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--> 00:07.047\n大家晚上好，\n\n00:07.447 --> 00:12.097\n今天要给大家讲解的是一节关于儿童鼻窦炎的课程。\n\n00:14.755 --> 00:17.454\n那么现在进入我们今天的讲课内容。\n\n00:20.879 --> 00:21.280\n首先，\n\n00:21.379 --> 00:24.930\n从以下几个方面进行今天的讲解。\n\n00:26.899 --> 00:28.548\n一是疾病的定义。\n\n00:29.618 --> 00:31.018\n二是病因分析。\n\n00:32.293 --> 00:34.094\n三是症状识别。\n\n00:36.331 --> 00:37.980\n四是诊断方法。\n\n00:39.361 --> 00:40.761\n五是治疗方式。\n\n00:41.938 --> 00:43.688\n六是预防措施。\n\n00:45.941 --> 00:50.041\n首先我们进行第一个内容的进行讲解，\n\n00:50.291 --> 00:52.640\n首先是疾病的定义。\n\n01:00.483 --> 01:01.733\n什么是鼻窦炎？\n\n01:03.265 --> 01:09.015\n我们的鼻窦炎是指鼻腔周围颅骨中的寒气空腔。\n\n01:10.522 --> 01:15.571\n包括上颌窦、额窦、筛窦和蝶窦内的粘膜，\n\n01:15.921 --> 01:19.522\n它因为病毒、细菌等因素引发的炎症。\n\n01:20.612 --> 01:21.063\n那么，\n\n01:21.063 --> 01:23.063\n儿童鼻窦炎的常见症状呢，\n\n01:23.063 --> 01:29.163\n主要是包括鼻塞、流鼻涕、咳嗽和头面部的胀痛。\n\n01:30.420 --> 01:31.920\n往往需要及时的治疗。\n\n01:33.314 --> 01:37.564\n那么鼻窦的位置和功能我们要先了解一下。\n\n01:40.449 --> 01:40.875\n鼻窦呢，\n\n01:40.875 --> 01:42.750\n位于鼻腔周围，\n\n01:42.750 --> 01:44.599\n颅骨和面骨内。\n\n01:45.467 --> 01:45.866\n比如说，\n\n01:46.166 --> 01:48.666\n我们的上颌窦位于上颌骨内，\n\n01:49.016 --> 01:51.366\n额窦则处于额骨之中。\n\n01:52.654 --> 01:54.080\n这些鼻窦的功能呢，\n\n01:54.080 --> 01:59.055\n是它不仅能帮助调节吸入空气的温度和湿度。\n\n01:59.964 --> 02:03.114\n还和鼻窦炎等疾病有密切的相关。\n\n02:04.714 --> 02:10.365\n儿童鼻窦炎经常表现为鼻塞、流涕和头痛，\n\n02:10.964 --> 02:11.964\n那么头痛呢，\n\n02:11.964 --> 02:14.365\n也是一个比较明显的一个临床症状。\n\n02:18.328 --> 02:19.054\n第二个呢，\n\n02:19.054 --> 02:22.628\n我们来讲一下鼻窦炎的一个病因的一个分析。\n\n02:25.527 --> 02:26.328\n首先呢，\n\n02:26.328 --> 02:27.578\n是一个感染因素。\n\n02:29.738 --> 02:30.188\n感染呢，\n\n02:30.188 --> 02:32.164\n又分为细菌感染，\n\n02:32.164 --> 02:33.238\n病毒感染，\n\n02:33.938 --> 02:35.139\n细菌感染呢，\n\n02:35.139 --> 02:36.339\n它种类繁多。\n\n02:38.395 --> 02:38.544\n比如，\n\n02:38.544 --> 02:39.994\n那像李斯特菌，\n\n02:40.395 --> 02:43.294\n它经常能污染冷藏食品，\n\n02:43.845 --> 02:44.744\n感染后呢，\n\n02:44.744 --> 02:46.695\n还可能出现一个败血症。