\n11:07.687 --> 11:10.562\n那么个人卫生习惯的培养啊，\n\n11:10.562 --> 11:11.937\n勤洗手是关键，\n\n11:12.086 --> 11:14.336\n尤其是在接触公共物品后，\n\n11:14.336 --> 11:16.236\n避免用手触摸口鼻，\n\n11:16.387 --> 11:18.586\n减少病原体的传播机会。\n\n11:18.836 --> 11:19.312\n那么，\n\n11:19.312 --> 11:20.736\n保持口腔清洁，\n\n11:20.736 --> 11:22.361\n每日刷牙两次，\n\n11:22.361 --> 11:23.586\n使用漱口水。\n\n11:24.153 --> 11:25.802\n可以减少口腔细菌的滋生，\n\n11:25.802 --> 11:26.853\n预防扁桃体炎。\n\n11:27.002 --> 11:29.802\n不与他人共用餐具、水杯，\n\n11:29.802 --> 11:31.103\n避免交叉感染，\n\n11:31.103 --> 11:33.453\n尤其是在流感高发季节，\n\n11:33.453 --> 11:35.252\n需加强防护，\n\n11:35.453 --> 11:38.052\n咳嗽或打喷嚏时用纸巾遮挡，\n\n11:38.052 --> 11:39.002\n随后洗手，\n\n11:39.203 --> 11:42.052\n减少飞沫传播病原体的可能啊。\n\n11:43.088 --> 11:43.414\n那么，\n\n11:43.414 --> 11:43.963\n第二呢，\n\n11:43.963 --> 11:46.039\n是环境卫生改善建议。\n\n11:46.338 --> 11:48.739\n那么定期的这个开窗通风，\n\n11:48.739 --> 11:50.388\n保持室内空气流通，\n\n11:50.638 --> 11:52.689\n降低空气中病原体的浓度，\n\n11:52.689 --> 11:54.138\n减少感染的机会，\n\n11:54.189 --> 11:56.364\n避免前往人群密集的场所，\n\n11:56.364 --> 11:58.888\n尤其是通风不良的密闭空间，\n\n11:59.338 --> 12:00.989\n降低接触感染的风险。\n\n12:01.138 --> 12:03.364\n保持家居环境清洁，\n\n12:03.364 --> 12:06.989\n定期消毒门把手手机等高频接触物品，\n\n12:06.989 --> 12:08.638\n减少病原体的残留。\n\n12:08.689 --> 12:09.164\n那么，\n\n12:09.164 --> 12:12.489\n室内温度控制在40.60°，\n\n12:12.588 --> 12:12.963\n嗯，\n\n12:12.963 --> 12:13.489\n用于。\n\n12:13.942 --> 12:16.416\n处于这个干燥或者潮湿的环境，\n\n12:16.416 --> 12:19.791\n都容易诱发这个呼吸道的感染。\n\n12:20.466 --> 12:23.067\n那么还有就是增强免疫力的方法，\n\n12:23.367 --> 12:23.767\n嗯，\n\n12:24.317 --> 12:25.517\n均衡的饮食，\n\n12:25.567 --> 12:28.617\n多摄入富含维生素C的水果蔬菜，\n\n12:28.767 --> 12:30.216\n如橙子、西兰花，\n\n12:30.367 --> 12:31.817\n增强身体抵抗力。\n\n12:31.916 --> 12:32.466\n那么，\n\n12:32.466 --> 12:33.416\n规律作息，\n\n12:33.416 --> 12:36.617\n保证每日七到8小时的这个睡眠，\n\n12:36.767 --> 12:37.692\n避免熬夜，\n\n12:37.692 --> 12:39.767\n维持免疫系统的正常功能，\n\n12:40.017 --> 12:41.067\n适度的运动，\n\n12:41.067 --> 12:43.117\n如快走、游泳等等，\n\n12:43.117 --> 12:45.416\n每周至少150分钟，\n\n12:45.466 --> 12:46.716\n促进血液循环，\n\n12:46.767 --> 12:47.817\n提高免疫力。\n\n12:47.966 --> 12:48.416\n那么，\n\n12:48.416 --> 12:49.517\n避免过度劳累，\n\n12:49.517 --> 12:50.567\n学会减压。