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--> 00:08.135\n今天跟大家分享一下感冒咳嗽全解码上呼吸道健康指南。\n\n00:12.272 --> 00:15.123\n今天主要从以下六部分来阐述，\n\n00:15.322 --> 00:16.072\n第一部分，\n\n00:16.273 --> 00:16.622\n嗯，\n\n00:16.622 --> 00:17.822\n认识上呼吸道。\n\n00:17.923 --> 00:18.722\n第二部分，\n\n00:18.722 --> 00:20.372\n感冒真相大揭秘。\n\n00:20.423 --> 00:21.273\n第三部分，\n\n00:21.622 --> 00:22.972\n症状地图全览。\n\n00:23.072 --> 00:23.847\n第四部分，\n\n00:23.847 --> 00:26.122\n传播路径与高危场景。\n\n00:26.372 --> 00:27.097\n第五部分，\n\n00:27.097 --> 00:29.023\n儿童与成人差异。\n\n00:29.222 --> 00:29.986\n第六部分，\n\n00:29.986 --> 00:31.423\n居家对症护理。\n\n00:35.967 --> 00:37.118\n首先第一方面。\n\n00:38.925 --> 00:40.701\n一方面里面包括四部分，\n\n00:40.701 --> 00:42.925\n首先用药误区与症结，\n\n00:43.476 --> 00:45.625\n第二部分是何时必须就医，\n\n00:46.276 --> 00:48.125\n第三部分预防锦囊，\n\n00:48.476 --> 00:50.576\n第四部分总结与行动。\n\n00:53.736 --> 00:54.261\n首先，\n\n00:54.261 --> 00:55.886\n我们要认识上呼吸道。\n\n00:56.923 --> 00:57.624\n上呼吸道，\n\n00:57.624 --> 00:59.173\n它是空气的第一关，\n\n01:00.023 --> 01:01.473\n空气通关口岸，\n\n01:01.673 --> 01:05.624\n也就是鼻咽喉组成空气第一站。\n\n01:05.874 --> 01:08.624\n它负责加温、加湿、过滤，\n\n01:08.774 --> 01:10.924\n让每一口空气变得湿润。\n\n01:11.850 --> 01:12.350\n和温暖，\n\n01:12.450 --> 01:14.450\n保护肺部不受刺激。\n\n01:15.499 --> 01:16.948\n它又是个智能地毯，\n\n01:17.499 --> 01:20.499\n粘膜与纤毛像智能地毯，\n\n01:20.598 --> 01:22.698\n它捕捉灰尘与病菌，\n\n01:22.899 --> 01:25.149\n每分钟它可以摆动数千次。\n\n01:26.439 --> 01:28.539\n把有害物质打包送出体外。\n\n01:29.815 --> 01:30.264\n另外，\n\n01:30.264 --> 01:31.915\n他还是每日在挑战，\n\n01:32.165 --> 01:35.014\n他每天呼吸1.5万升空气，\n\n01:35.464 --> 01:38.864\n病毒、细菌、PM2.5轮番来袭。\n\n01:39.672 --> 01:40.873\n关卡一旦失守，\n\n01:40.972 --> 01:42.773\n感冒咳嗽就立即登场。\n\n01:44.800 --> 01:48.099\n那么我们的粘膜免疫卫队如何工作呢？\n\n01:48.500 --> 01:49.099\n首先，\n\n01:49.099 --> 01:51.800\n它像城墙和护城河一样，\n\n01:52.250 --> 01:53.849\n粘液就像护城河，\n\n01:54.099 --> 01:55.300\n先困住病毒，\n\n01:55.699 --> 01:57.599\n抗体像标记的炸弹，\n\n01:57.900 --> 01:59.199\n让敌人显形，\n\n01:59.900 --> 02:01.400\n吞噬细胞像哨兵，\n\n02:01.449 --> 02:03.000\n最后清扫战场。\n\n02:04.319 --> 02:05.719\n他们通过三步拦截，\n\n02:05.819 --> 02:08.619\n首先捕获第二部分标记，\n\n02:08.768 --> 02:10.018\n第三部分清除，\n\n02:10.018 --> 02:12.669\n三步走24小时无休，\n\n02:12.919 --> 02:14.744\n多数病毒没机会扎根，\n\n02:14.744 --> 02:15.968\n就被扔出了体外。