\n\n02:47.690 --> 02:48.416\n对儿童呢，\n\n02:48.416 --> 02:49.490\n尤其是危险。\n\n02:50.223 --> 02:52.673\n还可能引发鼻窦炎等并发症。\n\n02:55.106 --> 02:56.255\n其感染的因素呢，\n\n02:56.255 --> 02:58.955\n和食品不安全有相关因素。\n\n03:00.429 --> 03:01.179\n第二个呢，\n\n03:01.179 --> 03:02.479\n是病毒感染。\n\n03:03.453 --> 03:04.179\n病毒感染呢，\n\n03:04.179 --> 03:06.604\n在儿科的疾病中尤为常见。\n\n03:07.623 --> 03:11.423\n如流感病毒导致的上呼吸道感染。\n\n03:12.425 --> 03:14.425\n很容易并发儿童鼻窦炎。\n\n03:15.722 --> 03:16.822\n那么感染因素呢？\n\n03:16.871 --> 03:20.772\n它包括一个病毒的毒力、儿童的免疫力等。\n\n03:22.757 --> 03:25.057\n这些因素共同影响下呢。\n\n03:26.580 --> 03:30.279\n对病毒感染的严重程度和鼻窦炎的发生。\n\n03:31.895 --> 03:33.145\n产生一定的影响。\n\n03:36.684 --> 03:37.985\n那么还有其他因素，\n\n03:38.634 --> 03:39.785\n其他因素呢，\n\n03:40.285 --> 03:43.235\n一般还包括一个过敏因素的影响。\n\n03:44.160 --> 03:46.886\n过敏因素在鼻窦炎发病中呢，\n\n03:46.886 --> 03:48.511\n也占据着重要的地位。\n\n03:49.598 --> 03:54.649\n如尘螨、花粉等过敏原引发的一个鼻腔炎症，\n\n03:54.998 --> 03:57.998\n它也可同时加重鼻窦炎的症状。\n\n03:59.054 --> 04:01.304\n儿童如果对宠物的毛发过敏，\n\n04:01.554 --> 04:05.455\n那么养宠物也可能成为鼻窦炎的诱因之一，\n\n04:06.054 --> 04:06.705\n同时，\n\n04:07.154 --> 04:11.255\n气候变化等因素也可能成为一个协同的因素。\n\n04:12.699 --> 04:14.998\n第二个是环境因素的作用。\n\n04:17.041 --> 04:20.441\n环境因素在鼻窦炎发病中扮演着重要的角色。\n\n04:21.402 --> 04:25.652\n如空气污染中的尘埃、花粉等过敏源。\n\n04:26.604 --> 04:28.479\n可刺激儿童的粘膜，\n\n04:28.479 --> 04:29.454\n引发炎症。\n\n04:30.104 --> 04:30.753\n同时，\n\n04:31.503 --> 04:33.053\n气温的突然变化，\n\n04:33.303 --> 04:38.454\n湿度的不适宜等气候因素也会加重鼻窦炎的症状。\n\n04:40.092 --> 04:44.191\n他们这些因素与其他个体差异因素呢，\n\n04:44.342 --> 04:47.592\n共同影响了儿童鼻窦炎的发生发展。\n\n04:48.779 --> 04:49.630\n第三个呢，\n\n04:49.630 --> 04:51.279\n是解剖结构的异常。\n\n04:53.914 --> 04:57.789\n解剖结构异常往往是先天性的啊，\n\n04:57.789 --> 04:59.664\n比如说鼻中隔的偏曲，\n\n05:00.063 --> 05:02.963\n它就会妨碍鼻窦通气和引流，\n\n05:03.364 --> 05:05.713\n这样就容易引发鼻窦炎。\n\n05:06.114 --> 05:09.114\n这是这个因素在儿童中尤为明显。\n\n05:09.813 --> 05:10.463\n同时，\n\n05:10.664 --> 05:12.414\n儿童的免疫力比较弱，\n\n05:12.963 --> 05:17.864\n腺样体等肥大等因素也会加剧一个鼻窦炎的发生。