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--> 00:01.411\n嗯，\n\n00:01.462 --> 00:02.187\n大家好，\n\n00:02.187 --> 00:07.412\n我是来自上海市奉贤区庄行镇社区卫生服务中心的黄医生。\n\n00:07.912 --> 00:12.711\n今天我给大家讲的课题是认识非结核分歧杆菌肺病。\n\n00:14.081 --> 00:18.106\n我们大家一般性都知道结核分歧杆菌引起的是肺结核，\n\n00:18.106 --> 00:23.955\n那么非结核分歧杆菌它引起的是哪些常见疾病。\n\n00:23.955 --> 00:25.781\n还有一些它的。\n\n00:26.740 --> 00:27.816\n菌群是哪些？\n\n00:27.816 --> 00:30.141\n我们今天来好好了解一下。\n\n00:31.281 --> 00:33.832\n先从一个他疾病的基础讲起。\n\n00:35.027 --> 00:40.928\n它的一个定义非结核分歧杆菌肺病是由非结核分歧杆菌引起的，\n\n00:41.077 --> 00:43.277\n但与结核病类似，\n\n00:43.277 --> 00:45.127\n但是病原体是不同的。\n\n00:45.327 --> 00:47.928\n该疾病的主要影响还是在肺部，\n\n00:47.928 --> 00:50.577\n是一种慢性感染性的疾病，\n\n00:50.728 --> 00:53.327\n它具有多样化的临床表现。\n\n00:54.956 --> 00:57.456\n在全球的一个流行趋势的话，\n\n00:57.456 --> 01:02.405\n全球肺结核分歧杆菌肺病发病率是逐年上升的，\n\n01:02.456 --> 01:04.956\n尤其发达国家尤为显著。\n\n01:05.648 --> 01:07.148\n像一些环境变化，\n\n01:07.148 --> 01:08.197\n人口老龄化，\n\n01:08.197 --> 01:10.547\n还有一些免疫抑制人群，\n\n01:10.797 --> 01:13.998\n患者增加是它的主要影响因素。\n\n01:14.748 --> 01:17.447\n我国的一个流行现状的话是。\n\n01:20.069 --> 01:23.319\n那个肺结核分歧杆菌发病率逐渐的上升，\n\n01:23.419 --> 01:27.069\n一些沿海及经济发达的地区发病率比较高，\n\n01:27.370 --> 01:29.245\n随着诊断技术的进步，\n\n01:29.245 --> 01:30.620\n更多病例被确诊，\n\n01:30.620 --> 01:33.669\n它的危害性也被我们逐渐的重视起来。\n\n01:34.735 --> 01:36.684\n那它有一些感染的人群，\n\n01:36.684 --> 01:39.584\n它的一个特点是多见于一些中老年人，\n\n01:39.785 --> 01:42.235\n一些慢性肺部疾病患者，\n\n01:42.385 --> 01:44.735\n以及免疫力低下的人群，\n\n01:44.735 --> 01:45.934\n比较容易感染，\n\n01:45.985 --> 01:47.959\n像一些糖尿病患者，\n\n01:47.959 --> 01:50.735\n长期使用免疫抑制剂的患者，\n\n01:50.785 --> 01:52.485\n感染的风险更高。\n\n01:53.424 --> 01:54.399\n它的危害的话，\n\n01:54.399 --> 01:56.073\n是疾病进展缓慢，\n\n01:56.223 --> 01:57.573\n它的危害很大，\n\n01:57.624 --> 02:00.749\n会导致他一个患者的肺功能下降，\n\n02:00.749 --> 02:02.374\n影响他的生活质量。\n\n02:03.335 --> 02:05.736\n诊断和治疗的难度也是比较大的，\n\n02:05.736 --> 02:09.136\n给患者及家庭会带来经济和心理的。