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--> 00:06.290\n大家好，\n\n00:06.290 --> 00:06.841\n今天呢，\n\n00:06.841 --> 00:10.791\n我给大家来分享一个儿童常见的呼吸道疾病，\n\n00:10.840 --> 00:12.190\n急性腺样体炎。\n\n00:14.777 --> 00:17.377\n我想从以下几个方面进行分享，\n\n00:17.527 --> 00:18.226\n首先呢，\n\n00:18.226 --> 00:19.377\n就腺样体的简介，\n\n00:19.476 --> 00:21.177\n第二急性腺样体炎的症状，\n\n00:21.527 --> 00:22.826\n急性腺样体炎的病因，\n\n00:22.976 --> 00:30.177\n腺样体炎的诊断、治疗、预防、预后、手术治疗及对患者的一些教育。\n\n00:31.506 --> 00:33.756\n首先我们看一下腺样体炎的简介。\n\n00:39.212 --> 00:39.762\n腺样体呢，\n\n00:39.762 --> 00:41.986\n它是我们儿童呢，\n\n00:41.986 --> 00:44.411\n是鼻咽顶后壁的中线处，\n\n00:44.661 --> 00:47.411\n是咽淋巴环的一个重要组成部分。\n\n00:47.611 --> 00:49.062\n它的主要功能呢，\n\n00:49.062 --> 00:51.012\n就是主要负责淋巴的引流。\n\n00:51.562 --> 00:52.762\n如腺样体呢，\n\n00:52.762 --> 00:54.312\n在儿童时期比较大的，\n\n00:54.462 --> 00:55.837\n到青春期后期呢，\n\n00:55.837 --> 00:56.611\n逐渐萎缩。\n\n00:56.812 --> 00:57.911\n它的功能呢，\n\n00:57.911 --> 01:00.062\n是来防御呼吸道一些感染。\n\n01:01.648 --> 01:02.523\n它发育特点呢，\n\n01:02.523 --> 01:03.548\n主要是腺样体。\n\n01:03.548 --> 01:04.323\n它大多数呢，\n\n01:04.323 --> 01:07.149\n在儿童是6.7岁时达到最大体积。\n\n01:07.399 --> 01:08.399\n青春期呢，\n\n01:08.448 --> 01:10.098\n后腺样体逐渐萎缩。\n\n01:12.713 --> 01:13.939\n重要性就是腺样体，\n\n01:13.939 --> 01:16.213\n它是一个可产生免疫球蛋白，\n\n01:16.414 --> 01:19.988\n能帮助儿童抵御病原体的入侵。\n\n01:19.988 --> 01:21.738\n对于预防呼吸道感染呢，\n\n01:21.738 --> 01:23.513\n它起到了一个重要的作用。\n\n01:26.731 --> 01:28.030\n那急性腺样体炎的定义？\n\n01:29.070 --> 01:29.945\n急性腺样体炎呢，\n\n01:29.945 --> 01:33.721\n它是指腺样体在短时间内来出现的炎症反应。\n\n01:34.221 --> 01:35.070\n通常呢，\n\n01:35.121 --> 01:38.471\n它与急性咽炎、扁桃体炎可以同时发生，\n\n01:38.670 --> 01:41.170\n是儿童的一个常见的呼吸道疾病。\n\n01:41.420 --> 01:42.746\n它通常的病因呢，\n\n01:42.746 --> 01:45.070\n是由细菌或者是病毒感染所引起。\n\n01:46.551 --> 01:46.926\n那么，\n\n01:46.926 --> 01:49.000\n它与慢性腺样体有什么区别呢？\n\n01:49.600 --> 01:53.950\n慢性腺样体炎是腺样体长期反复感染导致的慢性炎症。\n\n01:54.301 --> 01:55.026\n通常呢，\n\n01:55.026 --> 01:56.600\n是表现为腺样体肥大。\n\n01:57.705 --> 01:59.004\n慢性腺样体炎的患者呢，\n\n01:59.004 --> 02:02.504\n他可以长期又存在有鼻塞呀、打鼾等症状。\n\n02:02.504 --> 02:04.455\n但是急性腺样体炎呢，\n\n02:04.504 --> 02:06.754\n它通常症状是比较急促的，\n\n02:06.955 --> 02:07.805\n急发的。\n\n02:09.527 --> 02:10.277\n易感原因呢，\n\n02:10.277 --> 02:15.203\n就是儿童易感他在幼儿园或者是学校中容易感染各种病原体，\n\n02:15.203 --> 02:16.527\n增加了感染风险。