\n\n05:21.050 --> 05:21.876\n第三个呢，\n\n05:21.876 --> 05:23.601\n是症状的识别。\n\n05:31.837 --> 05:35.136\n那么在发生鼻窦炎以后呢，\n\n05:35.136 --> 05:38.187\n我们的患者会有哪些症状呢？\n\n05:39.083 --> 05:39.882\n我们来看一看。\n\n05:41.260 --> 05:41.385\n嗯，\n\n05:41.385 --> 05:43.859\n一个是受嗅觉减退问题。\n\n05:45.005 --> 05:45.654\n赵奶奶，\n\n05:45.654 --> 05:48.130\n因为一个鼻息肉和鼻窦炎呢，\n\n05:48.130 --> 05:49.855\n导致一个嗅觉减退。\n\n05:50.872 --> 05:53.173\n这属于局部症状的一种。\n\n05:54.645 --> 05:59.696\n类似的情况也非常有可能发生在儿童的身上。\n\n06:00.967 --> 06:02.367\n比如说小孩鼻窦炎。\n\n06:03.178 --> 06:03.678\n炎症呢，\n\n06:03.678 --> 06:05.477\n也会影响嗅觉神经，\n\n06:06.078 --> 06:08.528\n导致一个嗅觉的敏感度降低。\n\n06:11.251 --> 06:14.050\n然后是第二个是鼻塞的表现。\n\n06:15.593 --> 06:16.694\n比赛的时候。\n\n06:17.661 --> 06:17.886\n患者，\n\n06:17.886 --> 06:20.161\n可能会感到呼吸不畅。\n\n06:22.157 --> 06:23.557\n小朋友一般会主诉，\n\n06:23.907 --> 06:24.856\n不能呼吸。\n\n06:26.479 --> 06:27.128\n鼻子堵塞，\n\n06:27.678 --> 06:30.028\n那么需要用嘴巴来进行呼吸，\n\n06:30.878 --> 06:35.579\n这个鼻塞症状尤其在躺下来的时候更加的明显。\n\n06:37.138 --> 06:37.937\n局部症状呢，\n\n06:37.937 --> 06:39.488\n还包括鼻涕增多，\n\n06:39.787 --> 06:40.988\n嗅觉减退。\n\n06:42.226 --> 06:43.226\n对儿童而言，\n\n06:43.425 --> 06:46.276\n鼻塞还有可能导致睡眠不安。\n\n06:47.055 --> 06:47.506\n打鼾，\n\n06:48.156 --> 06:50.131\n那么晚上睡得不好呢，\n\n06:50.131 --> 06:52.205\n就会影响他白天的学习。\n\n06:52.855 --> 06:56.256\n睡得不好也有可能会影响儿童的一个情绪。\n\n06:57.292 --> 06:57.868\n这个时候，\n\n06:57.868 --> 07:03.993\n如果近段时间发现儿童学习成绩有点下降，\n\n07:04.192 --> 07:05.268\n然后情绪呢，\n\n07:05.268 --> 07:06.192\n暴躁易怒。\n\n07:07.217 --> 07:09.917\n那么这个时候我们就需要警惕，\n\n07:10.268 --> 07:13.518\n是不是小朋友发生了一个鼻窦炎的可能。\n\n07:14.859 --> 07:15.359\n第三个呢，\n\n07:15.359 --> 07:17.359\n是流脓涕的情况。\n\n07:18.566 --> 07:19.916\n就是通常呢，\n\n07:19.916 --> 07:25.617\n表现为鼻腔内出现黄色或者绿色的浓稠的鼻涕。\n\n07:27.108 --> 07:27.882\n而且呢，\n\n07:27.882 --> 07:29.558\n往往还伴随着鼻塞。\n\n07:30.980 --> 07:32.881\n嗅觉减退等局部症状。