\n\n02:10.727 --> 02:13.927\n随着那个诊断技术的发展，\n\n02:13.927 --> 02:15.453\n更多的病例被确诊，\n\n02:15.453 --> 02:19.052\n所以我们医护也是提高了对该病的认识，\n\n02:19.052 --> 02:23.402\n提高了公众也和医护人员对该病的重视，\n\n02:23.402 --> 02:25.828\n有助于早期的诊断和治疗。\n\n02:27.046 --> 02:27.345\n嗯，\n\n02:27.345 --> 02:29.445\n然后它的一个病因与病理。\n\n02:30.337 --> 02:32.537\n非结核分歧杆菌的种类？\n\n02:34.707 --> 02:36.356\n还有鸟分期。\n\n02:37.673 --> 02:38.673\n杆菌复合群，\n\n02:38.673 --> 02:40.373\n还有脓肿分歧杆菌，\n\n02:40.373 --> 02:42.623\n还有一些其他菌群，\n\n02:43.673 --> 02:45.873\n它除了一些结合复合群，\n\n02:45.873 --> 02:47.598\n一些麻风分歧杆菌外，\n\n02:47.598 --> 02:48.074\n还有。\n\n02:48.830 --> 02:49.080\n嗯，\n\n02:49.330 --> 02:52.630\n包括190种那种分歧，\n\n02:52.731 --> 02:54.281\n多种分歧杆菌，\n\n02:54.731 --> 02:58.130\n一般性多为环境的腐生菌，\n\n02:58.531 --> 03:00.531\n很少数能治病。\n\n03:02.009 --> 03:04.410\n像比较常见的还是那种两分起来，\n\n03:04.410 --> 03:05.660\n就像大自然有风。\n\n03:06.623 --> 03:07.973\n分歧杆菌比较多，\n\n03:08.223 --> 03:12.274\n它是通过呼吸道吸入传播引起肺部感染，\n\n03:12.373 --> 03:14.524\n症状多样且病程较重。\n\n03:16.240 --> 03:17.539\n还有脓肿分歧杆菌，\n\n03:17.789 --> 03:19.815\n它会引起严重的肺部感染。\n\n03:19.815 --> 03:20.289\n一些。\n\n03:21.503 --> 03:23.703\n免疫力低下的患者比较多见，\n\n03:23.953 --> 03:26.453\n感染后他的病情进展迅速，\n\n03:26.503 --> 03:27.977\n治疗难度也比较大，\n\n03:27.977 --> 03:29.152\n预后也比较差。\n\n03:29.944 --> 03:30.218\n还有，\n\n03:30.218 --> 03:35.944\n看堪萨斯分歧杆菌还分歧杆菌等菌群也会有致病性。\n\n03:36.244 --> 03:37.494\n不同的菌种，\n\n03:37.494 --> 03:40.444\n致病性和传传播途径也略有差异。\n\n03:42.298 --> 03:44.897\n所以我们要了解不同菌种的特点，\n\n03:44.897 --> 03:47.373\n有助于精准的诊断和治疗，\n\n03:47.373 --> 03:48.697\n提高治疗的效果。\n\n03:50.938 --> 03:52.087\n它的一个病理机制，\n\n03:52.388 --> 03:57.337\n它主要是通过呼吸道吸入后附着在呼吸道黏膜上，\n\n03:57.688 --> 04:00.238\n突破粘膜屏障进入肺组织。\n\n04:00.537 --> 04:04.537\n它的表表面成分可与宿主细胞受体结合，\n\n04:04.787 --> 04:06.837\n增强它的侵入能力。\n\n04:08.233 --> 04:10.833\n它会引起肺部组织的炎症反应，\n\n04:10.983 --> 04:13.634\n形成肉芽肿、空洞等病变。\n\n04:14.033 --> 04:15.009\n严重的话，\n\n04:15.009 --> 04:17.334\n会导致肺组织纤维化。\n\n04:18.096 --> 04:19.196\n支气管扩张的。\n\n04:20.220 --> 04:24.045\n病变的部位还会出现大量的炎性细胞浸润，\n\n04:24.045 --> 04:25.769\n影响他的肺功能。