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--> 00:01.835\n大家好，\n\n00:01.835 --> 00:04.111\n我是那个凤城医院的张小华医生。\n\n00:04.111 --> 00:05.011\n今天晚上呢，\n\n00:05.011 --> 00:07.435\n我们就讨论一下呼吸系统感染的治疗。\n\n00:11.239 --> 00:11.539\n那么，\n\n00:11.539 --> 00:12.890\n我们从几个方面讲，\n\n00:12.890 --> 00:14.614\n一个感染的类型与症状，\n\n00:14.614 --> 00:16.389\n还有一个诊断方法与技术，\n\n00:16.389 --> 00:18.040\n还有一个治疗手段与药物，\n\n00:18.389 --> 00:20.739\n一个预防与康复护理，\n\n00:20.790 --> 00:21.340\n对吧？\n\n00:21.340 --> 00:21.864\n首先，\n\n00:21.864 --> 00:23.889\n我们讲感染类型与症状，\n\n00:24.190 --> 00:25.540\n感染的类型，\n\n00:25.739 --> 00:26.715\n感染的类型呢，\n\n00:26.715 --> 00:29.440\n我们就是有细菌感染的。\n\n00:30.326 --> 00:31.201\n有细菌感染，\n\n00:31.201 --> 00:31.875\n真菌感染，\n\n00:31.875 --> 00:32.201\n对吧？\n\n00:32.201 --> 00:33.526\n还有病毒感染对吧？\n\n00:33.726 --> 00:34.125\n嗯，\n\n00:34.175 --> 00:37.401\n就是细菌感染的特点呢，\n\n00:37.401 --> 00:39.151\n就是多样的，\n\n00:39.151 --> 00:40.925\n像肺炎链球菌感染，\n\n00:41.125 --> 00:42.776\n还有那个，\n\n00:43.375 --> 00:46.625\n它是属于那个呼吸系统的感染需要。\n\n00:47.625 --> 00:48.726\n特定的抗生素啊，\n\n00:48.726 --> 00:54.776\n体现了那个细菌种类、感染的部位和治疗方法它是有紧密关联的，\n\n00:54.925 --> 00:55.526\n对吧？\n\n00:55.526 --> 00:56.175\n然后，\n\n00:56.375 --> 00:57.675\n那个真菌感染，\n\n00:57.726 --> 00:58.576\n真菌感染呢，\n\n00:58.576 --> 01:05.375\n就是真菌感染通常出现的比较顽固、传染性和难以根治的特点。\n\n01:05.875 --> 01:06.100\n嗯，\n\n01:06.100 --> 01:09.776\n它是以呼吸系统真菌感染为例，\n\n01:09.776 --> 01:15.676\n它可能会引起那个剧烈的咳嗽、发热等症状。\n\n01:15.825 --> 01:16.676\n时间呢，\n\n01:17.776 --> 01:18.176\n嗯，\n\n01:18.176 --> 01:20.276\n需要什么隔离？\n\n01:20.575 --> 01:20.975\n嗯，\n\n01:21.176 --> 01:25.426\n我们需要那个隔离控制那个防止那个传染源。\n\n01:26.080 --> 01:26.430\n对吧。\n\n01:27.746 --> 01:28.096\n嗯，\n\n01:28.396 --> 01:31.246\n我们应该要选用抗真菌的药物来治疗，\n\n01:31.445 --> 01:32.846\n还一个病毒感染。\n\n01:32.846 --> 01:34.496\n病毒感染的它的特点呢，\n\n01:34.496 --> 01:39.295\n就是像甲肝病毒主要是通过粪口传播的，\n\n01:39.346 --> 01:41.396\n感染后潜伏期比较长，\n\n01:41.396 --> 01:44.846\n而且病毒存在用存在用明显。