\n\n07:34.072 --> 07:36.436\n在儿童鼻窦炎患者中，\n\n07:36.436 --> 07:37.872\n流脓涕呢，\n\n07:38.173 --> 07:39.622\n尤其的是多见。\n\n07:41.053 --> 07:43.204\n在流脓涕和鼻塞的同时呢，\n\n07:43.354 --> 07:44.954\n可能还伴有头痛。\n\n07:45.454 --> 07:46.604\n急性患者呢，\n\n07:46.604 --> 07:49.003\n还有可能有出现发热的表现。\n\n07:50.100 --> 07:51.950\n那么儿童的头痛症状呢，\n\n07:51.950 --> 07:53.149\n也是比较的明显，\n\n07:53.500 --> 07:55.750\n比较的头痛比较显著。\n\n07:57.049 --> 07:57.348\n嗯。\n\n07:58.662 --> 07:59.863\n那么除了局部症状，\n\n08:00.562 --> 08:01.838\n严重的患者呢，\n\n08:01.838 --> 08:04.013\n还会出现一个全身症状。\n\n08:05.157 --> 08:09.106\n全身症状我们包括一个发热、乏力。\n\n08:10.910 --> 08:12.184\n可以发热乏力呢，\n\n08:12.184 --> 08:13.809\n表现为体温升高，\n\n08:14.260 --> 08:15.359\n四肢无力，\n\n08:15.510 --> 08:16.809\n精神萎靡等。\n\n08:17.623 --> 08:18.699\n全身症状呢，\n\n08:18.699 --> 08:19.473\n可能包括。\n\n08:20.739 --> 08:22.438\n头痛、食欲减退。\n\n08:23.458 --> 08:24.058\n不爱吃饭，\n\n08:24.507 --> 08:24.907\n嗯，\n\n08:24.907 --> 08:26.157\n睡眠障碍等。\n\n08:27.230 --> 08:30.829\n这些症状在儿童鼻窦炎等感染性疾病中呢，\n\n08:30.829 --> 08:31.880\n也可能出现。\n\n08:33.349 --> 08:34.125\n它同时呢，\n\n08:34.125 --> 08:35.549\n会伴随一个鼻塞，\n\n08:35.799 --> 08:37.250\n流脓涕等症状。\n\n08:38.831 --> 08:39.182\n然后呢，\n\n08:39.182 --> 08:41.731\n也会成为一个咳嗽的病因。\n\n08:43.986 --> 08:48.335\n儿童咳嗽中有一个常见的病因是上呼吸道感染。\n\n08:49.086 --> 08:51.286\n如果比如说是儿童鼻窦炎，\n\n08:52.286 --> 08:54.125\n当鼻窦发炎时，\n\n08:54.125 --> 08:57.036\n分泌物有可能倒流进入喉咙。\n\n08:57.989 --> 08:58.614\n这个时候呢，\n\n08:58.614 --> 09:00.939\n就会刺激咽喉发生一个咳嗽。\n\n09:01.638 --> 09:02.388\n同时呢，\n\n09:02.388 --> 09:04.739\n患者还可以伴随全身症状，\n\n09:04.939 --> 09:07.439\n比如发刚刚说的发热乏力。\n\n09:07.888 --> 09:09.539\n发热乏力这些症状呢，\n\n09:09.539 --> 09:11.739\n在儿童中表现的尤为明显。\n\n09:13.330 --> 09:14.981\n然后是头痛。\n\n09:16.330 --> 09:18.580\n头痛部位非常的多，\n\n09:18.580 --> 09:20.130\n比如说前额。\n\n09:21.228 --> 09:25.578\n太阳穴两边的太阳穴或者后脑勺发生头痛，\n\n09:26.127 --> 09:27.978\n儿童鼻窦炎的时候呢，\n\n09:28.177 --> 09:31.078\n头痛通常位于前额或者面部。\n\n09:32.190 --> 09:32.890\n同时呢，\n\n09:32.890 --> 09:34.190\n伴随全身症状，\n\n09:34.239 --> 09:35.065\n如发热，\n\n09:35.065 --> 09:35.640\n咳嗽。