\n\n04:27.148 --> 04:28.497\n它的一个免疫反应的话，\n\n04:28.497 --> 04:32.798\n是感染后机体免疫系统被激活产生免疫反应。\n\n04:33.048 --> 04:33.523\n但是，\n\n04:33.523 --> 04:36.497\n免疫反应不足以清除病原体，\n\n04:36.747 --> 04:42.798\n免疫反应、病理损伤相互作用也会影响疾病进程和预后。\n\n04:46.717 --> 04:48.617\n这个菌群的一个生存环境。\n\n04:50.221 --> 04:52.821\n广泛存在于自然环境中，\n\n04:52.921 --> 04:54.147\n比如土壤啊，\n\n04:54.147 --> 04:54.971\n水体啊，\n\n04:55.122 --> 04:56.872\n它的生存能力比较强，\n\n04:56.872 --> 04:59.821\n在恶劣的环境中也能长期存活。\n\n05:00.631 --> 05:03.031\n所以我们也增加了感染的风险。\n\n05:04.078 --> 05:07.727\n它的一个传播途径还是主要通过呼吸道传播，\n\n05:07.778 --> 05:10.977\n也可以通过受伤的皮肤感染。\n\n05:11.127 --> 05:12.778\n在特定的环境下，\n\n05:12.977 --> 05:17.877\n我们医院养老院也可以通过人与人之间的飞沫传播。\n\n05:18.656 --> 05:20.605\n所以我们就要加强。\n\n05:23.173 --> 05:25.572\n它的传播途径也是多种多样的，\n\n05:25.622 --> 05:28.372\n在免疫力低下的人群中传播，\n\n05:28.673 --> 05:30.572\n随着人口流动增加，\n\n05:30.773 --> 05:32.247\n传播范围扩大，\n\n05:32.247 --> 05:34.173\n需要加强监测和防控。\n\n05:37.854 --> 05:41.753\n它的一个常见症状的话是咳嗽、咳痰、咯血。\n\n05:43.484 --> 05:46.158\n痰液多为白色粘液痰，\n\n05:46.158 --> 05:47.933\n部分可能有红红痰。\n\n05:48.084 --> 05:49.084\n咯血的话，\n\n05:49.283 --> 05:51.084\n多为痰中带血，\n\n05:51.283 --> 05:53.783\n少数患者会有大咯血。\n\n05:54.985 --> 05:59.085\n患者还可以出现低热、乏力、体重下降等症状，\n\n05:59.085 --> 06:00.385\n影响日常生活。\n\n06:01.170 --> 06:02.220\n这个跟我们那个。\n\n06:03.463 --> 06:05.713\n结核杆菌的那个症状也比较大，\n\n06:05.713 --> 06:08.963\n但是非结核杆菌的它的症状可能比较轻微，\n\n06:08.963 --> 06:09.763\n但是它的。\n\n06:10.778 --> 06:11.678\n病程比较长。\n\n06:14.346 --> 06:15.096\n他通常。\n\n06:16.281 --> 06:17.781\n症状与肺结核相似，\n\n06:17.781 --> 06:18.281\n但是。\n\n06:19.805 --> 06:20.906\n通常不典型，\n\n06:20.906 --> 06:21.680\n病程较长，\n\n06:21.680 --> 06:22.955\n进展也比较缓慢，\n\n06:22.955 --> 06:25.205\n所以诊断的时候我们需要仔细鉴别，\n\n06:25.205 --> 06:26.605\n避免漏诊误诊。\n\n06:27.562 --> 06:28.861\n还有一些特殊的症状，\n\n06:28.861 --> 06:32.261\n部分患者可能出现胸痛、呼吸困难等症状，\n\n06:32.661 --> 06:33.911\n需要引起重视。\n\n06:35.795 --> 06:42.845\n症状严重的程度与感染的菌种、病情进展及个体也有也有差异。\n\n06:46.006 --> 06:48.256\n我们如我们怎么诊断这个。