[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$faiZt4lq-aW9grOrr2odnEATF7h4t_ROvpHEU5UIYJi8":8,"$f8FVXWNZzhlmuRjGrL6vPlAXRfSOJMo5E3FFBkijAUQI":60,"$fypx1Bn3GlEf01d6HY_9gDM0UmNZfTVT-y1otlrXPOkY":61,"$fGCfFOdgtPscEoJzCnWZzZor3DF1EA2P6V7Ct59zC6rw":64},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":59},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":26,"views":30,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":31,"seoTitle":32,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":38,"type":55,"quality":56,"commentCount":17,"isComment":26,"deviceType":57,"url":58},9344,871558,[],"https://cdn.yishi-tong.com/console/store-unknown/uF7OMd0P_hB1LaAPsAH23kXFsYY6stA4.png","武鹏涛",0,"全科医疗各类疾病治疗","上海市浦东新区浦兴社区卫生服务中心","全科医疗","主治医师",10,"支气管哮喘的临床表现及急性 发作期的药物处理","","https://cdn.yishi-tong.com/console/3/xaoq8Ab46Jp8tnwaWcN6ajsgSEjArPed.png",1,"WEBVTT\n\n00:01.980 --> 00:02.630\n大家好。\n\n00:03.357 --> 00:06.606\n我们今天来讲的疾病是支气管哮喘。\n\n00:07.815 --> 00:13.765\n主要从它的临床表现和急性发作期药物处理两个方面来讲解。\n\n00:16.031 --> 00:16.305\n首先，\n\n00:16.305 --> 00:18.131\n哮喘是怎么发生的呢？\n\n00:19.030 --> 00:21.805\n我们正常人的呼吸功能也是正常的。\n\n00:21.805 --> 00:22.129\n在。\n\n00:23.253 --> 00:24.552\n某些诱发因素。\n\n00:25.725 --> 00:28.174\n引发呼吸道发生炎症，\n\n00:28.424 --> 00:30.225\n并分泌大量粘液，\n\n00:30.625 --> 00:37.025\n从而引发咳嗽、喘息、胸闷、气促等哮喘症状。\n\n00:37.724 --> 00:39.775\n从微观层面上来看，\n\n00:40.275 --> 00:43.775\n主要表现为肺泡中气体陷壁，\n\n00:44.075 --> 00:45.875\n气道平滑肌痉挛，\n\n00:46.125 --> 00:47.325\n气道变窄。\n\n00:47.976 --> 00:49.726\n从而导致粘液增多。\n\n00:52.053 --> 00:54.002\n哮喘常见的过敏原有。\n\n00:55.522 --> 00:56.323\n遗传因素，\n\n00:56.522 --> 00:57.222\n花粉，\n\n00:57.573 --> 00:58.272\n尾气，\n\n00:58.623 --> 00:59.873\n装修污染等。\n\n01:04.328 --> 01:04.828\n正常时，\n\n01:04.828 --> 01:07.277\n我们人呼吸功能正常，\n\n01:07.727 --> 01:08.727\n不受影响，\n\n01:09.178 --> 01:11.877\n而当哮喘急性发作时，\n\n01:11.877 --> 01:13.678\n气道会发生痉挛。\n\n01:14.526 --> 01:15.875\n气道内壁肿胀，\n\n01:16.375 --> 01:18.975\n从而导致气道粘液增多，\n\n01:19.075 --> 01:20.125\n呼吸困难，\n\n01:20.125 --> 01:24.176\n严重时可导致窒息甚至死亡。