\n\n02:16.677 --> 02:17.503\n那是因为呢，\n\n02:17.503 --> 02:19.927\n他儿童的免疫系统尚未完全发育，\n\n02:20.078 --> 02:21.177\n他的抵抗力弱，\n\n02:21.378 --> 02:24.027\n很容易受到一些病原体的一些感染。\n\n02:28.401 --> 02:28.526\n那么，\n\n02:28.526 --> 02:30.350\n急性腺腺体炎的症状有哪些？\n\n02:30.901 --> 02:31.550\n首先，\n\n02:31.550 --> 02:32.550\n局部症状，\n\n02:32.951 --> 02:34.401\n第一是鼻部症状。\n\n02:34.501 --> 02:35.225\n患儿呢，\n\n02:35.225 --> 02:37.800\n他常常出现鼻塞、流鼻涕。\n\n02:38.970 --> 02:39.371\n因为呢，\n\n02:39.371 --> 02:40.296\n腺样体肥大，\n\n02:40.296 --> 02:41.871\n它可以堵塞后鼻孔，\n\n02:42.070 --> 02:42.671\n从而呢，\n\n02:42.671 --> 02:45.121\n是导致鼻腔内的分泌物不容易擤出，\n\n02:45.820 --> 02:49.171\n所以导致患儿会有用口呼吸打呼，\n\n02:49.520 --> 02:51.395\n从而还会伴有咽干呀，\n\n02:51.395 --> 02:52.720\n咽痛等不适。\n\n02:53.371 --> 02:54.121\n第二个呢，\n\n02:54.121 --> 02:56.320\n就是它还可以出现耳部的一些症状。\n\n02:56.934 --> 02:57.884\n因为腺样体肥大，\n\n02:57.884 --> 02:59.785\n它可以堵塞咽喉壁的咽鼓管，\n\n02:59.985 --> 03:03.035\n从而引起耳内闷胀、耳痛、听力减退，\n\n03:03.485 --> 03:07.285\n甚至出现耳鸣、听力下降、化脓性中耳炎等等，\n\n03:07.384 --> 03:09.035\n从而影响了日常生活。\n\n03:09.985 --> 03:10.585\n第三个呢，\n\n03:10.585 --> 03:12.485\n就是咽喉部及下呼吸道症状。\n\n03:12.735 --> 03:15.585\n患儿可能因为慢性咳嗽影响睡眠和学习，\n\n03:15.585 --> 03:16.535\n导致阵咳，\n\n03:16.884 --> 03:18.634\n下颌角淋巴结肿大。\n\n03:18.634 --> 03:19.360\n长期呢，\n\n03:19.360 --> 03:21.235\n可以导致慢性咳嗽和气喘。\n\n03:23.886 --> 03:24.736\n全身症状有，\n\n03:24.886 --> 03:25.936\n第一个是发热，\n\n03:26.486 --> 03:27.837\n常常突然高热，\n\n03:28.236 --> 03:30.837\n体温可以达到39.40°。\n\n03:32.309 --> 03:32.634\n往往呢，\n\n03:32.634 --> 03:33.860\n可以持续3到九天，\n\n03:33.860 --> 03:37.410\n3到五天是急性腺样体炎的一个典型的表现。\n\n03:38.285 --> 03:40.186\n如患儿发因为高热，\n\n03:40.186 --> 03:43.485\n可以出现精神萎靡、食欲不振等症状。\n\n03:44.317 --> 03:44.891\n其他呢，\n\n03:44.891 --> 03:46.242\n还可以导致厌食啊，\n\n03:46.242 --> 03:46.792\n呕吐啊，\n\n03:46.792 --> 03:49.016\n消化不良等胃肠道的一些症状。\n\n03:49.317 --> 03:53.766\n同时可以出现出现夜惊啊，\n\n03:53.917 --> 03:54.792\n梦多呀，\n\n03:54.792 --> 03:55.966\n注意力不集中，\n\n03:56.367 --> 03:59.167\n从而影响患儿的生长发育。\n\n04:05.231 --> 04:09.231\n第三个就长期鼻塞和张口呼吸可以引起面部发育障碍，\n\n04:09.432 --> 04:11.481\n如果出现上颌骨的变长，\n\n04:11.731 --> 04:13.682\n婴儿高拱下切牙，\n\n04:13.731 --> 04:16.032\n上侧牙突出等面部畸形。