\n\n06:49.390 --> 06:49.964\n毛病呢，\n\n06:49.964 --> 06:51.589\n是通过一些痰培养，\n\n06:51.989 --> 06:55.540\n在痰液培养中找到肺结核分歧杆菌。\n\n06:56.479 --> 06:57.329\n可以进行确诊，\n\n06:57.729 --> 06:59.653\n但是这个培养的周期比较长，\n\n06:59.653 --> 07:01.329\n一般需要数周的时间。\n\n07:03.136 --> 07:03.861\n阳性率的话，\n\n07:03.861 --> 07:05.861\n也可能受多种因素的影响，\n\n07:05.861 --> 07:08.187\n所以需要规范的采集和处理。\n\n07:09.723 --> 07:12.424\n还有一些生物分子生物学的检测，\n\n07:12.424 --> 07:13.648\n如PCR技术，\n\n07:13.648 --> 07:19.623\n可以快速检测痰液、支气管肺泡灌洗液的标本功能。\n\n07:20.680 --> 07:23.330\n可以查出非结核分歧杆菌的DNA，\n\n07:23.381 --> 07:25.680\n也具有高灵敏度和特异性。\n\n07:26.920 --> 07:30.170\n分子生物学的检测可以缩短诊断时间，\n\n07:30.269 --> 07:32.820\n提高诊断的准确率。\n\n07:33.470 --> 07:34.769\n像影像学的话，\n\n07:34.769 --> 07:36.720\n我们可以通过胸部CT。\n\n07:37.584 --> 07:38.683\n是重要的辅助。\n\n07:40.511 --> 07:41.261\n诊断手段。\n\n07:42.994 --> 07:44.845\n可以显示肺部的疾病特征，\n\n07:44.845 --> 07:46.945\n如一些多发的小结节啊，\n\n07:46.945 --> 07:49.644\n肺受压症、支气管扩展红肿。\n\n07:50.358 --> 07:54.858\n会以有助于评估病情的严重和指导治疗。\n\n07:58.555 --> 07:59.680\n对于这个疾病的话，\n\n07:59.680 --> 08:01.256\n它的症状不典型，\n\n08:01.756 --> 08:02.906\n症状多样。\n\n08:04.921 --> 08:07.022\n易与其他肺部疾病混淆，\n\n08:07.071 --> 08:09.522\n所以可能会增加诊断的难度，\n\n08:09.821 --> 08:12.096\n所以我们需要详细的询问病史，\n\n08:12.096 --> 08:13.522\n进行全面的检查，\n\n08:13.522 --> 08:16.721\n有助于提高诊诊断的准确性。\n\n08:18.130 --> 08:19.980\n检测的方法也有局限性，\n\n08:20.179 --> 08:22.380\n因为痰培养的周期长，\n\n08:22.579 --> 08:27.079\n分子生物学检测可能存在假阳性或者假阴性的结果。\n\n08:27.812 --> 08:30.863\n所以综合多种检测方法可以提高。\n\n08:32.174 --> 08:33.223\n诊断的可靠性。\n\n08:35.986 --> 08:39.036\n由于症症状和检测结果的复杂性，\n\n08:39.036 --> 08:41.536\n也存在误诊、漏诊的风险，\n\n08:41.536 --> 08:45.986\n所以我们需要加强临床医生的培训和经验的积累。\n\n08:47.007 --> 08:49.906\n多学科协作有助于提高诊断水平，\n\n08:49.906 --> 08:52.007\n减少误诊、漏诊。\n\n08:55.255 --> 08:58.054\n然后对于这个疾病的治疗和预防有哪些？\n\n08:58.554 --> 09:02.104\n我们的一个治疗方案是通过药物治疗、手术治疗。\n\n09:03.956 --> 09:04.706\n药物治疗的话，\n\n09:04.706 --> 09:08.906\n是联合使用多种抗非结核分歧杆菌。\n\n09:09.986 --> 09:11.760\n药物如一些克拉霉素啊，\n\n09:11.760 --> 09:14.185\n阿卡米星、乙胺丁醇等，\n\n09:14.435 --> 09:16.486\n治疗周期通常比较长，\n\n09:16.486 --> 09:18.135\n一般需要6个月以上。