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--> 00:01.128\n这好，\n\n00:01.128 --> 00:01.452\n嗯。\n\n00:02.229 --> 00:04.303\n我是那个凤城医院的张小华医生。\n\n00:05.368 --> 00:05.818\n今天呢，\n\n00:05.818 --> 00:08.793\n我们来讨论一下肺寄生虫病的一个科普。\n\n00:09.508 --> 00:10.708\n寄生虫病啊。\n\n00:11.583 --> 00:13.758\n寄生虫病我们在上海地区已经很少了，\n\n00:13.758 --> 00:14.883\n对吧？\n\n00:14.883 --> 00:16.909\n但是我们也要了解一下，\n\n00:16.909 --> 00:17.333\n对吧？\n\n00:18.086 --> 00:20.010\n肺气生虫病的定义对吧，\n\n00:20.010 --> 00:21.736\n先先要知道这个。\n\n00:22.395 --> 00:23.621\n肺寄生虫病，\n\n00:23.621 --> 00:24.795\n它的那个。\n\n00:25.568 --> 00:26.218\n流行啊，\n\n00:26.267 --> 00:31.042\n在全球范围就是它寄生虫病的流行情况是不容乐观的。\n\n00:31.042 --> 00:32.643\n据世界卫生组织统计呢，\n\n00:32.643 --> 00:37.368\n热带地区这种这种热带地区肺气生病的高发的。\n\n00:37.936 --> 00:38.160\n嗯，\n\n00:38.160 --> 00:41.410\n就是每年都有数百万的人要感染，\n\n00:41.410 --> 00:41.736\n对吧？\n\n00:41.736 --> 00:43.186\n因此很严重的。\n\n00:43.888 --> 00:45.062\n我们好像没感觉，\n\n00:45.062 --> 00:48.638\n但是全全球来讲是还是明显的对吧？\n\n00:48.888 --> 00:52.463\n然后我们的国内流行情况就是我国不同的地区，\n\n00:52.463 --> 00:54.513\n它的流行情况也存在着差异，\n\n00:54.513 --> 00:54.937\n对吧？\n\n00:54.987 --> 00:59.037\n对医生一些卫生条件比较差的那肯定是多的对吧？\n\n00:59.037 --> 01:00.713\n它的他农村呀，\n\n01:00.713 --> 01:02.338\n它有什么蛔虫咯，\n\n01:02.338 --> 01:02.987\n钩虫咯，\n\n01:02.987 --> 01:04.013\n对吧？\n\n01:04.013 --> 01:04.938\n可以引起的，\n\n01:04.938 --> 01:06.712\n在我们上海地区已经很少，\n\n01:06.712 --> 01:08.788\n上海地区好像没听听说过。\n\n01:10.045 --> 01:11.896\n真的没真的好像没听说过，\n\n01:12.246 --> 01:12.646\n嗯。\n\n01:13.922 --> 01:17.972\n然后就是我们讲一个对肺部功能的一个。\n\n01:18.982 --> 01:21.031\n损害寄生虫病对。\n\n01:21.837 --> 01:22.888\n在那个计生。\n\n01:23.692 --> 01:23.891\n嗯，\n\n01:23.891 --> 01:25.241\n肺部激生的过程当中，\n\n01:25.241 --> 01:27.842\n它会破坏这个肺组织和肺泡，\n\n01:28.041 --> 01:30.241\n然而影响到气体的交换功能。\n\n01:30.442 --> 01:30.817\n嗯，\n\n01:30.817 --> 01:32.092\n例如肺吸虫，\n\n01:32.092 --> 01:32.442\n对吧，\n\n01:32.442 --> 01:37.291\n它可以在那个肺的肺肺内可以形成一个什么囊肿，\n\n01:37.442 --> 01:40.442\n然后导致肺什么气道的阻塞。\n\n01:41.047 --> 01:43.047\n然后严重影响气体的交换，\n\n01:43.398 --> 01:43.797\n嗯，\n\n01:43.998 --> 01:46.697\n就是影响一个腹泻功能。\n\n01:48.001 --> 01:50.177\n然后还有影影响其他的并发症，\n\n01:50.177 --> 01:53.902\n就是寄生虫在可能会引发多种那个并发症，\n\n01:53.902 --> 01:55.552\n就是像蛔虫，\n\n01:55.601 --> 01:56.552\n蛔虫鱼形。\n\n01:57.332 --> 01:57.582\n嗯，\n\n01:57.681 --> 01:59.982\n在肺内移性的时候呢，\n\n01:59.982 --> 02:01.431\n它可能会导致什么？