\n\n04:17.084 --> 04:18.785\n可引起面骨发育障碍，\n\n04:18.785 --> 04:21.334\n从而形成了我们常说的腺样体面容。\n\n04:30.044 --> 04:31.993\n第三部分就是腺样体的一些病因。\n\n04:33.697 --> 04:35.648\n病因第一是细菌感染，\n\n04:35.997 --> 04:37.173\n细菌感染里呢，\n\n04:37.173 --> 04:40.997\n常见的细菌有乙型溶血性链球菌、葡萄球菌等。\n\n04:41.298 --> 04:42.247\n因为这些菌呢，\n\n04:42.247 --> 04:43.898\n它在患儿感冒以后呢，\n\n04:43.947 --> 04:47.847\n容易通过鼻腔或口腔来进入腺样体处繁殖，\n\n04:47.997 --> 04:49.298\n从而引发炎症。\n\n04:49.847 --> 04:50.347\n第二个，\n\n04:50.347 --> 04:51.347\n它感染途径呢，\n\n04:51.347 --> 04:53.548\n就是患儿接触感染源以后，\n\n04:53.548 --> 05:00.247\n细菌可以粘附在这些粘膜的表面来通过鼻腔啊、口腔等黏膜来进入腺样体，\n\n05:00.398 --> 05:01.697\n从而引发感染。\n\n05:03.045 --> 05:04.195\n第三个诱发因素，\n\n05:04.244 --> 05:06.295\n患儿在免疫力低下的情况下，\n\n05:06.394 --> 05:08.295\n或者是长期接触病原体，\n\n05:08.494 --> 05:11.195\n它是容易受到一些细菌的感染，\n\n05:11.195 --> 05:12.445\n也是一个诱发因素。\n\n05:16.381 --> 05:17.532\n另一个就是病毒感染，\n\n05:17.532 --> 05:21.231\n病毒感染我们常见的病毒有鼻病毒、流感病毒。\n\n05:21.631 --> 05:22.006\n嗯，\n\n05:22.006 --> 05:26.756\n如如患儿在流感季节很容易感染病毒，\n\n05:26.756 --> 05:30.006\n从而导致腺样体炎病毒传播呢，\n\n05:30.006 --> 05:31.807\n它可以通过飞飞沫传播。\n\n05:31.807 --> 05:33.532\n所以在幼儿园或学校中，\n\n05:33.832 --> 05:37.807\n患儿与感染者密切接触很容易接触病毒，\n\n05:37.807 --> 05:39.032\n从而造成感染。\n\n05:39.812 --> 05:43.161\n第三个就是病毒和细菌其实它具有协同作用。\n\n05:43.161 --> 05:44.687\n那病毒感染后呢，\n\n05:44.687 --> 05:46.411\n腺样体粘膜它容易受损，\n\n05:46.661 --> 05:48.261\n细菌更容易繁殖，\n\n05:48.462 --> 05:50.161\n从而破坏粘膜屏障，\n\n05:50.161 --> 05:52.212\n使细菌侵入腺样体。\n\n05:52.915 --> 05:56.315\n来有病毒、细菌协同作用来发病。\n\n05:59.290 --> 05:59.990\n其他因素，\n\n06:00.240 --> 06:01.990\n第一个就是遗传因素，\n\n06:02.341 --> 06:05.040\n部分患儿可能存在遗传性倾向，\n\n06:05.240 --> 06:07.240\n更容易如有一些加重，\n\n06:07.240 --> 06:12.091\n有遗传性遗传的这个腺样体炎的一些病史的患儿呢，\n\n06:12.091 --> 06:14.640\n他的犯患病风险要相对较高，\n\n06:14.740 --> 06:16.240\n比普通人要高很多。\n\n06:16.841 --> 06:18.290\n第二个就是环境因素，\n\n06:18.290 --> 06:23.540\n环境因素就是我们如果是居住在潮湿生冷冷的地区呢，\n\n06:23.591 --> 06:24.316\n患儿呢，\n\n06:24.316 --> 06:26.615\n它更容易发病率比较高，\n\n06:26.615 --> 06:28.341\n更容易诱发腺样体炎。\n\n06:29.447 --> 06:29.822\n第三个，\n\n06:29.822 --> 06:31.497\n就是我们自身的一些免疫力，\n\n06:31.648 --> 06:33.697\n如有些患者慢性疾病啊，\n\n06:33.697 --> 06:36.497\n或者长期服用免疫抑制剂的一些患儿，\n\n06:36.597 --> 06:40.347\n他容易更容易受到病原体感染。