\n\n01:45.592 --> 01:45.842\n嗯。\n\n01:46.828 --> 01:49.678\n病毒的存存在期早于那个症状，\n\n01:50.127 --> 01:50.477\n嗯，\n\n01:50.477 --> 01:52.027\n常见感染类型当中，\n\n01:52.227 --> 01:54.477\n那个甲肝是属于消化系统的感染。\n\n01:54.578 --> 01:54.928\n嗯，\n\n01:54.928 --> 01:57.428\n治疗需要那个隔离与休息，\n\n01:57.578 --> 01:58.127\n对吧，\n\n01:58.277 --> 01:59.752\n感染的症状，\n\n01:59.752 --> 02:02.377\n和表现发热感染。\n\n02:03.323 --> 02:06.299\n当出现那个发热乏力症状时，\n\n02:06.299 --> 02:10.373\n可能意味着身体正在遭受某种感染，\n\n02:10.473 --> 02:12.024\n如流感病毒感染，\n\n02:12.074 --> 02:14.574\n不仅会导致那个体温的升高，\n\n02:14.574 --> 02:15.423\n全身无力，\n\n02:15.524 --> 02:20.024\n还可以伴有喷嚏呀、咳嗽呀、咽喉部不适等症状。\n\n02:20.828 --> 02:22.304\n然后就是。\n\n02:23.453 --> 02:25.253\n讲那个咳嗽咳痰的症状，\n\n02:25.404 --> 02:26.604\n咳嗽咳痰的症状，\n\n02:26.604 --> 02:28.054\n长期那个，\n\n02:28.253 --> 02:31.154\n咳嗽并伴有那个白痰多，\n\n02:31.203 --> 02:33.953\n夜间也可以有什么憋血。\n\n02:34.203 --> 02:35.453\n当胸闷气短，\n\n02:35.604 --> 02:35.929\n嗯，\n\n02:35.929 --> 02:37.979\n这可能是呼吸系统感染的症状。\n\n02:37.979 --> 02:41.203\n感染那个导致那个呼吸道粘液的可以。\n\n02:42.121 --> 02:44.947\n感染可以导致呼吸道黏膜充血水肿，\n\n02:44.947 --> 02:46.621\n粘液分泌增多。\n\n02:46.621 --> 02:49.921\n治疗的时候明确病原后应该对症治疗。\n\n02:50.022 --> 02:51.522\n应该做个痰培养吧。\n\n02:51.621 --> 02:56.621\n痰平炎叫药名就就可以明确呼吸急促的症状。\n\n02:56.722 --> 02:59.472\n呼吸急促的症状可能表现为呼吸困难，\n\n02:59.572 --> 03:02.822\n呼吸频率在加快或者是。\n\n03:03.927 --> 03:04.727\n当感染时，\n\n03:04.727 --> 03:05.628\n如流感呢，\n\n03:05.628 --> 03:08.078\n还能够出现那个发热呀、咳嗽呀，\n\n03:08.277 --> 03:08.677\n嗯，\n\n03:08.727 --> 03:10.878\n这时候需要那个呼吸系统，\n\n03:11.128 --> 03:11.527\n嗯。\n\n03:12.830 --> 03:14.705\n呼吸系统要积极的治疗，\n\n03:14.705 --> 03:15.179\n对吧？\n\n03:16.289 --> 03:17.115\n色素的感染，\n\n03:17.115 --> 03:18.389\n免疫力下降的感染，\n\n03:18.490 --> 03:19.440\n就是一，\n\n03:19.490 --> 03:23.514\n就像一个50岁免疫力低下的女性，\n\n03:23.514 --> 03:27.990\n她因发热血细胞减少而入院的检查呢，\n\n03:27.990 --> 03:30.740\n发现它有什么巨细胞，\n\n03:31.139 --> 03:31.490\n嗯，\n\n03:31.490 --> 03:33.889\n巨细胞病毒和EB病毒的感染，\n\n03:33.940 --> 03:36.190\n同时存在着肺孢子菌的感染。