\n\n02:18.654 --> 02:21.554\n那感冒的真相我们现在来揭秘一下。\n\n02:22.389 --> 02:22.688\n感冒，\n\n02:22.688 --> 02:23.738\n它不是一种病。\n\n02:25.199 --> 02:25.998\n病毒家族，\n\n02:25.998 --> 02:27.048\n它是个大拼盘。\n\n02:27.873 --> 02:29.923\n200多种病毒可以引起感冒，\n\n02:30.322 --> 02:32.272\n鼻病毒占了40%，\n\n02:32.673 --> 02:36.923\n像冠状病毒、副流感腺病毒轮番上阵，\n\n02:37.223 --> 02:38.223\n基因各异，\n\n02:38.473 --> 02:40.272\n症状却像一个双胞胎。\n\n02:42.373 --> 02:42.822\n目前呢，\n\n02:42.822 --> 02:44.123\n无万能药，\n\n02:44.423 --> 02:45.822\n病毒种类比较多，\n\n02:46.173 --> 02:47.173\n靶点不同，\n\n02:47.272 --> 02:50.923\n所以目前没有广谱的杀感冒的病毒药。\n\n02:51.705 --> 02:54.479\n治疗核心的是我们需要对症，\n\n02:54.479 --> 02:56.154\n以及等待一个免疫清除。\n\n02:58.242 --> 03:00.341\n那么我们为何会反复得感冒呢？\n\n03:00.591 --> 03:04.542\n感染后仅对同类免疫新病毒换装，\n\n03:04.542 --> 03:07.591\n再来次再次来袭成年人。\n\n03:08.498 --> 03:11.947\n每年有可能会引起感冒2.4次，\n\n03:12.248 --> 03:15.447\n儿童6.8次也属于一个比较正常状态。\n\n03:16.147 --> 03:21.498\n那医生总说病毒性门诊即时即时分型，\n\n03:21.748 --> 03:23.947\n医生统称病毒性上感，\n\n03:24.048 --> 03:24.973\n并非敷衍，\n\n03:24.973 --> 03:27.248\n而是告诉你不需要用抗生素。\n\n03:30.451 --> 03:32.751\n那病毒入侵的时候像一个闪电战。\n\n03:33.835 --> 03:35.335\n快递小哥来抢工厂。\n\n03:36.212 --> 03:37.962\n病毒就像一个快递小哥，\n\n03:38.013 --> 03:39.212\n骗过细胞膜，\n\n03:39.462 --> 03:41.912\n把自身的MRNA塞进生产线，\n\n03:42.313 --> 03:45.162\n24小时就能复制上千种病毒。\n\n03:45.919 --> 03:48.369\n上千个病毒细胞破裂后。\n\n03:49.537 --> 03:50.287\n大军扩散，\n\n03:50.388 --> 03:51.988\n此时你还没有感觉，\n\n03:52.188 --> 03:53.537\n却已经有了感染，\n\n03:53.537 --> 03:54.488\n有了传染性。\n\n03:57.345 --> 03:59.895\n那细菌与病毒的背锅区别？\n\n04:00.606 --> 04:01.324\n首先，\n\n04:01.324 --> 04:03.257\n在大小与结构方面，\n\n04:03.557 --> 04:05.507\n病毒只有0.1μm，\n\n04:05.757 --> 04:07.406\n细菌是1μm。\n\n04:08.251 --> 04:11.151\n病毒需要劫持细胞才能繁殖，\n\n04:11.501 --> 04:13.151\n细菌可以独立开店。\n\n04:14.744 --> 04:15.544\n第二方面，\n\n04:16.045 --> 04:21.345\n钥匙和拆墙病毒就像钥匙开锁能精准，\n\n04:21.494 --> 04:22.894\n但很难通用。\n\n04:23.709 --> 04:26.558\n细菌就像拆墙打洞破坏，\n\n04:26.558 --> 04:27.509\n破坏性大，\n\n04:27.658 --> 04:29.459\n却易被抗生素围剿。\n\n04:30.587 --> 04:32.036\n那么在用药策略方面，\n\n04:32.286 --> 04:34.837\n抗生素对病毒是完全没有效的，\n\n04:35.087 --> 04:37.386\n滥用只会杀伤肠道菌群，\n\n04:37.687 --> 04:39.587\n制造耐药超级细菌。\n\n04:44.438 --> 04:46.989\n接下来我们看一下症状地图传染。\n\n04:49.510 --> 04:51.610\n那鼻塞流涕的幕后信号。\n\n04:52.756 --> 04:54.705\n从清涕到黄绿的真相。