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--> 00:28.509\n各位老师好，\n\n00:28.509 --> 00:31.134\n今我是来自奉贤区凤城医院的。\n\n00:31.134 --> 00:35.234\n今天给大家分享一个肺结核分子杆菌肺病的科普。\n\n00:38.122 --> 00:39.872\n首先进行一个会议。\n\n00:40.574 --> 00:43.473\n非结核分枝杆菌的概述啊。\n\n00:43.473 --> 00:44.223\n非结核。\n\n00:44.903 --> 00:50.554\n分枝杆菌的肺病治疗和预防措施还有一个挑战科普啊。\n\n00:52.667 --> 00:53.217\n定义，\n\n00:53.217 --> 00:56.467\n首先我们了解一下非结核分枝杆菌的定义，\n\n00:56.868 --> 01:01.368\n是一类与结核分分枝杆菌不同的细菌，\n\n01:01.368 --> 01:05.218\n它可以引起肺部和其他组织的感染。\n\n01:08.382 --> 01:10.582\n致病性常见的就是肺结核。\n\n01:11.248 --> 01:14.347\n非结核分枝杆菌包括鸟分枝杆菌。\n\n01:17.758 --> 01:21.282\n其三是分子、分子杆菌的，\n\n01:21.282 --> 01:23.858\n它们在环境中的分布广泛。\n\n01:24.730 --> 01:31.680\n那致病性和传染的途径非结核分枝杆菌通过吸入含有细菌的气溶胶。\n\n01:32.568 --> 01:33.718\n或者尘埃传播，\n\n01:34.017 --> 01:37.017\n部分种类可引起严重的肺部感染。\n\n01:37.963 --> 01:39.613\n病原体的特性啊，\n\n01:40.263 --> 01:44.488\n非结核分枝杆菌的分类是一一大类的细菌，\n\n01:44.488 --> 01:46.914\n包括不多种不同的菌种，\n\n01:47.213 --> 01:50.914\n包括鸟分枝杆菌杀死分子杆菌。\n\n01:51.783 --> 01:53.833\n这些细菌的生长速度较慢。\n\n01:54.688 --> 01:58.587\n培养需要特定的营养条件和较长的时间，\n\n01:59.638 --> 02:01.087\n耐药性的特点啊，\n\n02:01.288 --> 02:05.188\n它对于多种抗生素具有天然耐药性，\n\n02:05.288 --> 02:06.638\n治疗难度比较大，\n\n02:06.638 --> 02:09.037\n需要特别的药物治疗。\n\n02:09.865 --> 02:16.815\n那感染途径主要通过吸入含有细菌的气溶胶或尘埃颗粒感染，\n\n02:16.966 --> 02:18.865\n也可以通过伤口感染。\n\n02:19.925 --> 02:21.425\n流行病学的特征。\n\n02:22.371 --> 02:23.722\n感染人群的分布。\n\n02:25.039 --> 02:29.738\n肺结核分枝杆菌肺肺病常见于免疫力低下的人群。\n\n02:30.580 --> 02:33.529\n比如说HIV感染者或者老年人。\n\n02:34.240 --> 02:36.539\n那地理位地理分布的差异，\n\n02:36.839 --> 02:40.389\n该病主要在热带或者亚热带地区比较常见，\n\n02:40.589 --> 02:44.039\n与当地气候和环境因素都有密切的关系。\n\n02:44.942 --> 02:47.042\n传播的途径主要通过。\n\n02:47.876 --> 02:50.776\n吸入被污染的气溶胶和尘埃，\n\n02:50.776 --> 02:54.626\n传播水源或者土壤也是潜在的传播媒介。\n\n03:01.990 --> 03:05.639\n非结核分枝杆菌肺病的病因和发病机制？\n\n03:06.583 --> 03:08.184\n第一个就是环境暴露。\n\n03:08.916 --> 03:16.466\n常见常见的病就是吸入受感染的受污染的水雾或者土壤颗粒而引发的。\n\n03:17.087 --> 03:19.238\n比如在某些职业环境中。\n\n03:20.177 --> 03:24.078\n那免疫系统状况就是免疫免疫功能低下的人群，\n\n03:24.177 --> 03:26.078\n比如像HIV感染者，\n\n03:26.378 --> 03:28.677\n更容易感染肺结核分子杆菌，\n\n03:28.677 --> 03:30.078\n导致肺部的疾病。