\n\n09:36.822 --> 09:39.072\n同时出现这些症状的时候呢，\n\n09:39.473 --> 09:43.072\n我们可能提示儿童的鼻窦出现了问题，\n\n09:43.322 --> 09:45.273\n发生了一个鼻窦炎的问题。\n\n09:48.559 --> 09:49.309\n第四个呢，\n\n09:49.309 --> 09:51.059\n我们来说一下诊断方法。\n\n09:52.060 --> 09:53.911\n首先是诊断依据。\n\n09:57.145 --> 09:58.395\n病史询问内容。\n\n09:59.590 --> 10:02.390\n我们在病史询问的时候呢，\n\n10:02.690 --> 10:07.690\n要详细了解好儿童是否有鼻塞、流脓涕，\n\n10:07.940 --> 10:09.440\n以及持续的时间，\n\n10:09.989 --> 10:11.340\n什么时候开始的，\n\n10:11.890 --> 10:12.864\n有没有鼻塞，\n\n10:12.864 --> 10:13.940\n有没有流鼻涕。\n\n10:14.742 --> 10:18.192\n那么同时是不是伴有头痛、嗅觉减退？\n\n10:19.385 --> 10:19.786\n以及呢，\n\n10:19.786 --> 10:23.486\n过去是否有反复发生的一个上呼吸道感染史，\n\n10:24.236 --> 10:28.335\n这些信息对诊断儿童鼻窦炎是至关重要的。\n\n10:28.892 --> 10:30.716\n那么病史询问完了以后呢，\n\n10:30.716 --> 10:33.742\n我们也要对儿童进行一个体格检查。\n\n10:34.192 --> 10:35.642\n在体格检查中，\n\n10:35.892 --> 10:37.442\n针对儿童鼻窦炎。\n\n10:38.396 --> 10:38.646\n医生，\n\n10:38.646 --> 10:42.296\n可能要检查一下鼻粘膜是否充血肿胀，\n\n10:42.697 --> 10:45.197\n鼻腔内是否有脓性分泌物。\n\n10:45.937 --> 10:48.737\n还要注意患儿是不是有头痛，\n\n10:49.487 --> 10:51.737\n面部有没有压痛这些表现。\n\n10:52.338 --> 10:53.088\n这些呢，\n\n10:53.088 --> 10:55.088\n都是诊断的重要依据。\n\n10:57.331 --> 10:57.531\n嗯。\n\n10:58.486 --> 10:59.310\n那么接下来呢，\n\n10:59.310 --> 11:01.736\n是进行一个辅助检查。\n\n11:02.385 --> 11:03.460\n辅助检查呢，\n\n11:03.460 --> 11:07.335\n我们一般会做一个鼻内镜CT和磁共振。\n\n11:07.786 --> 11:13.236\n鼻内镜检查在儿科耳鼻喉科中发挥着重要的作用。\n\n11:13.736 --> 11:18.736\n它可以清晰的观察到鼻粘膜水肿、鼻甲肥大等病变。\n\n11:19.185 --> 11:25.185\n对儿童鼻窦炎患者可以观察到鼻窦开口状况和息肉的情况。\n\n11:25.585 --> 11:26.411\n从而呢，\n\n11:26.411 --> 11:28.685\n为制定治疗方案提供一个。\n\n11:28.731 --> 11:31.581\n个关键依据作为辅助检查，\n\n11:31.882 --> 11:34.882\n它有助于医生更准确的诊断病情。\n\n11:36.471 --> 11:36.622\n那么，\n\n11:36.622 --> 11:38.872\n当儿童疑似有鼻窦炎时，\n\n11:39.171 --> 11:42.872\nCT和磁共振检查也可以发挥重要的作用。\n\n11:43.322 --> 11:44.271\n因为CT呢，\n\n11:44.271 --> 11:47.072\n能清楚的显示鼻窦的解剖结构，\n\n11:47.271 --> 11:48.471\n病变的范围，\n\n11:48.671 --> 11:50.171\n有助于制定方案。