\n\n01:27.671 --> 01:27.997\n首先，\n\n01:27.997 --> 01:39.921\n支气管哮喘是由多种细胞如嗜酸性粒细胞、肥大细胞、T淋巴细胞、嗜中性粒细胞、气道上皮细胞等。\n\n01:40.653 --> 01:44.804\n和细胞组分参与的气道慢性炎症性疾患。\n\n01:45.625 --> 01:49.975\n这种慢性炎症导致气道高反应性的增加，\n\n01:50.475 --> 01:58.075\n并引起反复发作性的喘息、气急、胸闷或咳嗽等症状。\n\n01:58.980 --> 02:01.480\n常在夜间和清晨发作。\n\n02:02.607 --> 02:03.007\n加剧，\n\n02:03.357 --> 02:07.957\n通常出现广泛多变的可逆性气流受限，\n\n02:08.457 --> 02:12.856\n多数患者可自行缓解或经治疗后可缓解。\n\n02:14.136 --> 02:14.611\n首先，\n\n02:14.611 --> 02:16.886\n病因一是遗传因素。\n\n02:17.287 --> 02:22.936\n哮喘患儿双亲大多存在不同程度的气道反应性增高，\n\n02:23.636 --> 02:27.186\n患者亲属患病率高于群体患病率。\n\n02:28.134 --> 02:29.585\n第二是环境因素。\n\n02:30.475 --> 02:31.126\n吸入。\n\n02:32.492 --> 02:37.292\n如螨尘、花粉、真菌、动物毛屑等。\n\n02:39.175 --> 02:40.475\n第二是感染。\n\n02:41.264 --> 02:44.514\n如病毒、细菌、寄生虫。\n\n02:46.860 --> 02:48.011\n第三是食物。\n\n02:48.787 --> 02:53.138\n如鱼、虾、蟹、蛋、牛奶等。\n\n02:54.227 --> 02:55.477\n第四是药物，\n\n02:55.977 --> 02:58.977\n如阿司匹林、某些降压药物等。\n\n03:00.333 --> 03:02.884\n以及气候变化和运动。\n\n03:03.710 --> 03:05.134\n尤其是剧烈运动，\n\n03:05.134 --> 03:07.960\n特别是在干冷环境下运动，\n\n03:08.259 --> 03:11.009\n从而能导致支气管收缩，\n\n03:11.110 --> 03:13.660\n进而进一步诱发哮喘。\n\n03:16.727 --> 03:20.026\n它的发病机制目前尚不完全清楚。\n\n03:20.891 --> 03:31.341\n多数认为哮喘与变态反应、气道炎症、气道高反应性增高及神经等因素相互作用有关。\n\n03:33.541 --> 03:36.591\n哮喘可分为速发性哮喘反应。\n\n03:37.367 --> 03:40.367\n一般15.30分钟达到高峰，\n\n03:40.817 --> 03:43.266\n两小时后逐渐恢复正常。\n\n03:44.750 --> 03:46.300\n迟发性哮喘反应。\n\n03:47.154 --> 03:50.804\n多数为数十小时后方发生哮喘，\n\n03:51.255 --> 03:52.654\n持续时间长，\n\n03:52.804 --> 03:54.005\n可达数天。\n\n03:56.839 --> 03:57.988\n它的临床表现。\n\n03:58.988 --> 04:00.988\n主要为典型的四联征。\n\n04:02.565 --> 04:03.016\n喘息，\n\n04:03.016 --> 04:05.916\n这是哮喘最标志性的症状。\n\n04:06.315 --> 04:08.115\n患者在呼气时，\n\n04:08.565 --> 04:15.016\n肺部会发出高调、类似笛声或咻咻声的喘鸣音，\n\n04:15.766 --> 04:20.615\n这是因为气流通过严重狭窄的气道时产生的。\n\n04:21.407 --> 04:25.006\n严重时呼吸声在身边就能听到，\n\n04:25.407 --> 04:30.207\n轻度时可能需要医生用听诊器才能发现。\n\n04:31.264 --> 04:33.614\n咳嗽通常为干咳，\n\n04:33.713 --> 04:35.614\n无痰或少痰。\n\n04:38.351 --> 04:41.950\n哮喘的咳嗽有一个非常典型的特征，\n\n04:42.450 --> 04:44.550\n夜间或凌晨加重，\n\n04:44.950 --> 04:46.601\n严重影响睡眠。