\n\n06:40.347 --> 06:40.673\n所以，\n\n06:40.673 --> 06:41.548\n免疫力低下呢，\n\n06:41.548 --> 06:43.648\n也是腺样体炎的一个重要的诱因。\n\n06:48.789 --> 06:50.639\n第四部分就是腺样体炎的诊断，\n\n06:50.789 --> 06:52.039\n腺样体炎的诊断呢，\n\n06:52.039 --> 06:54.688\n我们首先要看一下它的症状诊断。\n\n06:55.391 --> 06:55.617\n第一，\n\n06:55.617 --> 06:56.891\n就是突发的高热。\n\n06:57.242 --> 07:00.592\n如果说患儿他在受凉以后突然发高热了，\n\n07:00.641 --> 07:02.867\n温度达39°.40°，\n\n07:02.867 --> 07:03.492\n体温呢，\n\n07:03.492 --> 07:04.842\n容易持续3.5天。\n\n07:05.789 --> 07:07.389\n所以有的高热突发，\n\n07:07.389 --> 07:09.989\n它是一个急性腺体炎的一个典型的症状。\n\n07:10.782 --> 07:11.082\n第二个呢，\n\n07:11.082 --> 07:12.532\n就是鼻性鼻部症状，\n\n07:12.532 --> 07:14.332\n如患儿鼻塞非常严重，\n\n07:14.532 --> 07:15.481\n流鼻涕啊，\n\n07:15.481 --> 07:17.256\n用张口呼吸等等。\n\n07:17.256 --> 07:20.231\n晚上就是要坐起来才能呼吸。\n\n07:20.481 --> 07:21.057\n这个呢，\n\n07:21.057 --> 07:23.157\n它可以提示腺样体可能肥大了，\n\n07:23.157 --> 07:24.231\n所以我们要注意。\n\n07:24.825 --> 07:26.024\n第三个就是耳部症状。\n\n07:26.024 --> 07:28.899\n有些患儿他其他症状可能不明显，\n\n07:28.899 --> 07:30.475\n但是都感觉耳朵特别闷，\n\n07:30.475 --> 07:31.125\n特别痛，\n\n07:31.125 --> 07:33.024\n耳痛或者是耳鸣，\n\n07:33.075 --> 07:34.024\n听力减退，\n\n07:34.024 --> 07:34.875\n听力下降。\n\n07:35.075 --> 07:36.149\n它可以提示呢，\n\n07:36.149 --> 07:37.125\n咽鼓管受阻。\n\n07:38.600 --> 07:39.750\n所以受阻呢，\n\n07:39.750 --> 07:42.250\n有可能我们就想到是不是腺样体炎发生呢？\n\n07:44.614 --> 07:45.563\n第二个就是体格检查，\n\n07:45.563 --> 07:46.438\n体格检查呢，\n\n07:46.438 --> 07:48.114\n我们第一个是口咽部的检查。\n\n07:48.414 --> 07:51.614\n口咽部我们可以用压舌板可以看到啊，\n\n07:51.614 --> 07:54.039\n脓有一些鼻咽部有分泌物，\n\n07:54.039 --> 07:56.864\n它可以通过鼻咽部流下来，\n\n07:57.364 --> 07:58.914\n倒流到我们咽喉部，\n\n07:59.063 --> 07:59.989\n可以提示呢，\n\n07:59.989 --> 08:01.813\n可能存在急性腺样体炎。\n\n08:02.414 --> 08:02.989\n第二个呢，\n\n08:02.989 --> 08:04.114\n就是鼻咽镜检查，\n\n08:04.114 --> 08:06.088\n鼻咽镜检查可以看到腺样体，\n\n08:06.088 --> 08:09.664\n它呈一些像菊瓣一样的一个分叶状的表面呢，\n\n08:09.664 --> 08:10.414\n有浮有渗，\n\n08:10.414 --> 08:12.164\n渗出物或者脓性分泌物，\n\n08:12.313 --> 08:14.139\n能很清楚的，\n\n08:14.139 --> 08:14.764\n很直观。\n\n08:14.847 --> 08:15.898\n能看到腺样体，\n\n08:15.947 --> 08:17.798\n它的充血肿大一些症状。\n\n08:18.298 --> 08:18.997\n第三个呢，\n\n08:18.997 --> 08:19.898\n就是其他检查，\n\n08:20.048 --> 08:22.347\n比如说在鼻炎顶后部，\n\n08:22.347 --> 08:24.247\n如有可以用X线呀，\n\n08:24.247 --> 08:24.898\n或者CT啊，\n\n08:24.898 --> 08:26.648\n能看到一些软组织团块增生。