\n\n11:51.382 --> 11:52.732\n那么磁共振呢，\n\n11:52.732 --> 11:53.932\n虽然没有辐射，\n\n11:54.182 --> 11:54.783\n但是呢，\n\n11:54.783 --> 11:56.482\n它检查的时间比较长，\n\n11:56.982 --> 11:58.333\n但是它的优点呢，\n\n11:58.333 --> 12:00.382\n是对软组织的分辨率高，\n\n12:00.632 --> 12:03.882\n同样所以可以辅助诊断一个鼻窦炎。\n\n12:05.877 --> 12:06.653\n那第五个呢，\n\n12:06.653 --> 12:08.127\n就是治疗方式。\n\n12:11.005 --> 12:11.681\n首先呢，\n\n12:11.681 --> 12:12.906\n就是一个药物治疗。\n\n12:13.306 --> 12:14.330\n药物治疗呢，\n\n12:14.330 --> 12:18.705\n我们一般分为抗生素、粘液促排剂和抗组胺药。\n\n12:19.794 --> 12:21.494\n在抗生素的使用方面，\n\n12:21.794 --> 12:23.843\n以治疗儿童鼻窦炎为例，\n\n12:24.393 --> 12:26.393\n如果儿童确诊了鼻窦炎，\n\n12:26.643 --> 12:30.143\n那么需要开具抗生素来进行控制感染，\n\n12:30.494 --> 12:31.643\n通过药物治疗，\n\n12:31.643 --> 12:33.693\n特别是合理使用抗生素，\n\n12:34.093 --> 12:36.143\n能有效的减轻炎症，\n\n12:36.494 --> 12:39.093\n促进儿童鼻窦炎的一个康复。\n\n12:40.250 --> 12:41.275\n那么同时呢，\n\n12:41.275 --> 12:42.299\n我们可以使用。\n\n12:43.629 --> 12:46.179\n适适当的使用一些粘液促排剂，\n\n12:46.729 --> 12:49.879\n对儿童鼻窦炎也有一个显著功效。\n\n12:50.731 --> 12:51.106\n他们呢，\n\n12:51.106 --> 12:53.331\n可以细化鼻腔的粘液，\n\n12:53.731 --> 12:56.031\n增强粘膜纤毛的活性，\n\n12:56.481 --> 12:58.132\n促进分泌物的排出，\n\n12:58.231 --> 13:00.432\n缓解鼻塞、流涕等症状。\n\n13:01.177 --> 13:02.728\n可以辅助治疗鼻窦炎。\n\n13:05.736 --> 13:06.210\n第三个呢，\n\n13:06.210 --> 13:07.486\n就是抗组胺药物。\n\n13:07.685 --> 13:09.460\n抗组胺药物的治疗呢，\n\n13:09.460 --> 13:11.585\n广泛用于缓解过敏症状。\n\n13:12.036 --> 13:13.385\n对于儿童鼻窦炎，\n\n13:13.685 --> 13:20.385\n抗组胺药物能够减轻因为过敏而引发的一个流涕等就打喷嚏等症状，\n\n13:20.736 --> 13:23.286\n帮助缓解鼻腔充血和水肿。\n\n13:23.486 --> 13:23.935\n那么，\n\n13:23.935 --> 13:25.210\n改善这个鼻塞啊，\n\n13:25.210 --> 13:26.236\n呼吸的状况。\n\n13:27.783 --> 13:28.484\n其他治疗。\n\n13:29.903 --> 13:31.653\n它包括一个物理治疗，\n\n13:31.903 --> 13:32.927\n鼻腔冲洗，\n\n13:32.927 --> 13:34.403\n还有一个手术治疗。\n\n13:35.252 --> 13:36.828\n物理治疗手段呢，\n\n13:36.828 --> 13:38.302\n包括鼻腔冲洗，\n\n13:39.153 --> 13:41.802\n使用生理盐水清洁鼻道，\n\n13:41.802 --> 13:43.552\n以以清除分泌物。