\n\n04:47.050 --> 04:51.950\n这种咳嗽也常在运动后或接触冷空气。\n\n04:53.039 --> 04:54.063\n或过敏源后，\n\n04:54.063 --> 04:57.989\n会出现有一种特殊类型的哮喘，\n\n04:58.389 --> 05:00.938\n称为咳嗽变异性哮喘。\n\n05:01.782 --> 05:08.932\n其唯一或主要临床表现就是慢性咳嗽而没有明显的喘息。\n\n05:09.824 --> 05:11.123\n第三是胸闷。\n\n05:12.183 --> 05:15.783\n患者常感受胸部有重物压迫，\n\n05:16.134 --> 05:18.683\n仿佛被绷紧带缠绕，\n\n05:19.334 --> 05:21.584\n或者感觉胸口发闷，\n\n05:21.584 --> 05:22.734\n呼吸不畅。\n\n05:23.649 --> 05:28.500\n这种感觉是由气道痉挛和阻塞所导致的。\n\n05:29.477 --> 05:30.727\n还有呼吸困难。\n\n05:32.269 --> 05:37.269\n患者常感觉空气只进不出或吸不出来，\n\n05:37.670 --> 05:40.820\n尤其是在呼气时特别费力。\n\n05:41.170 --> 05:42.070\n严重时，\n\n05:42.070 --> 05:42.720\n患者。\n\n05:43.536 --> 05:44.360\n为了呼吸，\n\n05:44.360 --> 05:46.936\n动用了所有辅助呼吸机，\n\n05:47.436 --> 05:49.485\n表现为端坐呼吸，\n\n05:49.985 --> 05:51.085\n无法平躺，\n\n05:51.436 --> 05:53.235\n必须坐着才能呼吸。\n\n05:54.667 --> 05:55.518\n张口抬肩，\n\n05:55.817 --> 05:57.167\n额头冒冷汗，\n\n05:57.467 --> 05:59.217\n说话断断续续，\n\n05:59.467 --> 06:01.417\n只能单字或短句。\n\n06:03.125 --> 06:07.225\n咳嗽变异性哮喘患者也可无上述症状。\n\n06:08.236 --> 06:10.736\n上述症状的特点是来得快，\n\n06:10.786 --> 06:11.736\n去的也快。\n\n06:12.904 --> 06:14.454\n发作时症状明显，\n\n06:14.855 --> 06:22.804\n但使用支气管扩张剂后或脱离过敏环境后症状可迅速缓解。\n\n06:23.563 --> 06:24.664\n在缓解期，\n\n06:24.963 --> 06:28.813\n患者可以像正常人一样毫无症状。\n\n06:32.911 --> 06:33.712\n诊断标准，\n\n06:34.062 --> 06:40.212\n一是反复发作性喘息、呼吸困难、胸闷或咳嗽。\n\n06:41.085 --> 06:48.885\n多与接触变应原、冷空气、物理化学刺激、病毒感染、运动等有关。\n\n06:49.436 --> 06:52.085\n第二是可闻及哮鸣音。\n\n06:52.944 --> 06:53.294\n第三，\n\n06:53.343 --> 06:57.093\n上述症状可经治疗或自行缓解。\n\n06:58.075 --> 07:00.174\n4如果症状不典型，\n\n07:00.674 --> 07:03.875\n如无明显喘息和体征。\n\n07:04.721 --> 07:09.221\n至少应应有以下三项中的一项阳性，\n\n07:09.721 --> 07:13.421\n支气管激发试验或运动试验阳性。\n\n07:14.330 --> 07:17.080\n第二是支气管舒张试验阳性。\n\n07:18.026 --> 07:25.626\n第三是呼气流量峰值日内变异率或昼夜波动率大于等于20%。\n\n07:26.579 --> 07:26.904\n第五，\n\n07:26.904 --> 07:32.779\n腹外其他疾病所引起的喘息、胸闷和咳嗽。\n\n07:33.654 --> 07:39.054\n符合1.4条或四五两条者即可诊断为哮喘。\n\n07:41.617 --> 07:49.766\n哮喘根据临床表现不同可分为急性发作期、慢性持续期和缓解期。