\n\n08:26.997 --> 08:32.747\n它可以体并且很清楚的能显示腺样体的形态大小或者它的比例。\n\n08:37.080 --> 08:38.179\n还有就实验室检查，\n\n08:38.380 --> 08:40.080\n因为患儿急性腺样体炎，\n\n08:40.080 --> 08:41.380\n它处于急性感染期，\n\n08:41.380 --> 08:42.880\n所以它的白细胞呢，\n\n08:42.979 --> 08:45.380\n那基数是经常是比较高的，\n\n08:45.679 --> 08:46.380\n提示呢，\n\n08:46.380 --> 08:47.330\n有细菌感染。\n\n08:47.630 --> 08:49.179\n第二个就是病原体培养，\n\n08:49.429 --> 08:50.729\n通过病原体培养，\n\n08:50.729 --> 08:53.479\n我们可以确定是细菌还是病毒引起。\n\n08:53.729 --> 08:55.330\n结合药敏实验呢，\n\n08:55.330 --> 09:00.080\n可以为抗生素或者是抗病毒药物来提供一些选择和参考。\n\n09:02.085 --> 09:02.786\n其他检查，\n\n09:02.835 --> 09:05.460\n比如说是活检等等，\n\n09:05.460 --> 09:06.786\n可以排除其他疾病。\n\n09:06.786 --> 09:09.085\n但是我们一般的是还是较少做，\n\n09:09.286 --> 09:13.185\n如果说要排除一下是否肿瘤等等，\n\n09:13.335 --> 09:15.736\n可以考虑去选择性的去做活检。\n\n09:19.986 --> 09:21.236\n再一个就是局部治疗，\n\n09:21.236 --> 09:23.286\n局部治疗我们有鼻腔冲洗，\n\n09:23.685 --> 09:29.585\n就是我们要在医生的指导下用生理性盐水对鼻腔进行冲洗。\n\n09:30.695 --> 09:31.070\n从而呢，\n\n09:31.070 --> 09:34.244\n保持鼻腔内部的清洁和通畅。\n\n09:35.068 --> 09:35.768\n这个操作呢，\n\n09:35.768 --> 09:39.518\n可能如果说有些患儿他操作不当可能会诱发中耳炎。\n\n09:39.818 --> 09:40.443\n所以呢，\n\n09:40.443 --> 09:43.718\n一定要在医师的指导下用正确的方式来进行操作。\n\n09:43.968 --> 09:44.619\n一般呢，\n\n09:44.619 --> 09:46.669\n是每天来冲洗一些，\n\n09:46.669 --> 09:47.518\n两到三次，\n\n09:47.768 --> 09:51.568\n它可以有效的来缓解一些鼻塞症状和清洗分泌物。\n\n09:52.638 --> 09:52.814\n第二，\n\n09:52.814 --> 09:54.588\n就是用麻黄素滴鼻。\n\n09:54.939 --> 09:55.539\n一般呢，\n\n09:55.539 --> 09:58.489\n我们可以用局部用0.5%.1%，\n\n09:58.489 --> 10:00.789\n它的麻黄素生理盐水来滴鼻。\n\n10:01.239 --> 10:03.664\n因为它是一个收缩剂，\n\n10:03.664 --> 10:07.838\n所以它可以快速的缓解鼻腔黏膜的一些肿胀，\n\n10:08.088 --> 10:11.338\n从而改善鼻塞和呼吸道这一症状。\n\n10:13.138 --> 10:14.538\n第三个就是函数技出口。\n\n10:15.432 --> 10:16.257\n含漱剂漱口，\n\n10:16.257 --> 10:20.632\n因为鼻咽部它正好是处于我们鼻腔和咽喉部一个交界的部位，\n\n10:20.833 --> 10:24.583\n所以我们要平时使可以使用温盐水漱口，\n\n10:24.783 --> 10:29.682\n它可以缓解咽部不适或者眼比如咽部干痛等等。\n\n10:34.135 --> 10:35.710\n再一个就是我们全身治疗了。\n\n10:35.710 --> 10:36.986\n全身治疗针对病因，\n\n10:36.986 --> 10:37.935\n我们不难理解，\n\n10:37.935 --> 10:40.335\n就是如果是确诊为细菌感染了，\n\n10:40.585 --> 10:43.135\n一定要在医生指导下使用一些抗生素，\n\n10:43.135 --> 10:46.286\n如阿莫西林啊、青霉素啊、头孢等等。