\n\n13:44.343 --> 13:45.492\n通过蒸汽吸入。\n\n13:46.327 --> 13:47.526\n可以湿化呼吸道，\n\n13:47.776 --> 13:49.177\n减轻粘膜水肿，\n\n13:49.776 --> 13:52.827\n以及面部的一个热敷和穴位按摩。\n\n13:53.377 --> 13:58.927\n我们可以利用温利用温热效应增加局部的血液循环，\n\n13:59.177 --> 14:01.276\n缓解肌肉紧张和疼痛。\n\n14:02.288 --> 14:02.737\n那么，\n\n14:02.737 --> 14:03.737\n鼻腔冲洗呢，\n\n14:03.737 --> 14:08.338\n它的好处在于能够有效清除鼻腔内的分泌物和过敏原，\n\n14:08.638 --> 14:10.487\n减轻鼻窦炎的症状。\n\n14:10.937 --> 14:13.687\n特别是对于儿童鼻窦炎患者，\n\n14:13.937 --> 14:16.788\n它是辅助治疗的重要手段之一。\n\n14:16.987 --> 14:19.562\n相比于其他的药物治疗等呢，\n\n14:19.562 --> 14:21.288\n更为安全和温和。\n\n14:22.205 --> 14:22.606\n嗯。\n\n14:24.567 --> 14:27.267\n那么还有一个重要的治疗呢，\n\n14:27.267 --> 14:28.517\n就是手术治疗。\n\n14:28.867 --> 14:29.841\n手术治疗呢，\n\n14:29.841 --> 14:32.966\n可以从小儿鼻窦炎的案例中体现。\n\n14:33.817 --> 14:34.841\n一名患儿呢，\n\n14:34.841 --> 14:37.867\n因急窦急性鼻窦炎伴双眼脓肿，\n\n14:38.067 --> 14:40.867\n那么接受了鼻内镜的手术治疗。\n\n14:40.867 --> 14:46.025\n手术治疗包括鼻窦开窗、眼眶减压和脓肿引流。\n\n14:46.025 --> 14:46.841\n术后呢，\n\n14:46.841 --> 14:49.166\n患者患儿的症状迅速缓解，\n\n14:49.216 --> 14:50.367\n视野恢复。\n\n14:50.966 --> 14:51.867\n这个案例呢，\n\n14:51.867 --> 14:54.666\n结合了物理疗法辅助康复并。\n\n14:54.823 --> 14:55.124\n且呢，\n\n14:55.124 --> 14:57.273\n凸显了及时手术的必要性。\n\n14:59.278 --> 14:59.528\n嗯。\n\n15:00.364 --> 15:00.864\n第六个呢，\n\n15:00.864 --> 15:02.263\n就是预防措施。\n\n15:03.578 --> 15:05.528\n我们在生活习惯方面。\n\n15:06.973 --> 15:09.973\n要对鼻窦炎进行一个预预防，\n\n15:10.223 --> 15:14.973\n那么预防方案方法一般是包括适当的运动和均衡的饮食。\n\n15:15.624 --> 15:16.799\n适当的运动呢，\n\n15:16.799 --> 15:18.624\n比如慢跑、游泳，\n\n15:18.773 --> 15:20.773\n它都能增强儿童的体质，\n\n15:21.023 --> 15:22.473\n改善生活习惯，\n\n15:22.723 --> 15:24.323\n减少久坐时间，\n\n15:24.473 --> 15:25.973\n有助于预防感冒，\n\n15:26.374 --> 15:30.473\n进而降低儿童因反复感冒引发鼻窦炎的风险，\n\n15:30.473 --> 15:31.473\n促进健康。\n\n15:33.375 --> 15:34.325\n均衡饮食呢？