\n\n07:50.266 --> 07:54.592\n缓解期是指经治疗或未经治疗，\n\n07:54.592 --> 07:56.516\n症状体征消失，\n\n07:57.016 --> 08:01.066\n肺功能恢复到急性发作前水平，\n\n08:01.516 --> 08:03.316\n并维持四周以上。\n\n08:06.634 --> 08:12.884\n哮喘患者根据病情严重程度不同分为三个部分。\n\n08:13.614 --> 08:17.364\n治疗前哮喘病情严重程度分级，\n\n08:17.414 --> 08:25.914\n包括新发生的哮喘患者和既往已诊断为哮喘而长时间未应用药物治疗。\n\n08:28.739 --> 08:33.939\n哮喘急性发病时病情严重程度的分级可参考这个表。\n\n08:39.685 --> 08:44.085\n轻度可在步行上楼时出现气短。\n\n08:44.974 --> 08:46.325\n体位可以平卧，\n\n08:46.674 --> 08:49.424\n讲话方式可以连续成句。\n\n08:50.448 --> 08:53.049\n精神状态可能会有焦虑，\n\n08:53.049 --> 08:54.499\n但尚能安静。\n\n08:55.869 --> 08:57.468\n出汗时常无出汗。\n\n08:58.226 --> 09:01.026\n呼吸频率正常或者轻度增加，\n\n09:01.827 --> 09:05.026\n辅助呼吸肌的活动及3凹征。\n\n09:06.796 --> 09:07.296\n不常见，\n\n09:07.745 --> 09:12.745\n哮鸣音常散在以及在呼吸末期时可闻及。\n\n09:13.395 --> 09:15.995\n脉率小于100次每分钟，\n\n09:16.296 --> 09:17.645\n常无肌脉。\n\n09:18.434 --> 09:21.609\n在使用贝塔二激动剂以后，\n\n09:21.609 --> 09:22.734\nPEF预计值。\n\n09:23.757 --> 09:25.307\n常大于80%。\n\n09:28.395 --> 09:33.296\n氧分压和二氧化碳分压常小于45mmHg。\n\n09:37.396 --> 09:41.296\n中度时常稍有活动即可出现气喘。\n\n09:42.409 --> 09:44.559\n体位常喜欢喜座位，\n\n09:44.909 --> 09:48.409\n讲话方式时是单个词的往外讲，\n\n09:49.010 --> 09:52.609\n精神状态时时有焦虑或烦躁。\n\n09:53.646 --> 09:55.396\n经常会伴有出汗，\n\n09:55.896 --> 09:57.896\n呼吸频率可见增加。\n\n09:59.942 --> 10:02.992\n可见有辅助呼吸机及3凹征，\n\n10:03.341 --> 10:07.392\n哮鸣音常是响亮甚至弥漫的，\n\n10:07.742 --> 10:11.041\n脉率是100.120次每分，\n\n10:11.591 --> 10:17.291\n可能会有肌脉使用贝塔二激动剂后PFEG时。\n\n10:18.039 --> 10:20.489\n常为60%.80%。\n\n10:21.991 --> 10:27.190\n氧分压及二氧化碳分压常大于等于60mmHg。\n\n10:28.307 --> 10:31.257\n或小于等于45mmHg。\n\n10:32.247 --> 10:37.697\n吸空气时氧饱和度常为91%.95%。\n\n10:38.543 --> 10:41.593\n重度是在休息时即可出现气短。\n\n10:42.763 --> 10:47.614\n体位是喜欢端坐呼吸、讲话方式为单个字的。\n\n10:47.614 --> 10:48.314\n我们来讲。\n\n10:49.406 --> 10:52.306\n精神上常有焦虑、烦躁。\n\n10:53.531 --> 10:54.981\n常伴有大汗淋漓，\n\n10:55.231 --> 10:57.080\n呼吸频率也是快的，\n\n10:57.330 --> 10:59.731\n常大于30次每分钟。\n\n11:00.747 --> 11:06.296\n辅助呼吸机活动及三凹征经常能看到哮鸣音，\n\n11:06.296 --> 11:07.572\n是很响亮的，\n\n11:07.572 --> 11:08.747\n并且弥漫的。