\n\n09:19.434 --> 09:22.684\n部分患者可能需要一到两年甚至更长的时间。\n\n09:25.612 --> 09:32.312\n药物治疗需要根据菌种和药敏结果以及患者的个体情况调整方案。\n\n09:33.986 --> 09:34.835\n手术治疗的话，\n\n09:34.835 --> 09:36.661\n是对于一些药物治疗无效，\n\n09:36.661 --> 09:39.010\n且病变比较局限的患者，\n\n09:39.010 --> 09:42.135\n可以考虑手术切除病变的肺组织。\n\n09:43.721 --> 09:48.671\n但是手术治疗需要严格的评估患者的病情和手术风险。\n\n09:49.403 --> 09:52.554\n术后我们需要加强护理和康复指导。\n\n09:54.547 --> 09:57.797\n这个跟那个肺结核不太一样。\n\n09:58.924 --> 10:00.575\n就是结核杆菌引起的肺结核，\n\n10:00.575 --> 10:03.275\n它的治疗时间一般性6.9个月。\n\n10:04.052 --> 10:07.103\n一般性一线用药的话是四联用药。\n\n10:08.085 --> 10:09.885\n他的诊断也比较明确，\n\n10:09.885 --> 10:10.486\n更加。\n\n10:12.307 --> 10:13.132\n规范治疗的话，\n\n10:13.132 --> 10:14.607\n它的治愈率就更高了，\n\n10:14.607 --> 10:16.033\n像这种不典型的。\n\n10:17.789 --> 10:19.814\n非结核分歧杆菌的话，\n\n10:19.814 --> 10:22.489\n我们的治疗疗程就可能更长了。\n\n10:24.080 --> 10:24.856\n因为它的耐药，\n\n10:24.856 --> 10:26.656\n部分菌种的耐药性也比较高，\n\n10:26.656 --> 10:27.656\n治疗效果不佳，\n\n10:27.656 --> 10:30.830\n所以需要不断的探索新的治疗方案。\n\n10:31.231 --> 10:34.380\n如果治疗过程中患者的依从性差的话，\n\n10:34.380 --> 10:36.080\n也会影响治疗效果，\n\n10:36.181 --> 10:39.031\n所以也需要加强患者的教育和管理。\n\n10:41.281 --> 10:42.481\n那么我们怎么预防呢？\n\n10:42.481 --> 10:43.432\n我们还是。\n\n10:44.323 --> 10:44.874\n需要增强。\n\n10:46.057 --> 10:47.083\n患者的免疫力，\n\n10:47.083 --> 10:48.057\n合理的饮食，\n\n10:48.057 --> 10:50.283\n保证营养的均衡，\n\n10:50.283 --> 10:51.732\n坚持适量的运动，\n\n10:51.732 --> 10:52.833\n增强体质，\n\n10:52.833 --> 10:54.482\n保持规律的作息，\n\n10:54.482 --> 10:55.857\n避免过度劳累。\n\n10:56.107 --> 10:58.908\n免疫力是预防感感染的关键，\n\n10:59.158 --> 11:02.557\n需要长期坚持健康的生活方式。\n\n11:03.443 --> 11:06.044\n还要注意环境和个人卫生，\n\n11:06.693 --> 11:09.443\n避免接触污染严重的环境，\n\n11:09.643 --> 11:11.294\n如尘土飞扬的场所，\n\n11:11.294 --> 11:13.393\n保持室内空气清新。\n\n11:14.414 --> 11:15.664\n定期通风换洗，\n\n11:15.664 --> 11:17.638\n养成良好的个人卫生习惯，\n\n11:17.638 --> 11:18.289\n勤洗手，\n\n11:18.289 --> 11:19.364\n不随地吐痰。\n\n11:20.447 --> 11:23.622\n可以个良好的环境和个人卫生习惯，\n\n11:23.622 --> 11:26.398\n可以有效的减少感染的机会。