\n\n04:55.506 --> 04:57.555\n清涕是早期血液渗出。\n\n04:58.593 --> 05:00.993\n黄绿乃白细胞尸体，\n\n05:01.493 --> 05:04.118\n它不代表细菌颜色变化，\n\n05:04.118 --> 05:06.444\n仅提示病变进入一个尾声。\n\n05:08.316 --> 05:08.566\n嗯。\n\n05:09.733 --> 05:12.032\n我们可以再拿交通阻塞来比喻一下，\n\n05:12.433 --> 05:14.833\n鼻粘膜充血就像晚高峰，\n\n05:15.433 --> 05:18.782\n血管扩张让免疫细胞更快到场。\n\n05:20.355 --> 05:21.855\n鼻塞是临时封路，\n\n05:21.954 --> 05:24.105\n一般需要5.7天。\n\n05:28.305 --> 05:28.705\n咳嗽，\n\n05:28.855 --> 05:31.156\n它是一个科身体的清道夫。\n\n05:32.479 --> 05:34.128\n它是由于反射弧机制。\n\n05:34.886 --> 05:40.886\n当异物刺激神经报告脑干命令膈肌与声带瞬间协作，\n\n05:41.286 --> 05:43.286\n0.2秒完成一次咳嗽。\n\n05:44.386 --> 05:44.837\n那么，\n\n05:44.837 --> 05:47.437\n接下来我们看一下干咳和湿咳。\n\n05:47.937 --> 05:49.337\n干咳一般无痰，\n\n05:49.386 --> 05:50.786\n多为早期刺激，\n\n05:51.187 --> 05:53.886\n湿咳带痰代表清理阶段，\n\n05:54.087 --> 05:55.486\n各需不同处理。\n\n05:58.894 --> 06:00.968\n就像扫地机器人咳嗽，\n\n06:00.968 --> 06:04.343\n把粘液、病毒、灰尘打包送出，\n\n06:04.694 --> 06:05.669\n盲目镇咳，\n\n06:05.669 --> 06:07.194\n等于关掉了扫地机，\n\n06:07.394 --> 06:08.993\n垃圾越积越多。\n\n06:10.182 --> 06:11.731\n正科需要分场合。\n\n06:12.598 --> 06:13.998\n夜间咳到睡不着，\n\n06:14.098 --> 06:15.348\n可以临时镇咳，\n\n06:15.748 --> 06:17.248\n白天鼓励排痰，\n\n06:17.498 --> 06:19.199\n先评估再用药。\n\n06:23.552 --> 06:27.552\n接下来讲一下发热免疫系统的加速器。\n\n06:28.654 --> 06:30.554\n它好比工厂加夜班，\n\n06:31.054 --> 06:33.654\n当体温每升高1°C，\n\n06:33.704 --> 06:35.255\n白细胞速度翻倍，\n\n06:35.654 --> 06:37.105\n病毒复制减速。\n\n06:37.985 --> 06:40.485\n38°5是免疫优势温度，\n\n06:40.686 --> 06:42.186\n不必立刻退热。\n\n06:42.835 --> 06:44.585\n若患者精神尚好，\n\n06:44.635 --> 06:46.235\n可以观察并补液。\n\n06:47.212 --> 06:51.111\n持续高热大于三天或者伴有意识变化再就医。\n\n06:55.139 --> 06:55.539\n咽痛。\n\n06:56.486 --> 06:57.486\n与深思的警报。\n\n07:00.290 --> 07:01.540\n走廊扩音器进水，\n\n07:02.140 --> 07:03.615\n声带粘膜水肿，\n\n07:03.615 --> 07:04.941\n向扩音器进水。\n\n07:05.864 --> 07:06.964\n音色变得粗糙，\n\n07:07.415 --> 07:08.464\n减少说话，\n\n07:08.765 --> 07:09.739\n多喝温水，\n\n07:09.739 --> 07:10.714\n既可以自愈。\n\n07:12.127 --> 07:13.326\n在咽痛分级方面，\n\n07:13.326 --> 07:14.527\n首先是咽干，\n\n07:14.726 --> 07:16.576\n随后转化成吞咽痛。\n\n07:17.421 --> 07:19.772\n之后会表现为一个放射性耳痛。\n\n07:21.024 --> 07:22.575\n程度是慢慢递增的，\n\n07:22.875 --> 07:24.875\n倘若有高热脓点，\n\n07:25.024 --> 07:26.424\n需排查链球菌。\n\n07:30.562 --> 07:34.161\n接下来讲一下传播路径与高危场景。