\n\n10:46.435 --> 10:47.835\n这些抗抗生素呢，\n\n10:47.835 --> 10:50.335\n它可以快速有效的来控制细菌感染，\n\n10:50.435 --> 10:52.185\n从而来缩短一些病程。\n\n10:53.331 --> 10:54.856\n第二个就是非甾体抗炎药。\n\n10:54.856 --> 10:56.781\n非甾体抗炎药如布洛芬啊，\n\n10:56.781 --> 10:58.182\n对乙酰氨基酚等等。\n\n10:58.382 --> 11:01.531\n他们我们服用时可以有些伴有退退热呀，\n\n11:01.531 --> 11:02.132\n头痛啊，\n\n11:02.132 --> 11:04.481\n咽痛症状可有效的进行缓解。\n\n11:06.299 --> 11:07.698\n第三个就是中医药疗法。\n\n11:08.198 --> 11:09.223\n中药疗法呢，\n\n11:09.223 --> 11:12.848\n我们要根据个体的差异进行辨证论治，\n\n11:12.848 --> 11:14.398\n来配置一些中草药。\n\n11:14.549 --> 11:16.823\n有些或者是汤剂啊，\n\n11:16.823 --> 11:17.874\n或者是颗粒剂啊，\n\n11:17.874 --> 11:18.448\n都可以。\n\n11:18.598 --> 11:19.948\n有一些它指在呢，\n\n11:19.948 --> 11:23.124\n就是调和气血清热解毒方法呢，\n\n11:23.124 --> 11:24.323\n作用外敷也行，\n\n11:24.323 --> 11:25.898\n或者是煎服都可以。\n\n11:25.948 --> 11:30.698\n它可以有效的缓解鼻塞和辅助缓解一些发热呀，\n\n11:30.698 --> 11:31.749\n或者口干呀，\n\n11:31.749 --> 11:32.848\n鼻塞一些症状。\n\n11:36.882 --> 11:38.783\n第六部分就是急性腺样体炎的预防。\n\n11:39.083 --> 11:40.232\n急性腺样体炎预防呢，\n\n11:40.232 --> 11:42.382\n首先我们要预防感染。\n\n11:42.682 --> 11:44.732\n预防感染第一就要注意保暖，\n\n11:44.982 --> 11:47.257\n因为它湿冷的环境对它有影响，\n\n11:47.257 --> 11:51.833\n所以应根根据天气变化及时的增减衣物，\n\n11:52.033 --> 11:54.232\n防止小儿小孩呢，\n\n11:54.232 --> 11:55.783\n他的着凉。\n\n11:56.664 --> 11:57.140\n感冒，\n\n11:57.340 --> 11:58.414\n从而呢，\n\n11:58.414 --> 12:00.789\n可以给减少一些感染的机会。\n\n12:02.023 --> 12:02.523\n第二个呢，\n\n12:02.523 --> 12:04.023\n就是避免接触感染源。\n\n12:04.424 --> 12:07.098\n因为小孩他的免疫力比较低，\n\n12:07.098 --> 12:10.624\n所以他与其他的感染者接触的时候呢，\n\n12:10.624 --> 12:11.323\n容易感染。\n\n12:11.424 --> 12:14.249\n所以应避免去人群一些密集的场所，\n\n12:14.249 --> 12:16.674\n尤其是流感季节发作的时候啊，\n\n12:16.674 --> 12:21.773\n一些使其尽量避免与感冒的流感的患者进行密切接触，\n\n12:21.973 --> 12:22.598\n从而呢，\n\n12:22.598 --> 12:23.823\n减少感染的风险。\n\n12:24.896 --> 12:25.271\n第三，\n\n12:25.271 --> 12:26.596\n我们要定期的体检，\n\n12:26.896 --> 12:29.671\n如果是定期进行体检，\n\n12:29.671 --> 12:32.822\n检查腺样体的大小和情况，\n\n12:32.822 --> 12:35.171\n能及时发现它的异常，\n\n12:35.171 --> 12:35.822\n从而呢，\n\n12:35.822 --> 12:38.346\n及时的消除一些潜在的问题，\n\n12:38.646 --> 12:42.697\n采取预防措施也是一个很重要的一些措措施。\n\n12:46.299 --> 12:48.898\n第七个就是腺样体急性腺样体炎的预后。