\n\n11:27.265 --> 11:29.341\n易感人群的保护的话，\n\n11:29.341 --> 11:32.366\n是对一些免疫力低下的患者、老年人啊，\n\n11:32.366 --> 11:33.416\n慢性病患者，\n\n11:33.565 --> 11:35.166\n他们需要加强防护，\n\n11:35.166 --> 11:36.716\n避免接触感染源，\n\n11:36.866 --> 11:37.966\n定期的体检。\n\n11:38.901 --> 11:42.802\n有助于早期发现疾病和及时的治疗。\n\n11:47.437 --> 11:51.262\n对于这个疾病的一个治疗与预防的未来方向的话，\n\n11:51.262 --> 11:55.661\n我们可以创新药物的研发。\n\n11:55.661 --> 11:58.086\n随着耐药性问题的日益严重，\n\n11:58.187 --> 12:03.486\n研发新型的抗非结核分歧杆菌药物也会成为当务之急。\n\n12:04.393 --> 12:12.543\n新药物的研发需要注重抗菌的活性、安全性和患者的依从性这几点考虑。\n\n12:12.942 --> 12:19.043\n还有一个疫苗的研发有望从源头上预防非结核分歧杆菌的感染，\n\n12:19.043 --> 12:20.242\n降低发病率。\n\n12:21.033 --> 12:25.033\n研发疫苗需要克服多种技术难题，\n\n12:25.184 --> 12:29.333\n需要加强科研投入和国际合作。\n\n12:31.025 --> 12:32.750\n预防策略的优化的话，\n\n12:32.750 --> 12:38.700\n就是结合疾病这些结合一些疾病的流行性特点和人群的特征，\n\n12:38.700 --> 12:40.325\n优化预防策略，\n\n12:40.575 --> 12:42.224\n提高预防的效果，\n\n12:42.224 --> 12:44.275\n加强健康教育和宣传。\n\n12:44.820 --> 12:48.520\n提高公众对疾病的认识和防范意识。\n\n12:51.947 --> 12:55.622\n我们需要对这个疾病也要重视起来。\n\n12:55.622 --> 13:00.598\n非结核分歧杆菌肺病是一种逐渐受到关注的肺部疾病。\n\n13:01.111 --> 13:02.685\n虽然它的症状不典型，\n\n13:02.685 --> 13:04.810\n但是它的危害较大，\n\n13:05.260 --> 13:06.835\n提高对该病的认识，\n\n13:06.835 --> 13:09.036\n有助于早期诊断和治疗，\n\n13:09.036 --> 13:10.861\n减少疾病的危害。\n\n13:14.817 --> 13:15.268\n确诊，\n\n13:15.668 --> 13:18.817\n诊断是有效治疗的前提，\n\n13:18.918 --> 13:22.617\n所以需要综合多种检测方法提高诊。\n\n13:23.351 --> 13:24.752\n诊断的准确性。\n\n13:25.763 --> 13:28.239\n规范的治疗可以改善患者的预后，\n\n13:28.239 --> 13:29.963\n也能提高生活质量，\n\n13:29.963 --> 13:30.963\n减少复发。\n\n13:36.677 --> 13:39.427\n预防是控制疾病传播的关键，\n\n13:39.427 --> 13:40.677\n通过增强免疫力，\n\n13:40.677 --> 13:42.778\n注意环境和个人卫生措施，\n\n13:42.828 --> 13:45.377\n可以有效的减少感染的机会，\n\n13:45.677 --> 13:47.877\n加强易感人群的防护，\n\n13:48.078 --> 13:49.177\n降低发病率，\n\n13:49.177 --> 13:51.578\n保护公众的健健康。\n\n13:52.656 --> 13:52.906\n所以，\n\n13:52.906 --> 13:53.382\n总的话，\n\n13:53.382 --> 13:55.456\n还是预防医学很重要。\n\n13:55.507 --> 13:56.507\n对于这个疾病，\n\n13:56.507 --> 13:58.356\n我们还是以预防为主。