\n\n07:37.292 --> 07:37.643\n飞沫，\n\n07:37.692 --> 07:39.493\n它是一个看不见的顺风车。\n\n07:40.601 --> 07:41.351\n它是喷嚏。\n\n07:41.351 --> 07:41.851\n火箭。\n\n07:42.821 --> 07:45.872\n一次喷嚏射出两万滴飞沫，\n\n07:46.272 --> 07:48.272\n初速度每秒40米。\n\n07:48.976 --> 07:51.226\n大滴是一米内落地，\n\n07:51.277 --> 07:54.226\n小滴它可以悬浮于空气中数分钟，\n\n07:54.976 --> 07:57.527\n所以我们要保持1米的社交距离。\n\n07:58.027 --> 07:59.826\n世界卫生组织他建议，\n\n08:00.177 --> 08:02.177\n距离患者要大于等于一米，\n\n08:02.326 --> 08:04.927\n可降低70%的吸入风险。\n\n08:05.871 --> 08:08.821\n口罩在此范围外也有阻断意义。\n\n08:10.812 --> 08:11.161\n另外。\n\n08:12.148 --> 08:15.449\n患者需要戴口罩来保护他人健康，\n\n08:15.449 --> 08:17.799\n人也应该戴口罩来保护自己。\n\n08:18.199 --> 08:22.248\n双层防护最高可以降低85%的传播。\n\n08:26.165 --> 08:27.365\n接触传播的黑手。\n\n08:28.295 --> 08:29.446\n在接力棒表面。\n\n08:31.243 --> 08:32.543\n一般有门把手。\n\n08:33.507 --> 08:34.208\n电梯按钮。\n\n08:34.929 --> 08:35.729\n手机屏幕，\n\n08:36.280 --> 08:38.580\n它可以存活病毒24小时。\n\n08:41.166 --> 08:42.317\n手成为接力棒，\n\n08:42.416 --> 08:44.617\n把病毒送进口鼻。\n\n08:46.132 --> 08:48.781\n所以我们回家必须要做到三部曲，\n\n08:49.132 --> 08:49.781\n首先，\n\n08:49.781 --> 08:50.481\n换鞋。\n\n08:51.481 --> 08:51.757\n第二，\n\n08:51.757 --> 08:52.882\n洗手20秒。\n\n08:53.281 --> 08:53.831\n第三，\n\n08:53.981 --> 08:55.231\n酒精擦手机。\n\n08:56.526 --> 08:58.726\n家庭内感染率可以降低6成，\n\n08:58.976 --> 09:00.627\n比戴口罩更划算。\n\n09:07.236 --> 09:08.887\n密闭空间的放大效应。\n\n09:09.838 --> 09:10.788\n二氧化碳预警。\n\n09:11.780 --> 09:14.929\n当室内的二氧化碳大于一千PPM，\n\n09:15.030 --> 09:16.380\n说明通风比较差，\n\n09:16.780 --> 09:19.755\n飞沫云持续悬浮每30分钟，\n\n09:19.755 --> 09:20.880\n开窗5分钟，\n\n09:21.130 --> 09:23.729\n飞沫浓度可以降低70%。\n\n09:24.950 --> 09:27.599\n像地铁、电梯尽量背对人群，\n\n09:27.750 --> 09:28.750\n减少交谈，\n\n09:28.950 --> 09:30.349\n降低暴露剂量。\n\n09:34.286 --> 09:36.387\n那儿童与成人的差异呢？\n\n09:37.361 --> 09:38.010\n首先，\n\n09:38.210 --> 09:40.161\n儿童为何更容易中招？\n\n09:40.611 --> 09:42.810\n由于儿童他鼻腔狭窄，\n\n09:43.210 --> 09:46.111\n婴幼儿他鼻道仅为成人的1/3，\n\n09:46.411 --> 09:47.560\n稍肿即塞，\n\n09:47.810 --> 09:49.060\n被迫张口呼吸，\n\n09:49.510 --> 09:50.661\n易继发感染。\n\n09:53.533 --> 09:55.133\n儿童他纤毛未成熟，\n\n09:55.484 --> 10:00.083\n纤毛数量和平摆摇摆的频率随着年龄增长。\n\n10:00.913 --> 10:01.362\n而增长，\n\n10:01.713 --> 10:04.013\n当6岁以后才接近成人水平，\n\n10:04.163 --> 10:05.763\n病毒更容易停留。