\n\n03:31.093 --> 03:31.444\n那么，\n\n03:31.444 --> 03:33.643\n第三既既往有肺疾病，\n\n03:33.794 --> 03:37.319\n肺部的疾病患者有慢性肺气部病史，\n\n03:37.319 --> 03:39.444\n如COPD患者，\n\n03:39.994 --> 03:42.143\n其肺部结构和功能受损，\n\n03:42.143 --> 03:43.143\n更易感染。\n\n03:43.787 --> 03:45.938\n更容易感染肺结核分枝杆菌。\n\n03:48.173 --> 03:49.623\n临床表现啊。\n\n03:50.895 --> 03:51.794\n临床表现，\n\n03:52.145 --> 03:54.794\n患者经常出现慢性的咳嗽，\n\n03:55.095 --> 03:57.345\n有时伴有少量的粘痰。\n\n03:58.285 --> 03:59.186\n但是唐亮。\n\n04:00.500 --> 04:02.250\n通常少于结核病。\n\n04:03.546 --> 04:05.546\n由于长期的炎症反应，\n\n04:05.546 --> 04:08.445\n患者可出现不同原因的体重减轻，\n\n04:08.996 --> 04:12.746\n这是非结核分枝杆菌肺病的典型症状之一。\n\n04:14.854 --> 04:15.828\n体重减轻，\n\n04:15.828 --> 04:16.653\n慢性咳嗽，\n\n04:16.653 --> 04:17.503\n体重减轻，\n\n04:17.803 --> 04:19.104\n发热乏力，\n\n04:19.604 --> 04:23.204\n部分患者会经历低热乏力，\n\n04:23.253 --> 04:24.403\n尤其是在肺。\n\n04:25.529 --> 04:26.779\n在疾病活动期间，\n\n04:26.779 --> 04:28.980\n这些症状可与结核病相似，\n\n04:29.179 --> 04:30.730\n需要仔细的鉴别。\n\n04:32.048 --> 04:33.197\n诊断的方法，\n\n04:33.548 --> 04:35.898\n首先我们是一个影像学的检查。\n\n04:36.656 --> 04:42.156\n通过胸部的X片或者CT的扫描观察肺部变化的特征，\n\n04:42.406 --> 04:43.705\n以辅助诊断。\n\n04:44.444 --> 04:46.444\n肺结核分枝杆菌肺病。\n\n04:47.765 --> 04:47.990\n嗯，\n\n04:47.990 --> 04:50.865\n第二个就是微生物微生物学的培养，\n\n04:51.115 --> 04:55.816\n采集患者的痰液或者肺的组织项本进行细菌培养，\n\n04:56.066 --> 04:59.216\n以确定非结核分子杆菌的存在。\n\n05:00.145 --> 05:02.946\n第三分子分子生物学的测定。\n\n05:03.691 --> 05:11.941\n利用CPCR等分子生物学技术检测特定的非结核分子杆菌DNA的序列，\n\n05:12.191 --> 05:13.441\n提高诊断的。\n\n05:14.135 --> 05:14.735\n确信。\n\n05:16.252 --> 05:18.902\n接下来我们讲一下它的治疗，\n\n05:19.402 --> 05:21.076\n一个药物治疗的方案，\n\n05:21.076 --> 05:22.802\n一线的抗结核药物。\n\n05:25.149 --> 05:26.750\n常见的患者啊，\n\n05:27.100 --> 05:30.700\n患者首先通过先尝试胰腺抗结核药物，\n\n05:30.700 --> 05:31.500\n如异烟肼，\n\n05:32.100 --> 05:33.049\n利福平等。\n\n05:34.766 --> 05:36.742\n要二线的抗结核药物，\n\n05:36.742 --> 05:39.066\n对一线抗结核耐药的患者，\n\n05:39.467 --> 05:40.916\n医生可能会开支，\n\n05:40.916 --> 05:43.041\n我们就需要开具二线的药物。\n\n05:43.041 --> 05:44.117\n如果阿米卡星。