\n\n12:49.249 --> 12:50.898\n急性腺样体炎的预后呢，\n\n12:50.948 --> 12:53.698\n首先我们可以看到有一个就是手术，\n\n12:53.948 --> 12:54.674\n手术呢，\n\n12:54.674 --> 12:56.648\n但是它存在一定的手术适应症，\n\n12:56.648 --> 12:59.598\n不是所有的人就都可以适宜看手术，\n\n12:59.749 --> 13:04.448\n就是对于那一些反复发作并且伴有严重的并发症的患者，\n\n13:04.499 --> 13:06.398\n如果已经有耳部的症状了，\n\n13:06.648 --> 13:07.549\n中耳炎啦，\n\n13:07.549 --> 13:08.698\n耳鸣等等。\n\n13:08.749 --> 13:11.148\n如果我们进行保守治疗，\n\n13:11.249 --> 13:13.299\n患者效果不明显，\n\n13:13.448 --> 13:15.273\n或者是每年发作次数比较多，\n\n13:15.273 --> 13:16.499\n超过三次以上也。\n\n13:16.599 --> 13:18.200\n重的影响患者的生活质量了，\n\n13:18.200 --> 13:20.400\n我们可以考虑去做手术。\n\n13:20.799 --> 13:22.200\n第二个就严重肥大，\n\n13:22.400 --> 13:23.650\n如果他腺样体肥大，\n\n13:23.650 --> 13:24.950\n堵塞后鼻孔很多，\n\n13:25.200 --> 13:28.150\n导致患儿长期的鼻塞，\n\n13:28.150 --> 13:29.400\n打呼呼吸困难，\n\n13:29.549 --> 13:30.500\n张口呼吸，\n\n13:30.849 --> 13:33.150\n影响晚上睡眠和生长发育，\n\n13:33.349 --> 13:35.650\n我们也可以考虑进行手术进行治疗。\n\n13:36.312 --> 13:38.961\n第三个就是有腺样体面容啊，\n\n13:38.961 --> 13:41.137\n因为患者他已经形成腺样体面容，\n\n13:41.137 --> 13:46.361\n并伴有消瘦食欲不振的消化道症状或者是发育障碍。\n\n13:46.361 --> 13:47.762\n我们可以考虑呢，\n\n13:47.762 --> 13:50.161\n是要进行手术再进行治疗。\n\n13:53.580 --> 13:55.098\n对于手术方式选择问题，\n\n13:55.098 --> 13:55.931\n就是第一个呢，\n\n13:55.931 --> 13:57.630\n就是单纯的切除腺样体。\n\n13:57.731 --> 13:59.255\n就通过这个手术呢，\n\n13:59.255 --> 14:02.830\n我们可以移除这个腺样体的一个肿大的组织。\n\n14:03.031 --> 14:03.681\n一般呢，\n\n14:03.681 --> 14:08.580\n是采用全麻下经口内镜指示下完成的这个手术呢，\n\n14:08.580 --> 14:09.880\n它的时间是较短的，\n\n14:09.880 --> 14:11.181\n恢复起来也比较快，\n\n14:11.481 --> 14:14.580\n能有效的解决通气不畅等问题。\n\n14:15.796 --> 14:16.120\n第二个呢，\n\n14:16.120 --> 14:17.245\n就是扁桃体切除术，\n\n14:17.245 --> 14:21.096\n对于那些腺样体和扁桃体同时肥大的。\n\n14:21.999 --> 14:23.523\n因为它是两个腺体呢，\n\n14:23.523 --> 14:24.598\n它是紧密相连的，\n\n14:24.598 --> 14:25.999\n有些则都肥大，\n\n14:25.999 --> 14:29.198\n我们可以考虑同时切除。\n\n14:32.184 --> 14:32.659\n第三个呢，\n\n14:32.659 --> 14:33.635\n就是是手术呢，\n\n14:33.635 --> 14:35.434\n它就可能存在着一定的风险，\n\n14:35.835 --> 14:37.684\n如出血呀、感染等。\n\n14:37.684 --> 14:38.260\n所以呢，\n\n14:38.260 --> 14:38.809\n术后呢，\n\n14:38.809 --> 14:41.635\n我们要一定要避免剧烈运动，\n\n14:42.184 --> 14:43.335\n为了防止出血，\n\n14:43.635 --> 14:45.835\n然后对多多注意休息，\n\n14:46.184 --> 14:47.159\n多吃软食，\n\n14:47.159 --> 14:48.885\n保持口腔清洁，\n\n14:49.135 --> 14:52.934\n从而尽量减少一些手术并发症及风险。