\n\n02:02.606 --> 02:03.905\n可以导致肺部炎症。\n\n02:04.255 --> 02:04.905\n那么。\n\n02:05.736 --> 02:07.036\n如果不及时治疗的话，\n\n02:07.585 --> 02:08.136\n可能。\n\n02:09.046 --> 02:09.945\n可能会扩散。\n\n02:11.235 --> 02:12.884\n或者形成那个胸膜炎，\n\n02:12.934 --> 02:14.059\n气胸什么的，\n\n02:14.059 --> 02:14.485\n对吧？\n\n02:15.764 --> 02:17.589\n蛔虫好像消化道比较多的话，\n\n02:17.589 --> 02:20.764\n它跑到肺里面也比较少。\n\n02:22.455 --> 02:24.305\n常见的肺寄生的种类啊。\n\n02:25.063 --> 02:27.414\n我们寄生虫病它一个。\n\n02:29.016 --> 02:30.966\n肉的种类就是就是。\n\n02:32.087 --> 02:35.412\n它是一种什么大型的线虫啊，\n\n02:35.412 --> 02:36.986\n什么瓢虫是。\n\n02:37.684 --> 02:37.809\n嗯，\n\n02:37.809 --> 02:38.858\n像蚯蚓一样的，\n\n02:38.858 --> 02:39.658\n蚯蚓一样的，\n\n02:39.658 --> 02:40.983\n只能是像蛔虫了，\n\n02:40.983 --> 02:41.384\n对吧，\n\n02:41.634 --> 02:46.533\n它有这种什么很小的较小的这种什么。\n\n02:47.804 --> 02:49.054\n虫卵也可以的。\n\n02:49.735 --> 02:50.011\n对吧，\n\n02:50.011 --> 02:52.485\n在那个这种环境当中发育，\n\n02:52.835 --> 02:53.886\n然后感染。\n\n02:54.845 --> 02:58.695\n在温度和湿度多个条件下。\n\n02:59.666 --> 03:00.315\n他肯定。\n\n03:01.104 --> 03:01.753\n在菲你。\n\n03:02.516 --> 03:02.916\n成熟。\n\n03:05.197 --> 03:05.473\n嗯，\n\n03:05.473 --> 03:07.348\n感染的途径对吧？\n\n03:07.348 --> 03:11.647\n人主要是通过那个误食了被感染的那个蛔虫卵。\n\n03:12.507 --> 03:12.707\n嗯，\n\n03:12.807 --> 03:14.358\n然后然后呢，\n\n03:14.358 --> 03:16.757\n通过或者是通过那个。\n\n03:17.742 --> 03:19.167\n饮水什么的，\n\n03:19.167 --> 03:21.042\n从卵进入体内，\n\n03:21.042 --> 03:23.992\n然后从来在什么小肠内孵化出幼虫。\n\n03:24.242 --> 03:29.591\n幼虫又穿过那个肠镜进入那个血液循环，\n\n03:29.891 --> 03:31.692\n经门静脉到达了那个。\n\n03:32.514 --> 03:33.164\n跟上。\n\n03:33.843 --> 03:34.143\n然，\n\n03:34.143 --> 03:37.643\n然后再通过肝静脉、下腔静脉进入心。\n\n03:39.018 --> 03:39.919\n进入右心，\n\n03:39.919 --> 03:41.669\n然后到达那个肺部。\n\n03:42.018 --> 03:42.819\n在肺部，\n\n03:42.819 --> 03:46.919\n幼幼虫可以穿过肺部毛细血管进入肺泡。\n\n03:47.684 --> 03:49.483\n在肺泡内发育成什么？\n\n03:50.365 --> 03:50.916\n神虫。\n\n03:51.695 --> 03:51.945\n约。\n\n03:53.503 --> 03:57.503\n毛陈总约经过10.14天，\n\n03:57.503 --> 04:01.253\n然后可以沿支气管气管移行到那个咽部啊。\n\n04:01.994 --> 04:04.244\n通过吞咽又进入消化道，\n\n04:04.444 --> 04:07.244\n在小肠内发成发育成幼虫。\n\n04:07.444 --> 04:10.893\n像儿童卫生习惯不佳的话，\n\n04:10.994 --> 04:12.794\n容易误食那个虫卵。\n\n04:13.552 --> 04:13.901\n哎哟，\n\n04:13.901 --> 04:14.951\n太可怕了这个。\n\n04:16.993 --> 04:18.544\n蛔虫引发的肺精虫病。\n\n04:21.585 --> 04:23.985\n那么对肺部的感染的，\n\n04:24.036 --> 04:25.735\n对肺部感染造成的影响，\n\n04:25.985 --> 04:28.186\n对肺部感染造成的影响就是什么？