\n\n03:36.675 --> 03:36.925\n嗯，\n\n03:37.026 --> 03:38.751\n这些特殊感染呢，\n\n03:38.751 --> 03:41.376\n在免疫力低下的患者当中容易出现。\n\n03:44.423 --> 03:44.923\n因此，\n\n03:44.923 --> 03:46.798\n我们要引起重视。\n\n03:47.938 --> 03:52.988\n诊断方法为技术临床上的诊断依据就是根据症状判断，\n\n03:53.087 --> 03:53.513\n对吧？\n\n03:53.513 --> 03:54.488\n根据症状判断嘛，\n\n03:54.488 --> 03:55.138\n像咳嗽呀，\n\n03:55.138 --> 03:55.813\n发烧呀，\n\n03:55.813 --> 03:56.662\n呼吸困难呀，\n\n03:56.662 --> 03:57.337\n这些对吧？\n\n03:57.537 --> 03:58.287\n然后呢，\n\n03:58.287 --> 03:59.488\n就是。\n\n04:00.475 --> 04:01.526\n根据那个病史，\n\n04:01.576 --> 04:04.876\n询问病史的具体情况，\n\n04:05.026 --> 04:07.451\n我们也可以初步判断啊。\n\n04:07.451 --> 04:08.675\n病史在询问当中，\n\n04:08.675 --> 04:12.675\n我们可以知道患者呼吸道感染的时间，\n\n04:12.925 --> 04:15.626\n嗯和以往发病的情况，\n\n04:15.876 --> 04:18.126\n以及接触过什么传染源，\n\n04:18.425 --> 04:22.226\n或者是接触过什么病人，\n\n04:22.226 --> 04:23.276\n像类似的病人，\n\n04:23.276 --> 04:26.776\n或者是接触过那个不良的环境，\n\n04:26.776 --> 04:27.726\n什么对吧。\n\n04:28.842 --> 04:30.317\n可能会造成什么影响，\n\n04:30.317 --> 04:32.893\n就是还有一种就是什么社会，\n\n04:33.493 --> 04:33.842\n嗯，\n\n04:33.842 --> 04:36.243\n就是就是医源性的感染，\n\n04:36.243 --> 04:38.143\n或者是那个，\n\n04:38.542 --> 04:40.442\n社社会性的一种。\n\n04:41.358 --> 04:41.657\n嗯，\n\n04:42.157 --> 04:44.858\n一种感染就是在社会上，\n\n04:44.958 --> 04:45.358\n嗯，\n\n04:45.507 --> 04:47.058\n在接触了某些，\n\n04:47.358 --> 04:47.757\n嗯。\n\n04:48.808 --> 04:49.882\n某些患者对吧，\n\n04:49.882 --> 04:51.157\n特殊患者或是什么的，\n\n04:51.308 --> 04:51.708\n嗯，\n\n04:51.808 --> 04:54.007\n就是导致了一个什么，\n\n04:54.257 --> 04:54.657\n嗯，\n\n04:54.958 --> 04:56.958\n相互之间的一个呼吸道的传染，\n\n04:57.108 --> 04:57.608\n对吧，\n\n04:57.608 --> 04:58.907\n而引起的一种疾病。\n\n04:59.679 --> 05:01.529\n那么另外一个呢，\n\n05:01.529 --> 05:02.779\n就是实验室的检查，\n\n05:03.079 --> 05:06.454\n实验室的检查就是一个是病毒核酸的检查，\n\n05:06.454 --> 05:06.730\n对吧，\n\n05:06.730 --> 05:09.179\n病毒核酸的检查在新冠的时候我们是。\n\n05:09.812 --> 05:10.161\n嗯，\n\n05:10.611 --> 05:12.361\n发挥了很关键的作用，\n\n05:12.361 --> 05:12.761\n对吧，\n\n05:12.812 --> 05:14.761\n就是通过那个。