\n\n10:08.143 --> 10:08.468\n儿童，\n\n10:08.468 --> 10:10.043\n他有免疫空白，\n\n10:10.393 --> 10:12.043\n未接触多数病毒，\n\n10:12.293 --> 10:13.692\n记忆T细胞为零，\n\n10:13.893 --> 10:16.117\n每次遭遇都需从头应战，\n\n10:16.117 --> 10:17.343\n显得比较频繁。\n\n10:18.776 --> 10:21.500\n儿童感冒年均6.8次，\n\n10:21.500 --> 10:22.776\n属于一个正常范围，\n\n10:23.075 --> 10:24.426\n家长无需焦虑。\n\n10:24.726 --> 10:26.575\n随着患儿年龄增长，\n\n10:26.575 --> 10:28.700\n感染次数自然而然会下降，\n\n10:28.700 --> 10:31.526\n重点观察有没有重症的信号。\n\n10:33.468 --> 10:35.718\n那成人感染有哪些特点呢？\n\n10:36.018 --> 10:36.617\n首先，\n\n10:36.718 --> 10:37.918\n防火墙老化。\n\n10:39.992 --> 10:41.341\n现在工作压力比较大，\n\n10:41.492 --> 10:43.142\n熬夜、烟酒，\n\n10:43.242 --> 10:46.267\n它可以削弱黏膜的IGA a病毒，\n\n10:46.267 --> 10:47.242\n长驱直入，\n\n10:47.541 --> 10:49.442\n症状反而比儿童重。\n\n10:51.322 --> 10:51.848\n那有些人，\n\n10:51.848 --> 10:53.822\n他喜欢拖不去就诊，\n\n10:53.872 --> 10:55.372\n那拖成慢性咳嗽。\n\n10:55.973 --> 10:58.023\n成人常带病上班，\n\n10:58.172 --> 10:59.122\n休息不足，\n\n10:59.273 --> 11:00.872\n咳嗽可以迁延四周。\n\n11:01.273 --> 11:02.973\n建议至少请两天假，\n\n11:03.023 --> 11:04.372\n进行个好好休息。\n\n11:07.197 --> 11:08.822\n那如果患者居家，\n\n11:08.822 --> 11:10.646\n那我们应该如何护理呢？\n\n11:12.770 --> 11:13.070\n首先，\n\n11:13.070 --> 11:15.919\n补液与休息是一对黄金组合，\n\n11:16.369 --> 11:18.419\n就像充电和更新系统。\n\n11:19.544 --> 11:20.744\n温水每小时。\n\n11:22.168 --> 11:23.601\n补充200ml血，\n\n11:23.601 --> 11:25.418\n容量可以增加1%，\n\n11:25.867 --> 11:28.718\n粘膜抗体运输的速度可以快3倍。\n\n11:29.536 --> 11:34.036\n深度睡眠时脑积液清除炎症因子速度也翻倍。\n\n11:34.437 --> 11:35.086\n建议。\n\n11:36.174 --> 11:37.625\n晚上10点前关灯，\n\n11:37.875 --> 11:39.625\n连续睡满8小时，\n\n11:39.825 --> 11:42.275\n这样康复期可以缩短1.5天。\n\n11:45.487 --> 11:48.437\n那空气湿度它有一个隐形的疗效。\n\n11:49.903 --> 11:51.578\n40%.60%是一个黄金区。\n\n11:52.901 --> 11:54.851\n在这个浓度的湿度下，\n\n11:55.301 --> 11:57.000\n病毒半衰期最短，\n\n11:57.301 --> 11:59.950\n飞沫不容易蒸发成微颗粒，\n\n12:00.101 --> 12:02.750\n感染风险可以下降46%。\n\n12:04.205 --> 12:05.755\n另外三选一方案，\n\n12:05.755 --> 12:07.856\n首先卧室放一盆水，\n\n12:08.306 --> 12:09.406\n挂湿毛巾，\n\n12:09.755 --> 12:10.906\n开一个加湿器，\n\n12:11.156 --> 12:12.994\n成本从低到高，\n\n12:12.994 --> 12:14.606\n效果都能达标。\n\n12:16.648 --> 12:16.947\n另外，\n\n12:16.947 --> 12:18.297\n夜间是个重点，\n\n12:18.648 --> 12:20.697\n睡眠时鼻呼吸为主，\n\n12:20.898 --> 12:23.398\n湿度不足致黏膜干燥，\n\n12:23.797 --> 12:25.197\n儿童容易憋醒，\n\n12:25.747 --> 12:27.372\n所以要保持湿度，\n\n12:27.372 --> 12:29.398\n减少夜咳50%。