\n\n04:28.186 --> 04:30.786\n就是蛔虫幼虫在那个肺部移行的时候，\n\n04:30.786 --> 04:32.710\n可以引起肺部的炎症，\n\n04:32.710 --> 04:34.235\n通常表现为肺泡出血，\n\n04:34.235 --> 04:35.235\n水水肿，\n\n04:35.385 --> 04:37.485\n还有那个嗜酸性粒细胞的。\n\n04:39.578 --> 04:44.453\n浸润的患者可以出现发热、咳嗽、咳痰、咳血，\n\n04:44.453 --> 04:46.127\n严重的可以出现呼吸困难。\n\n04:46.178 --> 04:51.828\n胸部X学院可以看见肺部散在的边缘模糊的青龙影，\n\n04:51.977 --> 04:52.328\n嗯，\n\n04:52.328 --> 04:53.678\n类似肺炎。\n\n04:54.798 --> 04:58.072\n因为它某个地区水域的污染，\n\n04:58.072 --> 05:01.798\n因此你如果详细询问病史的话就可以。\n\n05:02.584 --> 05:03.084\n知道，\n\n05:03.283 --> 05:03.683\n嗯，\n\n05:04.334 --> 05:06.933\n明确诊断可以知知道这是什么，\n\n05:06.933 --> 05:10.533\n到底是肺部炎症还是一种寄生虫的感染？\n\n05:15.162 --> 05:16.937\n你就是要结合当地的情况吧，\n\n05:16.937 --> 05:18.263\n当地的一种卫生情况，\n\n05:18.263 --> 05:18.763\n环境，\n\n05:18.763 --> 05:20.312\n还有一种小孩的生活习惯，\n\n05:20.613 --> 05:21.912\n一般落后地区啊，\n\n05:21.912 --> 05:24.162\n或者什么的这种这种地方呢，\n\n05:24.162 --> 05:25.988\n总归你要考虑考虑周到一点，\n\n05:25.988 --> 05:26.412\n对吧。\n\n05:26.970 --> 05:27.269\n嗯，\n\n05:27.820 --> 05:30.170\n另外一个是钩虫导致的肺寄生虫。\n\n05:32.473 --> 05:34.648\n钩虫导致的非寄生虫，\n\n05:34.648 --> 05:36.148\n钩虫成虫呢，\n\n05:36.148 --> 05:37.574\n比较长的一厘米左右，\n\n05:37.973 --> 05:38.373\n嗯，\n\n05:38.373 --> 05:39.174\n虫体呢？\n\n05:40.026 --> 05:42.075\n它可以比较细，\n\n05:42.325 --> 05:43.950\n有有有可能的，\n\n05:43.950 --> 05:45.751\n常见的钩虫呢，\n\n05:45.751 --> 05:47.976\n就是在12指肠钩虫。\n\n05:48.885 --> 05:49.135\n这。\n\n05:49.135 --> 05:49.485\nSearch.\n\n05:50.347 --> 05:51.497\n那么他。\n\n05:52.911 --> 05:53.786\n美洲的钩虫，\n\n05:53.786 --> 05:56.562\n它是生生活在土壤当中的，\n\n05:56.812 --> 06:00.111\n在人体的寄生虫的两个阶段可以。\n\n06:00.890 --> 06:02.339\n随粪便排出体外，\n\n06:02.690 --> 06:05.265\n在温度、湿度条件的情况下，\n\n06:05.265 --> 06:06.790\n它可以发育成虫，\n\n06:07.190 --> 06:07.665\n对吧？\n\n06:07.665 --> 06:09.864\n经过24.48小时，\n\n06:09.864 --> 06:11.339\n就是发育成虫了。\n\n06:11.876 --> 06:12.101\n嗯，\n\n06:12.101 --> 06:13.675\n这种速度太快了，\n\n06:13.925 --> 06:15.126\n感染人体的方式，\n\n06:15.126 --> 06:18.675\n它就是通过什么也是通过皮肤接触呀，\n\n06:19.075 --> 06:22.425\n那或者是接触了那个有有丝上。\n\n06:23.335 --> 06:24.985\n丝状幼的那个土壤，\n\n06:25.335 --> 06:26.936\n那么这个虫，\n\n06:27.135 --> 06:29.235\n幼虫就可以迅速钻入皮肤，\n\n06:29.436 --> 06:31.536\n进入人体的血液啊。\n\n06:31.735 --> 06:32.485\n随后呢，\n\n06:32.485 --> 06:35.311\n就是经过左心达到肺部啊，\n\n06:35.311 --> 06:37.485\n这它是经过右心达到肺部，\n\n06:37.735 --> 06:38.385\n然后。