\n\n05:16.466 --> 05:21.165\n通过采集咽喉部或者是那鼻腔的那个呼吸道的分泌物，\n\n05:21.265 --> 05:23.816\n然后在实验室室当中进行检测，\n\n05:23.816 --> 05:24.316\n对吧？\n\n05:24.466 --> 05:24.865\n嗯，\n\n05:24.865 --> 05:26.716\n检测出那个新冠病毒对吧？\n\n05:26.716 --> 05:28.915\n血液学的检查就是血常规吧，\n\n05:28.966 --> 05:31.265\n血常规就是很简单的，\n\n05:31.265 --> 05:33.341\n但是很关键很重要的。\n\n05:33.341 --> 05:36.915\n如果那个患者呼吸道系统。\n\n05:37.925 --> 05:39.075\n有感染有炎症，\n\n05:39.075 --> 05:42.026\n那么首先第一步就是什么白细胞检查，\n\n05:42.226 --> 05:42.626\n对吧？\n\n05:42.626 --> 05:45.976\n血常规里白细胞看它是不是正常是吧？\n\n05:46.075 --> 05:47.726\n还有一个痰细菌的培养，\n\n05:47.876 --> 05:50.276\n痰细菌的培养也是很关键的去。\n\n05:51.000 --> 05:51.225\n嗯，\n\n05:51.225 --> 05:52.350\n取患者那个，\n\n05:52.350 --> 05:52.700\n嗯，\n\n05:53.149 --> 05:54.899\n口腔分泌物，\n\n05:54.899 --> 05:55.500\n然后呢？\n\n05:56.640 --> 05:57.714\n蜂蜜或者痰液，\n\n05:57.714 --> 05:58.165\n对吧，\n\n05:58.165 --> 06:01.915\n然后放到实验室当中做细菌培养，\n\n06:01.915 --> 06:04.390\n有时候做的细菌培养还可以做药敏，\n\n06:04.540 --> 06:10.415\n可以那那那就可以使我们什么有针对性的治疗，\n\n06:10.415 --> 06:10.989\n对吧。\n\n06:12.037 --> 06:14.537\n就是标准的对症治疗了，\n\n06:14.787 --> 06:15.187\n嗯，\n\n06:15.238 --> 06:16.437\n影像学的检查。\n\n06:16.537 --> 06:18.838\n影像学的检查以前是胸片呀，\n\n06:18.838 --> 06:19.888\nX线对吧？\n\n06:19.888 --> 06:20.638\n我们现在呢，\n\n06:20.638 --> 06:22.437\n就是大多数用什么CT了。\n\n06:22.588 --> 06:24.263\n因此，\n\n06:24.263 --> 06:27.687\nCT在那个呼吸系统疾病当中占有重要的地位，\n\n06:27.787 --> 06:33.463\n它能够清清晰的提示那个肺嗯肺结构的病变情况，\n\n06:33.463 --> 06:34.013\n然后呢，\n\n06:34.013 --> 06:40.037\n帮助那个医生来识别肺炎、肺结核、肺肿瘤等情等疾病是吧。\n\n06:40.842 --> 06:44.242\n治疗手段和药物治疗的常用的治疗手段嘛，\n\n06:44.242 --> 06:45.641\n就是对症治疗了，\n\n06:45.641 --> 06:47.266\n然后还有没氧疗，\n\n06:47.266 --> 06:48.617\n还有没抗感染治疗，\n\n06:48.617 --> 06:48.992\n对吧？\n\n06:49.342 --> 06:49.691\n嗯，\n\n06:49.691 --> 06:51.166\n我们的对症治疗呢，\n\n06:51.166 --> 06:52.691\n就是在呼吸系统疾病当中，\n\n06:52.691 --> 06:56.316\n针对那个患者发热或者发烧什么的，\n\n06:56.316 --> 06:59.092\n我们可以用止咳化痰的药。