\n\n14:56.591 --> 14:56.966\n第九呢，\n\n14:56.966 --> 14:59.591\n就是急性腺样体炎的一些患者的一些宣教。\n\n15:01.414 --> 15:04.965\n因为急性腺样体炎在儿童来说很常见，\n\n15:04.965 --> 15:07.315\n而且急性它是一个急性发作。\n\n15:07.565 --> 15:08.164\n所以呢，\n\n15:08.164 --> 15:11.265\n首先我们要用这个疾疾病进行一个正确的认知。\n\n15:11.715 --> 15:16.015\n我们要让家长应了解腺样体的这些症状体征啊，\n\n15:16.114 --> 15:18.090\n及时发现患儿的病情变化，\n\n15:18.090 --> 15:19.515\n并积极的进行治疗。\n\n15:20.903 --> 15:21.853\n对于，\n\n15:21.853 --> 15:24.203\n所以要向进行科普，\n\n15:24.203 --> 15:29.002\n普及对此疾病的病因呀、症状呀、治疗等知识，\n\n15:29.153 --> 15:32.278\n来提高家长对疾病的认知，\n\n15:32.278 --> 15:34.853\n从而来督促患儿进行治疗。\n\n15:35.783 --> 15:36.333\n第二个呢，\n\n15:36.333 --> 15:37.432\n就是治疗的依从性。\n\n15:38.971 --> 15:39.645\n因为家长，\n\n15:39.645 --> 15:41.770\n他是一个患儿的一个监护人，\n\n15:41.770 --> 15:44.270\n他应该督促患儿按时服药，\n\n15:44.270 --> 15:45.570\n定期到医院复查。\n\n15:46.171 --> 15:48.971\n且如果他依从性也非常重要，\n\n15:48.971 --> 15:49.870\n定期复查呢，\n\n15:49.870 --> 15:51.570\n从而更好的进行调整，\n\n15:51.671 --> 15:53.445\n对治疗方案呀，\n\n15:53.445 --> 15:54.721\n进行随时的调整。\n\n15:55.833 --> 15:56.283\n第三个呢，\n\n15:56.283 --> 15:57.633\n就是生活方式的改变。\n\n15:59.947 --> 16:01.372\n对于我们一些患儿，\n\n16:01.372 --> 16:03.848\n他有一些生活方式不不正确，\n\n16:03.848 --> 16:07.247\n从而来诱发加重一些急性腺体炎的发生。\n\n16:07.497 --> 16:10.372\n所以我们要教育患儿的家长，\n\n16:10.372 --> 16:13.148\n要改变一些不好的生不良的生活方式。\n\n16:13.447 --> 16:15.598\n如果避免接触的感染源呀，\n\n16:15.697 --> 16:16.947\n增强免疫力呀，\n\n16:16.947 --> 16:19.322\n就是对一些一些刺激性的饮食啊，\n\n16:19.322 --> 16:20.273\n或者感冒啊，\n\n16:20.273 --> 16:21.497\n要积极的进行治疗，\n\n16:21.898 --> 16:22.747\n如果。\n\n16:23.919 --> 16:25.020\n同时呢，\n\n16:25.020 --> 16:27.619\n要引导患儿养成良好的生活习惯，\n\n16:27.719 --> 16:28.945\n对增强免疫力呢，\n\n16:28.945 --> 16:29.820\n增强体质。\n\n16:31.783 --> 16:31.883\n好，\n\n16:31.883 --> 16:32.383\n今天呢，\n\n16:32.383 --> 16:33.883\n我为大家分享呢，\n\n16:33.883 --> 16:34.633\n就到这里，\n\n16:34.783 --> 16:36.684\n非常感谢大家的聆听。\n\n","v0d47cg10004d60mp9iljhtdhjvnida0",999,974,"2026-01-24 19:49:04","急性腺样体炎症状与治疗指南 - 病因、诊断及护理建议  ","急性腺样体炎,腺样体发炎症状,儿童腺样体炎治疗,腺样体肥大,咽喉感染,抗生素治疗,耳鼻喉疾病  ","急性腺样体炎是儿童常见上呼吸道感染，表现为发热、鼻塞和吞咽疼痛。本文详解其病因、典型症状（如打鼾、耳痛）、诊断方法及治疗方案（药物/手术），并提供家庭护理建议，帮助家长科学应对。","2026-02-12 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