\n\n06:39.861 --> 06:40.161\n嗯，\n\n06:40.661 --> 06:43.011\n可以啥随着随着那个。\n\n06:44.593 --> 06:46.294\n随着那个沟通。\n\n06:47.746 --> 06:50.895\n随着那个沟通的是市上又。\n\n06:53.350 --> 06:54.549\n可以进口腔。\n\n06:55.589 --> 06:55.890\n嗯，\n\n06:55.890 --> 06:58.140\n口腔或者是什么消化道，\n\n06:58.290 --> 06:59.640\n然后入人体。\n\n07:00.894 --> 07:02.144\n在一些农村地区，\n\n07:02.144 --> 07:04.944\n农民在田间劳作主要在。\n\n07:05.720 --> 07:06.820\n田间劳作以后，\n\n07:06.820 --> 07:09.570\n接触了这种被那个虫，\n\n07:09.820 --> 07:12.519\n虫卵污污染的那个土壤，\n\n07:12.619 --> 07:14.170\n容易得这个钩虫。\n\n07:15.302 --> 07:18.552\n钩虫病的一种肺病。\n\n07:19.631 --> 07:25.631\n就是就是就是什么钩虫引起的一个肺寄生虫病，\n\n07:25.631 --> 07:26.180\n对吧？\n\n07:28.966 --> 07:29.479\nB吸，\n\n07:29.479 --> 07:29.740\n吸，\n\n07:29.740 --> 07:31.716\n吸吸虫引起的。\n\n07:32.553 --> 07:33.403\n寄生虫虫，\n\n07:33.553 --> 07:33.954\n嗯，\n\n07:34.003 --> 07:34.854\n寄生虫病，\n\n07:35.104 --> 07:38.803\n这个肺吸虫的那个生物学特征。\n\n07:39.894 --> 07:41.993\n就是必须虫成虫，\n\n07:41.993 --> 07:43.243\n一直椭圆形的，\n\n07:43.444 --> 07:44.743\n背部的隆起的。\n\n07:45.388 --> 07:45.863\n腹部呢，\n\n07:45.863 --> 07:47.738\n平坦的大小像。\n\n07:48.782 --> 07:49.082\n嗯，\n\n07:49.182 --> 07:50.631\n大小就是个人的。\n\n07:51.268 --> 07:54.717\n一般在4.6厘6mm，\n\n07:54.817 --> 07:56.618\n厚度在2.4mm，\n\n07:56.817 --> 07:58.817\n长在7.12mm。\n\n07:59.540 --> 07:59.790\n那么，\n\n07:59.790 --> 08:06.739\n口吸盘和腹吸盘的大小相近的虫卵呈金黄色的水椭圆形的有明显的虫。\n\n08:06.989 --> 08:07.390\n嗯，\n\n08:07.440 --> 08:09.739\n软盖肺吸虫的第一种，\n\n08:09.890 --> 08:10.290\n嗯，\n\n08:10.489 --> 08:14.739\n第一中间素主就是什么淡水的一种螺类。\n\n08:15.432 --> 08:17.731\n有第二说说就是那个啥。\n\n08:18.925 --> 08:19.925\n就蟹啊，\n\n08:19.925 --> 08:21.726\n什么拉咕噜什么的。\n\n08:22.388 --> 08:22.537\n嗯，\n\n08:22.537 --> 08:24.787\n传播途径和感染途径就是人呢，\n\n08:24.787 --> 08:30.287\n食用的那个生的那个未煮熟的那个含有肺吸虫的一种螺类，\n\n08:30.287 --> 08:30.662\n对吧，\n\n08:30.662 --> 08:31.912\n或者是拉骨呀，\n\n08:31.912 --> 08:32.737\n或者什么的，\n\n08:32.788 --> 08:34.263\n就会什么，\n\n08:34.263 --> 08:35.987\n进入小肠内，\n\n08:36.288 --> 08:38.687\n对消消化液的作用后呢，\n\n08:38.838 --> 08:39.437\n就是。\n\n08:41.534 --> 08:42.409\n又从就是。\n\n08:43.632 --> 08:44.232\n可以脱，\n\n08:44.232 --> 08:45.283\n脱囊而出，\n\n08:45.533 --> 08:46.333\n刨出来了，\n\n08:46.333 --> 08:47.658\n就是穿入肠壁，\n\n08:47.658 --> 08:49.382\n进入那个腹腔，\n\n08:50.132 --> 08:51.533\n徘徊数日后，\n\n08:51.732 --> 08:52.833\n穿过那个膈肌，\n\n08:52.833 --> 08:53.732\n进入那个胸腔。\n\n08:54.581 --> 08:54.831\n嗯，\n\n08:54.831 --> 08:55.581\n侵入肺部。