\n\n06:59.291 --> 06:59.691\n嗯，\n\n06:59.791 --> 07:00.541\n然后呢，\n\n07:00.791 --> 07:01.191\n嗯。\n\n07:02.776 --> 07:04.876\n给他就是吸氧，\n\n07:04.925 --> 07:06.726\n然后吸实躺平，\n\n07:07.075 --> 07:07.675\n对吧？\n\n07:07.675 --> 07:08.376\n然后呢，\n\n07:08.376 --> 07:09.700\n就是挂点抗生素，\n\n07:09.700 --> 07:10.175\n对吧？\n\n07:10.226 --> 07:10.626\n嗯，\n\n07:10.925 --> 07:13.276\n抗生素就是我们就常规的用，\n\n07:13.376 --> 07:14.050\n但是呢，\n\n07:14.050 --> 07:18.126\n就是如果做了水平阳或者痰平阳加药敏的那，\n\n07:18.126 --> 07:21.300\n可能要选择针对性的抗生素使用，\n\n07:21.300 --> 07:21.776\n对吧？\n\n07:21.925 --> 07:22.325\n嗯，\n\n07:22.376 --> 07:25.075\n针对性比较强的一些抗菌药物使用，\n\n07:25.126 --> 07:25.776\n这样呢，\n\n07:25.776 --> 07:27.026\n有利于。\n\n07:27.604 --> 07:28.729\n缩短病程对吧，\n\n07:28.729 --> 07:30.753\n有利于病情的康复。\n\n07:32.164 --> 07:32.713\n对吧，\n\n07:32.864 --> 07:33.414\n我们。\n\n07:34.769 --> 07:39.570\n我们要分辨出它到底是细菌感染、真菌感染还是病毒感染，\n\n07:39.570 --> 07:39.845\n对吧？\n\n07:39.845 --> 07:40.695\n这个很关键的。\n\n07:40.695 --> 07:41.644\n然后对症治疗，\n\n07:41.644 --> 07:42.720\n这样是比较好的。\n\n07:43.415 --> 07:45.115\n养老这种呼吸系统的疾病，\n\n07:45.115 --> 07:49.265\n就是一进来肯定是什么吸氧的了对吧？\n\n07:49.316 --> 07:50.915\n然后根据情况，\n\n07:51.115 --> 07:53.191\n根据患者的不同的患者，\n\n07:53.191 --> 07:56.265\n给他那个低流量还是高流量就是。\n\n07:57.424 --> 07:58.450\n因人而异嘛，\n\n07:58.549 --> 07:59.049\n对吧？\n\n07:59.049 --> 08:00.000\n有个体差异的，\n\n08:00.000 --> 08:01.600\n我们就对症治疗了对吧？\n\n08:01.950 --> 08:04.399\n然后还有个抗菌药物的使用，\n\n08:04.600 --> 08:05.799\n抗菌药物的使用，\n\n08:05.799 --> 08:07.875\n我们现在就是用什么喹洛酮类，\n\n08:07.875 --> 08:08.750\n还有头孢类，\n\n08:08.750 --> 08:10.549\n还有那个青霉素类，\n\n08:10.700 --> 08:11.100\n嗯。\n\n08:12.089 --> 08:13.015\n喹的同类嘛，\n\n08:13.015 --> 08:16.440\n我们知道点像沙星什么一类的对吧？\n\n08:16.489 --> 08:17.989\n它是一个广谱的抗菌素，\n\n08:17.989 --> 08:18.390\n对吧？\n\n08:18.489 --> 08:18.839\n嗯，\n\n08:18.839 --> 08:20.015\n对那个肺炎呀，\n\n08:20.015 --> 08:20.714\n链球菌啊，\n\n08:20.714 --> 08:21.964\n什么嗜酸杆菌啊，\n\n08:21.964 --> 08:23.089\n都都是有效的。