\n\n12:34.379 --> 12:36.328\n那么我们可以使用盐水洗鼻。\n\n12:37.521 --> 12:37.671\n嗯，\n\n12:37.671 --> 12:39.822\n以及漱口有哪些技巧呢？\n\n12:40.021 --> 12:42.971\n首先一看二温三侧头。\n\n12:43.421 --> 12:44.771\n首先看镜子。\n\n12:45.914 --> 12:47.013\n温水37°，\n\n12:47.213 --> 12:48.664\n头侧45°，\n\n12:48.914 --> 12:52.114\n让盐水从一侧鼻孔进入另一侧，\n\n12:52.314 --> 12:53.114\n不呛咳。\n\n12:53.994 --> 12:55.695\n2漱口30秒，\n\n12:56.094 --> 12:57.895\n淡盐水漱口30秒，\n\n12:58.244 --> 13:00.794\n水流扫过咽喉壁，\n\n13:00.945 --> 13:05.744\n可以减少局部病毒1/3孕妇儿童都能使用。\n\n13:08.481 --> 13:10.682\n那咳嗽分期饮食方。\n\n13:11.736 --> 13:12.385\n在排痰期。\n\n13:13.396 --> 13:13.572\n可以，\n\n13:13.572 --> 13:16.247\n我们使用白萝卜炖蜂蜜。\n\n13:17.067 --> 13:20.067\n萝卜硫素稀食粘液促排痰，\n\n13:20.317 --> 13:21.968\n每日一小碗即可。\n\n13:22.418 --> 13:23.567\n那在干咳期，\n\n13:23.918 --> 13:26.117\n温润温梨水润肺，\n\n13:26.418 --> 13:28.117\n加两片姜驱寒，\n\n13:28.468 --> 13:30.418\n每晚睡前200ml，\n\n13:30.668 --> 13:32.867\n降低夜间咳醒率。\n\n13:33.578 --> 13:34.278\n在恢复期。\n\n13:35.119 --> 13:36.270\n我们可以蒸苹果，\n\n13:36.419 --> 13:38.119\n因为它含有果胶，\n\n13:38.219 --> 13:39.320\n可以修复粘膜。\n\n13:39.770 --> 13:42.369\n加点肉桂粉可以增加血液循环。\n\n13:43.223 --> 13:44.273\n加速痊愈。\n\n13:46.120 --> 13:46.870\n忌口方面，\n\n13:47.171 --> 13:48.171\n没有咽痛，\n\n13:48.320 --> 13:50.870\n可以少量葱蒜促循环。\n\n13:52.231 --> 13:53.581\n禁辣不等于禁忌。\n\n13:54.354 --> 13:55.854\n根据个人耐受性为主，\n\n13:55.955 --> 13:57.655\n不必要盲目禁辣。\n\n14:01.570 --> 14:04.570\n那在用药方面我们有哪些误区呢？\n\n14:06.682 --> 14:07.182\n抗生素，\n\n14:07.182 --> 14:09.031\n它不是退烧的药匙。\n\n14:09.632 --> 14:10.406\n红霉素，\n\n14:10.406 --> 14:11.581\n它杀不死流感。\n\n14:12.908 --> 14:14.708\n抗生素针对细菌。\n\n14:15.848 --> 14:16.999\n对病毒零作用，\n\n14:17.148 --> 14:21.799\n滥用可以引起腹泻、耐药以及真菌感染。\n\n14:23.898 --> 14:24.797\n当真菌感染后，\n\n14:24.797 --> 14:26.148\n就很难使用药物。\n\n14:27.216 --> 14:27.966\n第二部分，\n\n14:28.065 --> 14:29.416\n三问自检。\n\n14:30.452 --> 14:32.252\n当高热大于有没有大于三天，\n\n14:32.552 --> 14:33.752\n有没有浓稠涕，\n\n14:34.101 --> 14:38.276\n血象中性粒细胞有没有大于83%缺1，\n\n14:38.276 --> 14:39.151\n则先观察，\n\n14:39.151 --> 14:40.351\n不必自行买药。\n\n14:43.044 --> 14:45.794\n那么真的生活当中有七成在滥用。\n\n14:46.044 --> 14:50.195\n我国社区呼吸道感染抗生素使用率达到70%，\n\n14:50.544 --> 14:54.294\n远远超过WHO要求的20%的红线，\n\n14:54.744 --> 14:57.145\n每个人都应该减量一环。