\n\n15:34.476 --> 15:36.325\n为了保持均衡饮食，\n\n15:36.625 --> 15:39.875\n家长应该确保孩子摄入多样化的食物，\n\n15:40.075 --> 15:41.026\n如蔬果，\n\n15:41.125 --> 15:42.976\n全谷物和瘦肉，\n\n15:43.526 --> 15:46.426\n同时培养孩子的一个规律作息，\n\n15:46.726 --> 15:47.875\n充足睡眠，\n\n15:48.026 --> 15:49.476\n以增强免疫力。\n\n15:50.375 --> 15:52.526\n预防儿童鼻窦炎等疾病。\n\n15:54.942 --> 15:55.692\n卫生防护。\n\n15:56.955 --> 15:59.806\n我们要做好一个室内空气维护，\n\n15:59.955 --> 16:01.505\n它是至关重要的，\n\n16:01.705 --> 16:03.705\n尤其在卫生防护方面，\n\n16:04.005 --> 16:06.606\n比如说定期清洁一个空调滤网，\n\n16:06.856 --> 16:08.406\n开窗通风换气，\n\n16:08.755 --> 16:09.380\n这样呢，\n\n16:09.380 --> 16:11.656\n能减少室内的尘螨、细菌等，\n\n16:11.955 --> 16:16.156\n这对预防儿童鼻窦炎和呼吸系统疾病大有裨益。\n\n16:17.171 --> 16:17.921\n同时呢，\n\n16:17.921 --> 16:19.572\n我们也要注意个人卫生，\n\n16:19.921 --> 16:20.921\n勤洗手，\n\n16:21.072 --> 16:24.322\n尤其是在接触公共物品或户外环境后，\n\n16:24.521 --> 16:25.721\n及时清洁呢，\n\n16:25.721 --> 16:26.971\n可以减少病菌，\n\n16:26.971 --> 16:28.322\n病菌带入鼻腔，\n\n16:28.572 --> 16:30.122\n预防儿童鼻窦炎。\n\n16:30.521 --> 16:31.271\n同时呢，\n\n16:31.271 --> 16:32.872\n定期清洁个人用品，\n\n16:33.122 --> 16:36.771\n毛巾枕套也是重要的卫生防护措施。\n\n16:38.421 --> 16:39.322\n疾病治疗。\n\n16:40.356 --> 16:41.757\n那么在鼻窦炎的治疗呢，\n\n16:41.757 --> 16:44.606\n我们一般过敏性疾病呢，\n\n16:44.606 --> 16:46.007\n可以通过多种方式。\n\n16:46.456 --> 16:49.307\n比如那一位儿童如果患上了鼻窦炎，\n\n16:49.557 --> 16:53.656\n如果经过检查发现是因为过敏引起的，\n\n16:53.956 --> 16:56.706\n那么随后可以通过避免接触过敏原，\n\n16:56.807 --> 17:00.257\n使用抗组胺药物和糖皮质激素进行治疗，\n\n17:00.456 --> 17:01.156\n这样子呢，\n\n17:01.156 --> 17:03.206\n症状就能得到有效的缓解。\n\n17:04.505 --> 17:04.831\n好，\n\n17:04.831 --> 17:07.406\n那么今天的讲解讲课就到这里，\n\n17:07.406 --> 17:08.656\n谢谢大家的观看。\n\n","v0247cg10004d74tnk2ljht3130o9g3g",1034,866,"2026-03-10 00:01:26","2026-06-11 18:53:10",[33],{"menuId":34,"menuName":35,"parentId":17,"orderNum":36,"path":37,"component":38,"isFrame":39,"isCache":40,"menuType":41,"visible":22,"status":17,"createDept":6,"remark":24,"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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