\n\n11:10.346 --> 11:13.046\n脉率是大于120次每分钟。\n\n11:13.963 --> 11:15.713\n急慢是经常会出现。\n\n11:17.317 --> 11:19.617\n在使用贝塔二激动剂后。\n\n11:21.070 --> 11:25.596\nPEF一级值是小于60%或小于百分百的。\n\n11:26.541 --> 11:30.541\n氧分压及二氧化碳分压是小于60mmHg。\n\n11:32.898 --> 11:35.297\n小大于45mmHg。\n\n11:36.078 --> 11:41.228\n吸空气时氧气含量是小于九十百分之90。\n\n11:42.562 --> 11:45.112\n急危重症是不能讲话啊，\n\n11:45.112 --> 11:46.163\n出现嗜睡。\n\n11:47.156 --> 11:48.356\n或意识模糊。\n\n11:49.750 --> 11:50.674\n胸腹矛盾，\n\n11:50.674 --> 11:53.299\n运动减弱乃至没有，\n\n11:53.700 --> 11:54.875\n脉率变慢，\n\n11:54.875 --> 11:55.750\n不规律，\n\n11:55.950 --> 11:57.750\n提示呼吸肌疲劳。\n\n11:58.932 --> 12:00.831\nP值会出现降低。\n\n12:01.882 --> 12:06.932\n急性发作期治疗的目的是尽快缓解气道阻塞，\n\n12:07.232 --> 12:08.932\n纠正低氧血症，\n\n12:09.232 --> 12:11.182\n恢复肺、肺功能。\n\n12:12.083 --> 12:14.684\n预防进一步恶化或再次发作，\n\n12:15.033 --> 12:16.383\n防止并发症。\n\n12:19.270 --> 12:21.719\n治疗根据病情的分度进行，\n\n12:22.270 --> 12:24.369\n轻度效果不佳时，\n\n12:24.419 --> 12:31.169\n可加用小剂量茶碱控释片或口服贝塔二受体激动剂控释片。\n\n12:32.041 --> 12:34.341\n吸入贝塔二受体激动剂，\n\n12:34.741 --> 12:37.890\n每日定时吸入糖皮质激素。\n\n12:38.703 --> 12:39.504\n抗皮质激素。\n\n12:40.666 --> 12:42.992\n200.610μg，\n\n12:43.142 --> 12:45.591\n或加用抗胆碱药。\n\n12:47.590 --> 12:55.190\n中度是规则吸入贝塔二受体激动剂或口服长效贝塔二受体激动剂。\n\n12:57.344 --> 13:00.744\n氨茶碱是0.15.0.25mg，\n\n13:01.094 --> 13:05.020\n加入10%的葡萄糖40ml中，\n\n13:05.020 --> 13:06.395\n缓慢静注，\n\n13:07.344 --> 13:10.195\n加大糖皮质激素吸入剂量，\n\n13:10.645 --> 13:17.344\n或口服强的松20.60mg/d重度乃至微症状。\n\n13:18.171 --> 13:21.322\n静滴氨茶碱或沙丁胺醇，\n\n13:21.622 --> 13:24.572\n口服白三烯抗拮抗剂。\n\n13:25.414 --> 13:27.114\n降低糖皮质激素，\n\n13:27.164 --> 13:29.965\n如琥珀酸清烤。\n\n13:30.833 --> 13:34.234\n病情缓解改为口服激素逐渐减量，\n\n13:34.783 --> 13:40.783\n持续雾化吸入贝塔二受体激动剂或雾化吸入抗胆碱药，\n\n13:41.133 --> 13:42.883\n预防呼吸道感染。\n\n13:42.883 --> 13:43.734\n维持水。\n\n13:44.502 --> 13:45.403\n水电解质。\n\n13:46.625 --> 13:47.775\n和酸碱平衡，\n\n13:48.125 --> 13:49.200\n病情恶化，\n\n13:49.200 --> 13:50.575\n缺氧不能纠正，\n\n13:50.575 --> 13:52.174\n进行机械通气。\n\n13:54.921 --> 13:56.471\n根据哮喘患者。