\n\n05:45.205 --> 05:45.455\n嗯，\n\n05:45.455 --> 05:46.705\n环丝氨酸等。\n\n05:47.795 --> 05:49.645\n长期的治疗计划啊。\n\n05:50.454 --> 05:50.704\n嗯，\n\n05:50.704 --> 05:51.253\n这个。\n\n05:52.209 --> 05:54.260\n非结核分枝杆菌的肺病，\n\n05:54.709 --> 05:57.760\n肺病的治疗通常需要长期的服药。\n\n05:58.447 --> 06:01.247\n持续时间可达数月甚至数年。\n\n06:03.231 --> 06:05.782\n是我们药物服用药物之前，\n\n06:05.782 --> 06:07.582\n我们要监测药物的副作用。\n\n06:07.582 --> 06:08.731\n治疗期间啊，\n\n06:08.932 --> 06:11.682\n需要密切监测患者对药物的反应，\n\n06:11.682 --> 06:14.707\n及时处理可能出现的副作用，\n\n06:14.707 --> 06:17.432\n像肝、肝脏、肝功能的异常。\n\n06:20.250 --> 06:21.950\n治疗过程中的注意事项。\n\n06:22.773 --> 06:24.373\n定期监测肝功能。\n\n06:24.773 --> 06:29.824\n非结核分枝杆菌患者在治疗期间需定期检测肝功能，\n\n06:30.023 --> 06:30.674\n以防，\n\n06:30.973 --> 06:32.973\n以防止药物引起的肝损伤。\n\n06:35.605 --> 06:37.881\n要避免药物相互作用。\n\n06:37.881 --> 06:40.355\n患者应告知医生所。\n\n06:41.842 --> 06:43.791\n所有正在使用的药物，\n\n06:43.791 --> 06:44.492\n以避免，\n\n06:44.992 --> 06:48.492\n以避免药物治疗药物与其他药物产生的。\n\n06:49.250 --> 06:50.850\n不良反应的相互作用。\n\n06:52.415 --> 06:54.140\n保持良好的生活习惯。\n\n06:54.140 --> 06:54.964\n治疗期间，\n\n06:54.964 --> 06:59.665\n患者应保持健康饮食、适量运动和充足的睡眠，\n\n06:59.964 --> 07:02.415\n以支持免疫系统对抗病菌。\n\n07:04.286 --> 07:04.786\n第四，\n\n07:05.135 --> 07:06.936\n遵循医嘱。\n\n07:07.816 --> 07:08.066\n定。\n\n07:08.772 --> 07:10.522\n遵循医嘱完成疗程，\n\n07:11.071 --> 07:12.446\n即使症状缓解，\n\n07:12.446 --> 07:16.872\n患者也应该严格按照医生指导完成。\n\n07:17.664 --> 07:18.438\n整个疗程，\n\n07:18.438 --> 07:20.364\n以确保彻底的。\n\n07:21.130 --> 07:22.480\n已经彻底的治愈。\n\n07:24.407 --> 07:25.808\n治疗效果的评估，\n\n07:26.257 --> 07:27.683\n像影像学检查，\n\n07:27.683 --> 07:32.308\n通过胸部X片或者CT扫描观察病灶的变化。\n\n07:33.111 --> 07:36.611\n评估治疗后肺部病变的改善情况。\n\n07:37.971 --> 07:39.920\n要临床症状的改善。\n\n07:40.834 --> 07:41.084\n嗯，\n\n07:41.084 --> 07:44.134\n记录患者咳嗽、呼吸困难等症状的变化，\n\n07:44.134 --> 07:46.884\n作为治疗效果的直观指标。\n\n07:47.914 --> 07:48.313\n第三，\n\n07:48.313 --> 07:49.713\n微生物学的检测。\n\n07:49.764 --> 07:51.588\n定期进行痰液培养，\n\n07:51.588 --> 07:54.563\n检测非结核分枝杆菌的数量变化，\n\n07:54.914 --> 07:57.114\n评估病原体的清除情况。\n\n07:59.078 --> 08:00.278\n那预防和措施，\n\n08:00.278 --> 08:02.528\n我们首先一个个人防护的措施。