\n\n08:56.244 --> 08:58.294\n然后在肺内发育成中啊，\n\n08:58.294 --> 09:03.494\n在一些山区居民在食用那个什么生腌的螃蟹啊，\n\n09:03.494 --> 09:04.693\n吃吃生螃蟹，\n\n09:04.693 --> 09:05.818\n这个很危险的，\n\n09:05.818 --> 09:07.794\n容易得那个肺吸虫病啊，\n\n09:08.393 --> 09:10.494\n肺吸虫病引起那个。\n\n09:11.901 --> 09:14.052\n肺气肿引起的肺气虫虫病。\n\n09:14.351 --> 09:16.002\n这个我们在。\n\n09:18.122 --> 09:18.822\n在那个。\n\n09:21.718 --> 09:24.119\n在患者身上可以知道一些。\n\n09:25.161 --> 09:27.861\n您知道一些什么发病过程和临床表现？\n\n09:27.861 --> 09:30.536\n它可以引起什么一系列的病理改变。\n\n09:30.536 --> 09:31.111\n早期呢，\n\n09:31.111 --> 09:33.111\n它就可以有脓肿，\n\n09:33.312 --> 09:36.161\n表现为那个肺组织的充血水肿，\n\n09:36.211 --> 09:40.012\n中性粒细胞及嗜酸粒细胞的信任。\n\n09:40.161 --> 09:41.437\n然后病灶内呢，\n\n09:41.437 --> 09:42.411\n可见有虫体。\n\n09:43.021 --> 09:44.596\n虫卵随后呢，\n\n09:44.596 --> 09:47.096\n就是发展为上囊肿期，\n\n09:47.096 --> 09:47.697\n然后呢，\n\n09:47.697 --> 09:49.072\n变成大小不一的囊肿。\n\n09:49.664 --> 09:50.064\n囊内呢，\n\n09:50.064 --> 09:50.838\n还有血丝，\n\n09:50.838 --> 09:51.164\n嗯，\n\n09:51.364 --> 09:52.064\n虫体。\n\n09:53.044 --> 09:54.770\n囊内含有血液和虫体，\n\n09:55.020 --> 09:59.070\n囊壁有什么肉芽组织增生后期呢，\n\n09:59.070 --> 10:00.494\n可以纤维，\n\n10:00.494 --> 10:01.020\n纤细，\n\n10:01.219 --> 10:02.820\n形成个纤维的疤痕，\n\n10:03.419 --> 10:04.520\n病状的纤维化。\n\n10:05.176 --> 10:05.426\n嗯。\n\n10:06.814 --> 10:09.013\n然后发挥形成的么。\n\n10:10.406 --> 10:11.806\n会出现什么咳嗽呀，\n\n10:11.806 --> 10:13.505\n咳痰咳血，\n\n10:13.505 --> 10:17.156\n痰中可以有骨浆样的或者是铁锈色的血液，\n\n10:17.356 --> 10:19.005\n还可以伴有什么胸痛，\n\n10:19.306 --> 10:20.356\n呼吸困难等。\n\n10:20.406 --> 10:22.955\n在某些肺气肿病流行区，\n\n10:23.205 --> 10:29.856\n可以发现多种因什么食用上生的螃蟹而得的那个肺吸虫病。\n\n10:30.372 --> 10:30.822\n出现。\n\n10:31.888 --> 10:32.789\n肺部症状，\n\n10:33.088 --> 10:33.489\n嗯。\n\n10:35.070 --> 10:36.971\n这个也是要重视的。\n\n10:37.070 --> 10:38.171\n发病机制与。\n\n10:39.570 --> 10:40.320\n病理变化。\n\n10:41.000 --> 10:42.750\n寄生虫在肺部的侵入途径，\n\n10:42.900 --> 10:44.825\n寄生虫在肺部的侵入途径，\n\n10:44.825 --> 10:47.200\n它刚才已经刚才我们上面已经讲了，\n\n10:47.200 --> 10:47.549\n对吧，\n\n10:47.549 --> 10:48.900\n它可以什么通过。\n\n10:50.093 --> 10:51.093\n通过口误。\n\n10:52.726 --> 10:55.726\n经过口感染也可以经过皮肤感染对吧？\n\n10:55.875 --> 10:57.000\n经过口感染嘛，\n\n10:57.000 --> 10:59.601\n就是刚才说的什么蛔虫什么的，\n\n10:59.601 --> 11:01.000\n但这些是，\n\n11:01.000 --> 11:03.176\n你接触了它的蛔虫卵，\n\n11:03.176 --> 11:03.575\n嗯。\n\n11:04.481 --> 11:08.281\n就是接触了这种被蛔虫污染的食物，\n\n11:08.281 --> 11:10.632\n或者是水水资源，\n\n11:10.781 --> 11:14.731\n然后就是出现了那个感染。