\n\n13:59.135 --> 13:59.385\n嗯。\n\n14:02.825 --> 14:03.551\n像，\n\n14:03.551 --> 14:04.351\n总结一下，\n\n14:04.351 --> 14:07.276\n它就是像非像结核杆菌的话，\n\n14:07.276 --> 14:09.151\n它的传染性比较强，\n\n14:09.151 --> 14:11.075\n它有专职的治病。\n\n14:12.205 --> 14:12.455\n嗯，\n\n14:13.005 --> 14:16.106\n杆菌它的疗程是比较短的，\n\n14:16.156 --> 14:17.181\n容易防控。\n\n14:17.181 --> 14:17.580\n但是，\n\n14:17.580 --> 14:21.205\n像那个非结核分歧杆菌肺病的话，\n\n14:21.205 --> 14:23.755\n它的传染性虽然比较弱，\n\n14:24.005 --> 14:26.455\n但是它是通过条件治病的，\n\n14:26.505 --> 14:29.705\n它的一个治疗的疗程是比较长的，\n\n14:29.705 --> 14:30.205\n所以。\n\n14:30.903 --> 14:31.828\n更能治疗，\n\n14:31.828 --> 14:35.153\n所以我们最终还是以预防为主，\n\n14:35.552 --> 14:38.203\n预防是起到一个关键的作用。\n\n14:41.135 --> 14:41.385\n嗯，\n\n14:41.835 --> 14:43.885\n就就讲这些吧，\n\n14:43.885 --> 14:44.786\n谢谢大家。\n\n14:48.918 --> 14:49.218\n嗯，\n\n14:49.218 --> 14:53.468\n最后再讲一点关于那个非结核分歧杆菌，\n\n14:53.468 --> 14:56.893\n它的特点还是一个环境的感染，\n\n14:56.893 --> 15:00.567\n基本不会像肺结核那样出现人传人的现象。\n\n15:01.221 --> 15:03.596\n所以我们还是要通过个人的卫生。\n\n15:03.596 --> 15:04.122\n一种。\n\n15:04.900 --> 15:11.400\n环境环境的一个来控制这个疾病的发生。\n\n15:13.328 --> 15:17.578\n它还是多见于一些有基础疾病、免疫力低下的患者，\n\n15:18.228 --> 15:19.203\n慢阻肺啊，\n\n15:19.203 --> 15:19.978\n支扩啊。\n\n15:20.809 --> 15:23.408\n长期用激素的患者，\n\n15:23.508 --> 15:30.008\n所以我们还是需要加强这些患者的健康意识、健康宣教，\n\n15:30.109 --> 15:33.458\n避免患者接触到这些有害菌。\n\n15:38.971 --> 15:39.197\n然后，\n\n15:39.197 --> 15:41.671\n不幸确诊了这个疾病的话，\n\n15:41.671 --> 15:43.421\n那么我们也不需要担心。\n\n15:44.072 --> 15:44.471\n嗯，\n\n15:44.471 --> 15:47.796\n虽然它天生对很多抗结核的耐药菌耐药，\n\n15:47.796 --> 15:50.822\n但是我们还是可以通过一些药物联用。\n\n15:51.408 --> 15:55.757\n3到五种抗结核的药物应用疗程，\n\n15:55.757 --> 15:57.033\n虽然时间比较长，\n\n15:57.033 --> 16:01.482\n但是我们配合规范化的治疗的话，\n\n16:01.482 --> 16:06.757\n我们也是有望于这个疾病不容易复发的。\n\n16:08.357 --> 16:13.458\n这个疾病的重中之重还是需要大家注意个人卫生和环境的。\n\n16:14.468 --> 16:14.768\n好。\n\n","v0347cg10004d733tiqljhtbaccdi910",980,544,"2026-03-25 00:14:20","2026-06-11 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