\n\n08:03.359 --> 08:05.059\n佩戴合适的防护口罩。\n\n08:05.787 --> 08:11.787\n在医院或者感染高风险的区域应佩戴N九五或者更高级的口罩。\n\n08:11.838 --> 08:12.488\n减少。\n\n08:13.287 --> 08:14.187\n病菌的吸入。\n\n08:17.002 --> 08:19.402\n第二就勤洗手和消毒。\n\n08:19.851 --> 08:21.402\n使用肥皂和水。\n\n08:22.619 --> 08:24.869\n或者含有酒精的手消毒剂。\n\n08:24.920 --> 08:26.369\n经常清洁双手，\n\n08:26.369 --> 08:27.269\n特别是在。\n\n08:28.204 --> 08:29.153\n接触患者后。\n\n08:30.743 --> 08:31.092\n嗯。\n\n08:31.876 --> 08:33.276\n保持良好的通风，\n\n08:33.776 --> 08:34.176\n嗯。\n\n08:35.216 --> 08:36.890\n在室内保持空气流通，\n\n08:36.890 --> 08:38.265\n定期开窗换气。\n\n08:38.265 --> 08:40.866\n减少病原菌在分泌的。\n\n08:41.857 --> 08:43.107\n空间内的传播。\n\n08:43.458 --> 08:44.107\n第四。\n\n08:44.971 --> 08:46.921\n避免接触患者的分泌物。\n\n08:47.544 --> 08:49.044\n与肺病患者接触时，\n\n08:49.044 --> 08:50.744\n避免直接接触期。\n\n08:52.093 --> 08:53.943\n唾液、痰液的分泌物，\n\n08:54.044 --> 08:55.093\n以防感染。\n\n08:56.252 --> 08:57.752\n环境控制的策略。\n\n08:58.625 --> 09:01.625\n一我们就首先是最常见就通风改善。\n\n09:02.411 --> 09:03.486\n增加室内通风，\n\n09:03.486 --> 09:05.111\n使用空气净化灶。\n\n09:05.796 --> 09:08.945\n减少空气中非结核分枝杆菌的浓度，\n\n09:09.296 --> 09:10.796\n降低感染风险。\n\n09:12.349 --> 09:13.799\n第二个水源管理。\n\n09:13.799 --> 09:14.900\n水源的管理。\n\n09:15.596 --> 09:17.945\n定期检查和维护供水系统，\n\n09:17.945 --> 09:21.395\n防止非结核分枝杆菌通过水源传播，\n\n09:21.745 --> 09:23.395\n确保水质的安全。\n\n09:24.185 --> 09:24.585\n第三，\n\n09:24.585 --> 09:25.710\n垃圾的处理。\n\n09:25.710 --> 09:28.510\n我们要妥善处理医疗和生活垃圾，\n\n09:28.510 --> 09:32.611\n避免非结核分子杆菌通过废弃物传播，\n\n09:32.611 --> 09:34.635\n减少环境污染啊，\n\n09:34.986 --> 09:36.635\n这种都要特殊的处理，\n\n09:36.635 --> 09:37.736\n妥善的处理。\n\n09:38.231 --> 09:38.481\n嗯。\n\n09:39.416 --> 09:41.666\n疫情的监控和管理第一。\n\n09:42.408 --> 09:44.708\n建立建立监测系统，\n\n09:45.107 --> 09:48.658\n通过全面的非结核分子杆菌病的监测系统，\n\n09:49.007 --> 09:51.458\n实时跟踪疾病变化。\n\n09:52.176 --> 09:54.176\n及时发现和隔离感染者。\n\n09:55.296 --> 09:56.945\n要加强病例报道，\n\n09:57.145 --> 10:00.346\n医疗机构需严格执行病例的报告制度。\n\n10:00.987 --> 10:03.588\n确保所有疑似和确诊病例都能。\n\n10:04.328 --> 10:05.778\n准确记录和上报。\n\n10:07.632 --> 10:09.208\n三实施隔离政策，\n\n10:09.208 --> 10:11.682\n对确诊患者实施隔离治疗。