\n\n11:15.731 --> 11:17.932\n它是经过什么肝脏心脏，\n\n11:17.932 --> 11:20.557\n然后最终到达到达肺部的，\n\n11:20.557 --> 11:20.932\n对吧，\n\n11:21.231 --> 11:21.781\n那么。\n\n11:22.822 --> 11:24.521\n经过皮肤，\n\n11:24.671 --> 11:26.471\n传染的就是什么？\n\n11:26.921 --> 11:29.046\n经过皮肤感染的就是钩虫嘛。\n\n11:29.046 --> 11:34.072\n钩虫刚才说的就是农民在劳作的时候接触了什么。\n\n11:34.651 --> 11:36.651\n被各种污染污染的那个。\n\n11:37.676 --> 11:38.176\n土壤，\n\n11:38.176 --> 11:40.375\n然后就是出现。\n\n11:41.706 --> 11:44.406\n他就是出现这个疾病的症状，\n\n11:44.507 --> 11:47.456\n就是它通过皮肤进入那个血液循环，\n\n11:47.656 --> 11:48.581\n这，\n\n11:48.581 --> 11:49.757\n到达肺部的吧。\n\n11:50.585 --> 11:51.135\n因此。\n\n11:52.521 --> 11:53.721\n他们的途径感。\n\n11:54.961 --> 11:56.411\n感染的途途径不同，\n\n11:56.461 --> 11:57.861\n发病，\n\n11:57.861 --> 11:59.111\n情况也不一样的。\n\n11:59.859 --> 12:03.559\n那么寄生虫在肺部的侵入途径，\n\n12:03.559 --> 12:05.059\n刚才已经讲了啊。\n\n12:05.776 --> 12:05.950\n嗯，\n\n12:05.950 --> 12:06.325\n对吧，\n\n12:06.325 --> 12:08.125\n蛔虫蛔虫是怎么侵入的，\n\n12:08.125 --> 12:10.676\n蛔虫是是通过那个。\n\n12:11.898 --> 12:18.723\n通过那个误食这种被污染的虫卵而引起的就是吃进去以后，\n\n12:18.723 --> 12:19.547\n通过肝脏，\n\n12:19.547 --> 12:20.723\n通过门静脉，\n\n12:20.723 --> 12:23.947\n通过什么右心到那个肺，\n\n12:23.947 --> 12:24.497\n对吧？\n\n12:24.697 --> 12:25.848\n而那个沟通呢，\n\n12:25.848 --> 12:29.473\n主要是什么通过除了那个土壤被污染的土壤，\n\n12:29.473 --> 12:30.098\n然后呢，\n\n12:30.348 --> 12:30.672\n嗯，\n\n12:30.672 --> 12:31.422\n经过皮肤，\n\n12:31.422 --> 12:33.648\n经过血液再经过肺的对吧。\n\n12:35.067 --> 12:35.942\n具体对那个，\n\n12:35.942 --> 12:38.867\n我们具体对那个寄生虫的免疫反应，\n\n12:39.067 --> 12:42.817\n机体对寄生虫的免疫反应就是。\n\n12:44.705 --> 12:46.306\n一个是人的本能嘛，\n\n12:46.306 --> 12:47.955\n固有的免疫反应对吧，\n\n12:48.005 --> 12:52.705\n固有的免疫反应就是机体对寄生虫感染的第一症状，\n\n12:52.705 --> 12:55.681\n就是主要是寄生菌侵入肺部以后，\n\n12:55.681 --> 12:56.255\n它吧，\n\n12:56.356 --> 12:57.156\n它可以。\n\n12:58.033 --> 12:59.434\n引起什么嗜酸细胞，\n\n12:59.533 --> 12:59.934\n嗯，\n\n13:00.434 --> 13:06.484\n肺泡的巨噬细胞要中性粒细胞、免疫细胞都会迅速激活。\n\n13:06.734 --> 13:09.783\n那肺泡那个巨噬细胞可吞噬那个寄生虫。\n\n13:10.494 --> 13:14.943\n病虫释放那个细胞因子和趋化因子，\n\n13:15.244 --> 13:15.818\n对吧？\n\n13:15.818 --> 13:17.193\n启动那个炎症反应。\n\n13:17.892 --> 13:18.142\n嗯。\n\n13:19.552 --> 13:22.351\n可以引起多种免疫细胞。\n\n13:23.768 --> 13:25.317\n聚集到那个感染部位，\n\n13:25.468 --> 13:25.867\n嗯，\n\n13:26.018 --> 13:27.268\n一起什么。\n\n13:28.986 --> 13:31.387\n就是一直取到一个抗病能力对吧。