\n\n12:50.802 --> 12:53.226\n长期精神紧张会削弱免疫力，\n\n12:53.226 --> 12:54.802\n增加这个感染的风险。\n\n12:55.052 --> 12:55.752\n第四呢，\n\n12:55.752 --> 12:57.502\n是疫苗接种的建议啊。\n\n12:57.802 --> 13:03.702\n那么接种流感疫苗可以减少这个流感病毒诱发的扁桃体炎。\n\n13:03.702 --> 13:06.726\n那么建议儿童老年人群啊，\n\n13:06.726 --> 13:13.151\n每年接种那么肺炎球菌疫苗对预防细菌性扁桃体炎有一定的效果。\n\n13:13.580 --> 13:19.606\n所以建议高危人群如慢性病患者接种接种疫苗之后需要观察30分钟，\n\n13:19.606 --> 13:21.130\n确保无过敏反应。\n\n13:21.231 --> 13:21.656\n那么，\n\n13:21.656 --> 13:24.931\n接种后仍需注意个人卫生人的防护啊。\n\n13:25.330 --> 13:30.681\n第三话应该是根据这个一院业接种的医生，\n\n13:30.681 --> 13:35.380\n根据年龄、健康状况和当地的疫情的情况定制个性化的计划。\n\n13:36.387 --> 13:38.437\n那么预防的策略呢，\n\n13:38.687 --> 13:42.812\n首先是这个早期的症状的识别啊。\n\n13:42.812 --> 13:49.036\n那么也可以就是就是观察患者疼痛剧烈的程度，\n\n13:49.236 --> 13:51.486\n吞咽时的有没有加重。\n\n13:51.486 --> 13:55.236\n伴发热可能是急性扁桃体炎的这个典型早期表现。\n\n13:55.536 --> 13:57.512\n扁桃体红肿表面有脓点，\n\n13:57.512 --> 13:59.161\n颈部淋巴结肿大压痛，\n\n13:59.161 --> 14:01.187\n需要及时就医明确诊断。\n\n14:01.804 --> 14:06.905\n全身乏力、头痛、食欲减退等症状伴随出出现的话，\n\n14:06.905 --> 14:09.155\n表示感染可能已经扩散或加重。\n\n14:09.304 --> 14:09.780\n那么，\n\n14:09.780 --> 14:13.155\n儿童患者出现哭闹、拒食、流口水等表现，\n\n14:13.304 --> 14:15.405\n家长需谨惕并尽快就医。\n\n14:15.505 --> 14:15.929\n那么，\n\n14:15.929 --> 14:17.554\n近期的这个健康检查，\n\n14:17.655 --> 14:19.530\n每年进行一次口腔检查，\n\n14:19.530 --> 14:21.054\n尤其是反复发作扁抗体炎，\n\n14:21.054 --> 14:23.054\n对照新发现潜在问题，\n\n14:23.255 --> 14:25.655\n有慢性鼻炎、鼻窦炎患病史，\n\n14:26.104 --> 14:27.304\n应定期复查，\n\n14:27.455 --> 14:30.804\n控制原发病结少扁桃体炎的复发的风险。\n\n14:31.054 --> 14:32.155\n那么血常规。\n\n14:32.249 --> 14:34.348\n检查可以确诊扁桃体感染的情况，\n\n14:34.448 --> 14:35.448\n指导治疗，\n\n14:35.598 --> 14:38.549\n那么建议在医生指导下定时监测，\n\n14:39.299 --> 14:41.249\n那么高危人群呢，\n\n14:41.249 --> 14:42.223\n如免疫力大者，\n\n14:42.223 --> 14:44.299\n可以增加检查的频率，\n\n14:44.299 --> 14:47.573\n及时发现并干预的痕迹啊。\n\n14:47.573 --> 14:48.249\n还有就是。\n\n14:49.416 --> 14:51.166\n高危人群的筛查，\n\n14:51.317 --> 14:54.966\n那个儿童因免疫系统发育不全，\n\n14:55.166 --> 14:58.966\n是扁桃体高发的成人需家长特别注意和关注健康。\n\n14:59.216 --> 14:59.867\n那么，\n\n14:59.867 --> 15:03.041\n定期吸烟的患者粘膜受损容易感染，\n\n15:03.041 --> 15:07.117\n建议戒烟并进行定期的咽喉的专科检查。