\n\n10:12.312 --> 10:14.012\n减少病毒传播的风险，\n\n10:14.012 --> 10:15.111\n保护易感人群。\n\n10:16.078 --> 10:16.877\n控制疫，\n\n10:16.978 --> 10:18.328\n控制疫情扩散。\n\n10:19.346 --> 10:19.846\n第四，\n\n10:20.195 --> 10:21.971\n开展流行病学调查，\n\n10:21.971 --> 10:26.695\n对于疫情高发高发的区域进行流行病学调查，\n\n10:27.046 --> 10:29.346\n分析传染途径为制定。\n\n10:30.075 --> 10:31.125\n防控措施。\n\n10:32.205 --> 10:33.455\n提供科学依据。\n\n10:35.229 --> 10:38.403\n肺非结核分枝杆菌肺病的挑战，\n\n10:38.554 --> 10:40.703\n一个公共卫生的挑战啊。\n\n10:41.538 --> 10:41.838\n嗯，\n\n10:41.888 --> 10:43.038\n临床表现。\n\n10:43.984 --> 10:45.883\n临床症状和结核病相似，\n\n10:45.934 --> 10:47.133\n导致诊断困难，\n\n10:47.133 --> 10:48.434\n容易延误治疗。\n\n10:49.185 --> 10:50.585\n一个耐药菌的问题。\n\n10:51.614 --> 10:54.763\n它对多种抗生素具有天然的耐药性，\n\n10:54.763 --> 10:56.114\n治疗选择有限，\n\n10:56.463 --> 10:58.564\n增加了公共卫生的挑战。\n\n10:59.486 --> 10:59.861\n那么，\n\n10:59.861 --> 11:01.736\n监测和报告系统的。\n\n11:04.117 --> 11:04.567\n不出。\n\n11:05.427 --> 11:07.802\n那缺乏有效的监控和报告系统，\n\n11:07.802 --> 11:11.078\n使得非结核分枝杆菌肺病的流行病。\n\n11:12.237 --> 11:15.187\n你的情况就是难以得到准确的掌控。\n\n11:17.137 --> 11:19.486\n这个我们就公共卫生资源的分配。\n\n11:20.581 --> 11:23.182\n它的治疗和预防需要大量的资源，\n\n11:23.182 --> 11:28.331\n使得许多但是许多地区或者公共公共卫生资源有限，\n\n11:28.331 --> 11:30.031\n难以满足需求。\n\n11:31.242 --> 11:33.841\n那临床治疗的难题啊，\n\n11:33.841 --> 11:36.242\n就是一个耐药性的问题。\n\n11:36.492 --> 11:38.117\n它具有多种抗生素，\n\n11:38.117 --> 11:39.742\n都具有天然的耐药性，\n\n11:39.742 --> 11:41.367\n导致治疗选择有限，\n\n11:41.367 --> 11:42.242\n疗效不佳。\n\n11:43.526 --> 11:44.452\n诊断困难。\n\n11:45.159 --> 11:46.109\n诊断困难的，\n\n11:46.109 --> 11:48.184\n它的临床表现和结核病相似，\n\n11:48.184 --> 11:50.184\n但是常规的检测难以取分，\n\n11:50.184 --> 11:52.260\n造成诊断的延误。\n\n11:55.044 --> 11:56.443\n三、治疗周期长。\n\n11:56.843 --> 11:59.318\n由于非结核分枝杆菌生长缓慢，\n\n11:59.318 --> 12:02.994\n治疗周期通常需要数月或者数年，\n\n12:03.193 --> 12:04.693\n患者的依从性差。\n\n12:05.945 --> 12:08.096\n就是缺乏统一的治疗指南，\n\n12:08.395 --> 12:13.645\n目前缺乏针对非结核分枝杆菌肺病的标准化治疗方案，\n\n12:13.846 --> 12:15.570\n各地的治疗策略不一，\n\n12:15.570 --> 12:16.796\n效果参差不齐。\n\n12:18.205 --> 12:19.768\n那么研究和方向，\n\n12:19.768 --> 12:20.955\n发展的方向。