\n\n13:33.434 --> 13:34.908\n就是免疫能力增加以后，\n\n13:34.908 --> 13:35.984\n就是，\n\n13:36.083 --> 13:38.859\n就限制了这个寄寄生虫的生长和扩散，\n\n13:38.859 --> 13:39.333\n对吧？\n\n13:39.997 --> 13:40.372\n我计，\n\n13:40.372 --> 13:41.422\n你量不大的话，\n\n13:41.422 --> 13:42.572\n可能能够治愈的。\n\n13:42.572 --> 13:43.372\n量大的话，\n\n13:43.372 --> 13:44.148\n我估计不行。\n\n13:44.807 --> 13:45.007\n嗯，\n\n13:45.007 --> 13:50.083\n细胞免疫就是细胞免疫在机体对抗寄生虫虫卵引起冠，\n\n13:50.083 --> 13:50.458\n嗯。\n\n13:51.523 --> 13:52.924\n就是细胞免疫。\n\n13:52.924 --> 13:54.174\n对寄生虫虫卵。\n\n13:54.992 --> 13:55.242\n嗯。\n\n13:56.153 --> 13:59.229\n的作用就是像淋巴细胞被激活以后，\n\n13:59.229 --> 13:59.528\n对吧，\n\n13:59.528 --> 14:03.729\n它可以分化为什辅助T细胞什么的等不同的亚型，\n\n14:03.729 --> 14:04.203\n对吧？\n\n14:04.453 --> 14:04.854\n嗯，\n\n14:05.054 --> 14:07.528\n这那么这些细胞呢，\n\n14:07.528 --> 14:09.304\n可以分泌干扰素那么。\n\n14:10.056 --> 14:10.406\n嗯，\n\n14:10.656 --> 14:12.380\n等细胞因子还有呢，\n\n14:12.380 --> 14:15.656\n增强那个巨噬细胞的那个杀伤活力啊，\n\n14:15.806 --> 14:16.856\n等气量细胞呢，\n\n14:16.856 --> 14:18.356\n可以参与调节免疫反应，\n\n14:18.505 --> 14:20.830\n在肺吸虫感染当中，\n\n14:20.830 --> 14:22.406\n细胞免疫反应就是。\n\n14:23.052 --> 14:23.177\n嗯，\n\n14:23.177 --> 14:27.651\n可以有效控制虫子在肺肺内的寄生和繁殖。\n\n14:29.461 --> 14:31.086\n机体对寄生虫的免疫反应，\n\n14:31.086 --> 14:32.211\n这个刚才已经讲了，\n\n14:32.211 --> 14:32.437\n对吧？\n\n14:32.437 --> 14:32.887\n还有什么？\n\n14:32.887 --> 14:33.812\n还有体液免疫。\n\n14:34.495 --> 14:36.346\n体液免疫就是在体液，\n\n14:36.445 --> 14:42.195\n体液免疫通过那个产生抗体来对那个B寄生虫感染。\n\n14:42.395 --> 14:46.695\nB淋巴细胞在受受到那个寄生虫抗原刺激的情况下，\n\n14:46.695 --> 14:50.570\n能够分化为什么浆细胞分泌那个特异性的抗体，\n\n14:50.570 --> 14:55.346\n在这些抗体参与嗯与那个寄生虫表面的抗原结合以后，\n\n14:55.495 --> 14:57.445\n发挥那个综合作用，\n\n14:57.596 --> 15:00.820\n然后促进可以吞噬促进一个吞噬作用。\n\n15:00.820 --> 15:02.796\n例如在那个蛔虫。\n\n15:03.359 --> 15:03.484\n嗯，\n\n15:03.484 --> 15:04.684\n蛔虫进入肺部的时候，\n\n15:04.684 --> 15:07.710\n机体可以产生特异性的抗体，\n\n15:07.710 --> 15:09.734\n能够跟蛔虫的抗原相结合。\n\n15:09.734 --> 15:11.809\n然后激活那个肥大的细胞，\n\n15:11.909 --> 15:14.460\n释放那个组胺等物质，\n\n15:14.659 --> 15:16.109\n然后参与免疫防御，\n\n15:16.109 --> 15:16.559\n对吧。\n\n15:18.575 --> 15:21.025\n肺组织的那个病理特征。\n\n15:22.679 --> 15:23.179\n就是。\n\n15:23.992 --> 15:29.117\n急性炎症期的病理特征就是在肺吸虫寄生虫感染的急性发作期，\n\n15:29.117 --> 15:32.892\n那个肺组织会出现那个明显的充血水肿，\n\n15:33.591 --> 15:36.041\n可以有大量的中性细胞侵润。\n\n15:36.192 --> 15:36.591\n嗯，\n\n15:36.942 --> 15:38.442\n这是由于寄生虫的。