\n\n15:07.166 --> 15:07.617\n那么，\n\n15:07.617 --> 15:09.291\n糖尿病患者免疫力降低，\n\n15:09.291 --> 15:12.216\n应该加强这个糖水平，\n\n15:12.216 --> 15:13.716\n降低感染的风险。\n\n15:14.017 --> 15:19.567\n糖尿使用免疫抑制计患者是在患者监医生监测下来评估扁抗体风险。\n\n15:19.739 --> 15:20.489\n及时调整用药，\n\n15:20.590 --> 15:21.864\n那么自我监测呢，\n\n15:21.864 --> 15:24.440\n主要是观察每日的这个体温变化，\n\n15:24.539 --> 15:25.565\n超过38°，\n\n15:25.565 --> 15:26.940\n五直些持续不退的时候，\n\n15:26.940 --> 15:27.715\n要及时就医，\n\n15:27.715 --> 15:29.765\n避免病情病症记录，\n\n15:29.765 --> 15:31.114\n咽喉疼痛程度，\n\n15:31.114 --> 15:33.414\n或因吞咽困难或呼吸不畅，\n\n15:33.414 --> 15:35.239\n其时可能出现并发症，\n\n15:35.239 --> 15:36.340\n需紧急处理。\n\n15:36.390 --> 15:38.590\n那么注意颈部淋巴结是否肿大，\n\n15:38.590 --> 15:40.940\n有持续增大或减压痛明显，\n\n15:40.940 --> 15:42.840\n应尽快就医到医院就诊。\n\n15:42.890 --> 15:49.239\n那么保持症状的这个日记记度发作频率、持续时间或生存状和治疗情况。\n\n15:49.732 --> 15:50.432\n好一句啊。\n\n15:55.245 --> 15:57.846\n那以上就是我们讲的这些，\n\n15:57.945 --> 15:58.346\n嗯，\n\n15:58.346 --> 15:58.971\n最后呢，\n\n15:58.971 --> 16:00.770\n总结一下就是健康教育啊，\n\n16:00.770 --> 16:02.895\n一个就是疾病知识的普及，\n\n16:03.046 --> 16:03.820\n那么，\n\n16:03.820 --> 16:06.221\n急性体炎都有细菌或者病毒感染，\n\n16:06.221 --> 16:07.945\n可以通过飞沫传播啊，\n\n16:08.046 --> 16:10.495\n要区分细菌和病毒的感染。\n\n16:11.770 --> 16:13.471\n前者需要抗菌素治疗，\n\n16:13.520 --> 16:15.120\n后者都可治愈啊，\n\n16:15.120 --> 16:16.445\n避免滥用药物。\n\n16:16.445 --> 16:18.096\n那么一个还有就是，\n\n16:18.096 --> 16:19.820\n就医的直接的指导，\n\n16:19.921 --> 16:21.395\n那么我疼痛超过三天，\n\n16:21.395 --> 16:22.296\n如果没有缓解，\n\n16:22.296 --> 16:23.171\n要及时就医，\n\n16:23.221 --> 16:25.070\n另要依从性的教育啊。\n\n16:25.070 --> 16:28.020\n那么抗菌素的治疗按疗程服用啊。\n\n16:28.070 --> 16:29.895\n那么还有家属照护的，\n\n16:29.895 --> 16:31.270\n这个培训的那个。\n\n16:31.945 --> 16:32.344\n好，\n\n16:32.744 --> 16:37.344\n那么今天我们就先讨论到这里啊。\n\n","v0d47cg10004d74uiaqljhtdjcjtpcsg",1014,704,"2026-03-03 00:05:26","2026-06-11 18:28:59",[35],{"menuId":36,"menuName":37,"parentId":17,"orderNum":38,"path":39,"component":40,"isFrame":41,"isCache":42,"menuType":43,"visible":27,"status":17,"createDept":6,"remark":25,"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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