\n\n13:57.239 --> 14:00.513\n不同的级别治疗方案可分为，\n\n14:00.513 --> 14:04.164\n第一等级是间歇发作、每天控制的药物，\n\n14:04.164 --> 14:05.588\n不必服用，\n\n14:05.588 --> 14:07.838\n第二是轻度持续，\n\n14:08.088 --> 14:11.414\n可以吸入糖皮质激素代替的，\n\n14:11.414 --> 14:16.239\n可用缓解茶碱或色甘酸钠或白三烯调节。\n\n14:17.229 --> 14:19.880\n中度持续是吸入糖皮质激素。\n\n14:23.723 --> 14:25.549\n可吸入糖皮质激素。\n\n14:25.549 --> 14:27.273\n可用缓解茶碱。\n\n14:29.565 --> 14:30.966\n重度是是。\n\n14:31.760 --> 14:33.260\n吸入糖皮质激素，\n\n14:33.559 --> 14:36.710\n联合吸入长效贝塔R激动剂。\n\n14:37.515 --> 14:38.114\n需要时，\n\n14:38.114 --> 14:42.965\n可再增加一种或一种以上下列的药物。\n\n14:43.961 --> 14:46.961\n缓释茶碱、白三烯调节剂，\n\n14:47.012 --> 14:49.661\n长效口服贝塔二激动剂，\n\n14:49.961 --> 14:51.762\n口服糖皮质激素。\n\n14:53.807 --> 14:54.906\n各级治疗中，\n\n14:54.906 --> 14:58.557\n除了规则的每日控制药物治疗以外，\n\n14:58.807 --> 15:03.856\n需要时可吸入短效贝塔二激动剂以缓解症状，\n\n15:04.257 --> 15:08.057\n但每天吸入次数不应多于3.4次。\n\n15:08.846 --> 15:13.245\n其他药物的选择主要包括吸入抗胆碱能药物，\n\n15:13.395 --> 15:15.945\n口服短效贝塔二激动剂，\n\n15:16.245 --> 15:17.546\n短作用茶碱。\n\n15:17.945 --> 15:22.921\n间歇发作哮喘但发生严重急性发作者，\n\n15:22.921 --> 15:25.546\n应按照中度持续患者处理。\n\n15:26.963 --> 15:29.421\n上述方案为基本原则，\n\n15:29.421 --> 15:32.114\n必须个体化联合应用，\n\n15:32.414 --> 15:35.064\n以最小量、最简单的联合，\n\n15:35.114 --> 15:36.314\n副作用最小，\n\n15:36.564 --> 15:38.463\n效果最佳为原则，\n\n15:38.864 --> 15:42.614\n每3.6个月对病情进行一次评估，\n\n15:42.963 --> 15:46.463\n然后根据病情进行调整治疗方案，\n\n15:46.914 --> 15:49.164\n或升级或降级治疗。\n\n15:52.151 --> 15:52.851\n谢谢大家。\n\n","v0247cg10004d6056oaljht4u8jv0gig",954,852,"2025-12-29 18:12:48"," 支气管哮喘的临床表现及急性发作期的药物处理指南  "," 支气管哮喘症状,哮喘急性发作,哮喘药物处理,哮喘临床表现,哮喘急救治疗  "," 本文详细介绍了支气管哮喘的典型临床表现，包括喘息、气促和胸闷等症状，并提供了急性发作期的药物处理方案，帮助患者和医护人员有效应对哮喘发作。","2026-02-02 15:47:03",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":46,"children":47,"columnImage":48,"columnLogo":49,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":50,"seoKeywords":51,"seoDescription":52,"contentNum":6,"promotionalPoster":53,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":54,"routerPath":41,"componentInfo":42},"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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