\n\n15:39.064 --> 15:39.388\n就从，\n\n15:39.388 --> 15:39.664\n从。\n\n15:40.604 --> 15:42.554\n导致的一个机体的炎症反应，\n\n15:42.703 --> 15:43.104\n嗯，\n\n15:43.354 --> 15:44.854\n像那个钩虫，\n\n15:45.104 --> 15:45.504\n嗯，\n\n15:45.653 --> 15:46.703\n钩虫的幼虫，\n\n15:47.004 --> 15:50.153\n它可以导致那个毛细血管内。\n\n15:51.374 --> 15:53.648\n可以导致毛细血管破裂出血，\n\n15:53.648 --> 15:55.023\n可以引起急性的炎症。\n\n15:55.023 --> 15:56.773\n因此肺组织。\n\n15:58.041 --> 16:01.666\n可以出现什么红色这地变实实变嘛，\n\n16:01.666 --> 16:03.091\n肺实变对吧？\n\n16:03.291 --> 16:06.767\n慢性的炎症期的病理特征就是随着那个感染期的延长，\n\n16:06.767 --> 16:08.716\n进入那个慢性的炎症期。\n\n16:08.716 --> 16:11.692\n肺组织会出现纤维组织的增生，\n\n16:11.892 --> 16:12.591\n然后呢，\n\n16:12.591 --> 16:14.742\n嗜酸细胞淋巴细胞增加，\n\n16:14.992 --> 16:15.442\n对吧，\n\n16:15.442 --> 16:16.642\n可以形成肉芽肿，\n\n16:16.642 --> 16:18.192\n使得呼吸感染。\n\n16:19.033 --> 16:19.383\n嗯。\n\n16:20.325 --> 16:22.250\n可以使得慢慢性的炎症，\n\n16:22.250 --> 16:24.426\n可以使得肺部出现大小不同的脓肿，\n\n16:24.676 --> 16:25.875\n然后出现什么。\n\n16:27.802 --> 16:29.101\n出现诺亚中组织，\n\n16:29.302 --> 16:31.252\n这样会严重的影响肺功能。\n\n16:38.291 --> 16:38.892\n因此，\n\n16:39.341 --> 16:40.692\n通过上面的讲述呢，\n\n16:40.692 --> 16:41.716\n我们就知道了，\n\n16:41.716 --> 16:46.642\n就是什么肺寄生虫病对那个人体的健康危害是很大的。\n\n16:46.742 --> 16:47.317\n因此，\n\n16:47.317 --> 16:49.291\n我们要什么保护好我们的环境，\n\n16:49.492 --> 16:50.216\n然后呢，\n\n16:50.216 --> 16:52.541\n在那个边远落后地区呢，\n\n16:52.742 --> 16:53.142\n嗯，\n\n16:53.192 --> 16:54.817\n也要什么加强宣教，\n\n16:54.817 --> 16:55.291\n对吧，\n\n16:55.442 --> 16:55.841\n嗯。\n\n16:56.929 --> 17:01.080\n要要认要要是那个人们知道是吧，\n\n17:01.179 --> 17:04.630\n知道这些疾病的发病机制、发病情况，\n\n17:04.780 --> 17:05.780\n发病的后果，\n\n17:05.780 --> 17:07.204\n对自己健康的影响，\n\n17:07.204 --> 17:07.680\n对吧，\n\n17:07.780 --> 17:10.079\n然后让他们知道一些常规知识。\n\n17:10.776 --> 17:11.026\n嗯，\n\n17:11.026 --> 17:13.326\n这样有利于预防疾病对吧？\n\n17:13.625 --> 17:14.026\n嗯。\n\n17:16.230 --> 17:16.531\n嗯，\n\n17:16.681 --> 17:18.681\n今天我们就讨论到这里好吧？\n\n17:18.831 --> 17:19.230\n嗯，\n\n17:20.081 --> 17:20.931\n谢谢大家，\n\n17:20.931 --> 17:22.581\n就是希望大家健康吧，\n\n17:22.681 --> 17:23.880\n快乐对吧，\n\n17:23.880 --> 17:25.630\n每一天都健康快乐好。\n\n","v0247cg10004d60m83aljhtf921n8dbg",1055,964,"2025-12-29 18:39:53","肺寄生虫病科普：蛔虫、钩虫与肺吸虫的危害与预防指南  ","肺寄生虫病,蛔虫感染,钩虫危害,肺吸虫症状,寄生虫预防,呼吸道寄生虫,寄生虫防治  ","本文详细解析蛔虫、钩虫与肺吸虫等肺寄生虫病的传播途径、典型症状及健康危害，并提供科学预防措施，帮助公众有效识别和防范寄生虫感染风险。","2026-02-28 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