\n\n12:21.921 --> 12:22.221\n嗯，\n\n12:22.221 --> 12:22.872\n随着。\n\n12:24.247 --> 12:26.348\n随着分子生物学技术的。\n\n12:27.052 --> 12:27.552\n进步，\n\n12:27.552 --> 12:31.452\n开展开发针对非结核分枝杆菌的新药。\n\n12:32.302 --> 12:33.601\n成为研究的热点。\n\n12:34.252 --> 12:39.202\n研究者正致力于开发更快速、准确的诊断工具，\n\n12:39.502 --> 12:43.452\n以便早期发现、治疗肺结核分枝杆菌肺疾病。\n\n12:44.629 --> 12:48.929\n那科学家们正在探索有效的疫策略、疫苗策略，\n\n12:48.929 --> 12:52.629\n预防预防非结核分枝杆菌的感染和疾病的发展。\n\n12:53.705 --> 12:56.806\n监测非结核分子杆菌的耐药性的模式，\n\n12:56.806 --> 13:02.356\n对于指导临床合理用药和控制耐药菌株传播者至关重要。\n\n13:04.169 --> 13:06.969\n那么最后我们要就这一个，\n\n13:07.419 --> 13:10.919\n这个科普教育的重要性和公众的意识科普，\n\n13:11.320 --> 13:12.869\n提高公众的认知。\n\n13:13.619 --> 13:17.419\n增强公众对非结核分枝杆菌肺病的认识，\n\n13:17.419 --> 13:18.969\n减少误解和歧视。\n\n13:19.838 --> 13:22.112\n还有一个可以促进早期的发现。\n\n13:22.112 --> 13:24.237\n提高公众对该病的。\n\n13:24.976 --> 13:25.575\n警觉性，\n\n13:25.575 --> 13:27.700\n有助于早期发现和治疗，\n\n13:27.700 --> 13:29.075\n降低传播风险。\n\n13:30.306 --> 13:30.580\n嗯，\n\n13:30.580 --> 13:32.431\n提高公众健康意识啊。\n\n13:32.431 --> 13:32.856\n首先，\n\n13:32.856 --> 13:35.205\n我们推广要健康的生活方式。\n\n13:35.940 --> 13:38.190\n通过媒体的宣传和社区活动。\n\n13:38.916 --> 13:39.565\n教育工作，\n\n13:39.565 --> 13:41.666\n养成良好的个人生活习惯。\n\n13:42.356 --> 13:42.856\n预防。\n\n13:44.418 --> 13:47.268\n预防非结核分子杆菌的肺病。\n\n13:48.142 --> 13:50.192\n强化疾病的早期识别。\n\n13:50.952 --> 13:53.252\n开展公众健康讲座。\n\n13:53.252 --> 13:53.952\n教授。\n\n13:54.831 --> 13:59.182\n如何识别分非结核分子杆菌肺病的早期症状，\n\n13:59.182 --> 14:00.831\n提高自我诊断的能力？\n\n14:01.676 --> 14:03.776\n倡导定期的体检。\n\n14:04.939 --> 14:05.789\n鼓励公众。\n\n14:06.575 --> 14:09.476\n进行定期的肺、肺部健康检查，\n\n14:09.476 --> 14:11.026\n尤其是高风险的人群。\n\n14:11.026 --> 14:12.325\n早期发现病。\n\n14:13.426 --> 14:15.575\n发现治疗疾病。\n\n14:16.445 --> 14:21.320\n我们可以通过社交媒体的平台对吧，\n\n14:21.320 --> 14:23.596\n制作教育视频啊，\n\n14:23.745 --> 14:26.046\n可以或者合作健康博主，\n\n14:26.046 --> 14:29.096\n健康健康消健康教育啊。\n\n14:30.416 --> 14:32.741\n这种跟结核病还是有点不一样的，\n\n14:32.741 --> 14:33.416\n肺结核。\n\n14:34.176 --> 14:36.526\n非结核杆菌的那个杆菌，\n\n14:36.825 --> 14:38.176\n它最主要是一个，\n\n14:38.676 --> 14:39.051\n嗯，\n\n14:39.051 --> 14:40.726\n我们只要早期的发现。