\n\n15:00.504 --> 15:02.903\n那我们来拆解一下复方感冒药，\n\n15:03.304 --> 15:04.804\n它是一个拼盘套餐。\n\n15:05.304 --> 15:07.304\n拼盘套餐它是有风险的。\n\n15:07.604 --> 15:12.804\n复方它含有退热、抗过敏、镇咳、减充血四类。\n\n15:13.484 --> 15:18.585\n混吃易对易对乙酰氨基酚超量引起肝损伤，\n\n15:18.934 --> 15:21.534\n像急性肝损伤的案例年年都有。\n\n15:22.921 --> 15:23.521\n看通用名，\n\n15:23.521 --> 15:24.572\n避免重复。\n\n15:25.072 --> 15:26.872\n买前先读一遍通用名，\n\n15:27.072 --> 15:29.521\n含氨酚烷胺别叠加，\n\n15:29.971 --> 15:31.721\n单药对症更安全，\n\n15:31.771 --> 15:33.171\n能不吃就不吃。\n\n15:36.088 --> 15:37.689\n那在中成药使用方面，\n\n15:38.088 --> 15:42.138\n首先两部自辨寒热风寒。\n\n15:43.601 --> 15:43.851\n怕冷，\n\n15:43.851 --> 15:45.252\n重流清涕，\n\n15:45.502 --> 15:46.401\n舌苔白。\n\n15:47.166 --> 15:47.966\n风热表现。\n\n15:49.682 --> 15:50.281\n咽痛重，\n\n15:50.731 --> 15:51.731\n黄涕浓。\n\n15:52.710 --> 15:53.359\n舌苔黄，\n\n15:53.909 --> 15:54.859\n辨不清鲜，\n\n15:54.859 --> 15:56.760\n选平和的板蓝根，\n\n15:57.210 --> 15:58.859\n儿童按体重减半，\n\n15:59.559 --> 16:01.659\n不要盲目跟成人剂量。\n\n16:03.111 --> 16:04.786\n如果错服麻黄类，\n\n16:04.786 --> 16:07.111\n有可能会引起大汗虚脱，\n\n16:07.361 --> 16:08.960\n这样会更加伤身体。\n\n16:10.741 --> 16:12.291\n那么我们遇到感冒，\n\n16:12.291 --> 16:13.890\n我们应该何时就医呢？\n\n16:14.812 --> 16:15.961\n根据危险信号。\n\n16:16.833 --> 16:17.184\n首先，\n\n16:17.184 --> 16:18.184\n持续高热，\n\n16:18.434 --> 16:20.783\n当体温大于38°，\n\n16:20.783 --> 16:22.184\n超过三十啊，\n\n16:22.184 --> 16:22.934\n38°5，\n\n16:22.934 --> 16:23.684\n超过3天，\n\n16:24.133 --> 16:27.184\n提示可能合并细菌或者其他感染，\n\n16:27.383 --> 16:28.684\n需验血评估。\n\n16:29.716 --> 16:30.067\n第二，\n\n16:30.067 --> 16:31.017\n呼吸急促。\n\n16:31.267 --> 16:34.267\n成人大于30分30次每分，\n\n16:34.466 --> 16:36.416\n儿童大于40次每分。\n\n16:36.567 --> 16:39.466\n我们应该警惕肺炎或气道梗阻，\n\n16:40.216 --> 16:42.067\n这时候就需要立即就诊。\n\n16:43.580 --> 16:45.155\n第三部分就是意识变化，\n\n16:45.155 --> 16:47.580\n以及第四部分脱水出血。\n\n","v0d47cg10004d74uctaljhtdar7l0720",1013,659,"2026-03-03 00:09:26","2026-06-11 18:41:23",[34],{"menuId":35,"menuName":36,"parentId":17,"orderNum":23,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":22,"status":17,"createDept":6,"remark":25,"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","video","/video.html","1","0","T","2025-11-07 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