\n\n14:41.786 --> 14:42.736\n早期的发现，\n\n14:42.986 --> 14:43.385\n嗯。\n\n14:44.843 --> 14:46.942\n就是最早一个早期的发现啊，\n\n14:46.942 --> 14:48.942\n我们先看一看它的那个，\n\n14:49.442 --> 14:49.843\n嗯，\n\n14:49.942 --> 14:52.492\n最主要看看它的那个感染的途径，\n\n14:52.492 --> 14:52.893\n对吧，\n\n14:52.893 --> 14:53.893\n传播的途径。\n\n14:54.611 --> 14:54.836\n嗯，\n\n14:54.836 --> 14:56.611\n还是最主要还是免疫力低下，\n\n14:56.611 --> 14:58.262\nH HIV感染者，\n\n14:58.262 --> 14:59.861\n老年人对吧，\n\n14:59.861 --> 15:01.536\n它地理位置也有关系，\n\n15:01.536 --> 15:04.111\n当当地的这种热带地区。\n\n15:05.150 --> 15:08.299\n通过传染的途径就是一个热气溶胶，\n\n15:08.599 --> 15:14.349\n被污染的气溶胶和尘埃传播水源和土壤也是一个传播的媒介。\n\n15:15.271 --> 15:15.671\n对吧，\n\n15:15.822 --> 15:17.546\n环境暴露对吧，\n\n15:17.546 --> 15:18.521\n某些职业病。\n\n15:19.885 --> 15:22.585\n最主要还是一个看看有症状了，\n\n15:22.585 --> 15:23.585\n有咳嗽了，\n\n15:24.185 --> 15:25.236\n慢性的咳嗽，\n\n15:25.236 --> 15:26.385\n体重的减轻，\n\n15:26.435 --> 15:27.885\n发热和乏力，\n\n15:27.986 --> 15:29.885\n这个跟结核病都比较相似，\n\n15:30.236 --> 15:33.036\n所以我们首先也通过一个CT的检查，\n\n15:33.036 --> 15:34.635\n微生物学的培养。\n\n15:35.611 --> 15:36.760\n那有的条件好一点，\n\n15:36.760 --> 15:38.486\n就个分子生物学的检测，\n\n15:38.736 --> 15:39.786\n就是正加。\n\n15:41.786 --> 15:46.685\n提高准确诊断的准确性啊。\n\n15:47.468 --> 15:48.918\n在接下来治疗以后，\n\n15:48.918 --> 15:50.617\n就是接下来一个就是个治疗，\n\n15:50.617 --> 15:54.718\n治疗就是它相对的一般的抗结核药物的时间更长一点，\n\n15:54.867 --> 15:56.317\n数月可能数年。\n\n15:56.768 --> 15:59.018\n常规的就是一线的抗结核药物，\n\n15:59.168 --> 16:00.043\n就是异烟肼，\n\n16:00.043 --> 16:00.518\n利福平，\n\n16:00.518 --> 16:02.218\n跟抗结核药差不多的，\n\n16:02.268 --> 16:03.742\n那如果耐药的患者，\n\n16:03.742 --> 16:05.918\n我们就是二线的抗结核药物治疗。\n\n16:06.591 --> 16:06.817\n嗯，\n\n16:06.817 --> 16:10.192\n就是阿米卡星、阿法脂酸这一类的。\n\n16:10.815 --> 16:11.065\n那。\n\n16:11.817 --> 16:12.817\n治疗的期间，\n\n16:12.817 --> 16:14.268\n我们像这种病人有。\n\n16:15.361 --> 16:17.711\n定期查肝功能，\n\n16:17.961 --> 16:18.512\n好的，\n\n16:18.512 --> 16:19.861\n谢谢大家的分享。\n\n16:25.982 --> 16:27.083\n我再看看啊。\n\n","v0347cg10004d74uejaljht1l9dgf5r0",993,711,"2026-03-03 00:07:26","2026-06-11 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