\n\n08:23.290 --> 08:23.690\n嗯，\n\n08:23.739 --> 08:25.040\n然后青霉素类，\n\n08:25.040 --> 08:25.839\n青霉素类呢，\n\n08:25.839 --> 08:27.290\n就是，\n\n08:27.290 --> 08:29.165\n像阿莫西林什么的对吧，\n\n08:29.165 --> 08:31.065\n阿苄西林什么的这个呢，\n\n08:31.065 --> 08:32.840\n就是就是怎么呢，\n\n08:32.840 --> 08:33.664\n就是有点烦，\n\n08:33.664 --> 08:35.690\n就是要做个皮试对吧。\n\n08:36.254 --> 08:38.004\n但还是价廉物美，\n\n08:38.004 --> 08:39.104\n还是有效的，\n\n08:39.203 --> 08:39.804\n对吧。\n\n08:41.565 --> 08:42.015\n那么，\n\n08:42.015 --> 08:45.041\n其他的头孢头孢物也是一个广谱抗生素。\n\n08:45.041 --> 08:49.366\n我们在日常生活当中就使用的比较多的就是头孢，\n\n08:49.466 --> 08:50.091\n但是呢，\n\n08:50.091 --> 08:52.416\n我们也不能长期使用。\n\n08:52.515 --> 08:55.366\n有的有的有有的病人呢，\n\n08:55.565 --> 08:56.690\n嗯很搞笑的，\n\n08:56.690 --> 08:58.866\n他他就是长期使用抗生素的。\n\n08:58.966 --> 08:59.341\n嗯，\n\n08:59.341 --> 09:00.640\n特别是头孢，\n\n09:00.640 --> 09:05.140\n好像是当饭一样吃的那你这样子搞的话，\n\n09:05.140 --> 09:06.466\n就会什么菌群失调，\n\n09:06.716 --> 09:07.866\n还有产生耐药，\n\n09:08.015 --> 09:10.466\n还有产生各种毒副作用，\n\n09:10.466 --> 09:10.791\n对吧，\n\n09:10.791 --> 09:11.416\n这样子。\n\n09:12.028 --> 09:14.153\n就是这种做法是不对的，\n\n09:14.153 --> 09:15.078\n相当不对的。\n\n09:15.278 --> 09:15.627\n嗯，\n\n09:15.627 --> 09:18.328\n而且你如果真的毛病变重了，\n\n09:18.328 --> 09:19.127\n或者恶化了，\n\n09:19.127 --> 09:19.877\n或者什么的，\n\n09:19.877 --> 09:22.302\n你连药物都写不出来了对吧？\n\n09:22.302 --> 09:24.078\n都被你吃的了内药了对吧。\n\n09:24.656 --> 09:26.156\n你们抗病毒药物，\n\n09:26.156 --> 09:27.856\n我们现在就是一个阿昔洛韦了。\n\n09:27.856 --> 09:33.455\n阿昔洛韦是那个通过抑制病毒DNA合成而发挥作用的。\n\n09:33.455 --> 09:34.031\n它可能呢，\n\n09:34.031 --> 09:35.705\n治疗对那个疱疹呀，\n\n09:35.705 --> 09:37.906\n或者是一种水痘病毒呀，\n\n09:37.906 --> 09:39.606\n这些是有效果的。\n\n09:40.119 --> 09:40.369\n嗯，\n\n09:40.570 --> 09:41.669\n还有一个是什么？\n\n09:41.669 --> 09:42.419\n利巴韦林，\n\n09:42.520 --> 09:44.570\n利巴韦林也是一个抗病毒药。\n\n09:45.918 --> 09:46.418\n对吧。\n\n09:48.354 --> 09:48.653\n嗯，\n\n09:48.653 --> 09:50.804\n预防与健康的护理，\n\n09:50.854 --> 09:54.054\n预防与健康的护理就是我们感染的预防措施。\n\n09:54.304 --> 09:56.078\n就是感染的预防措施呢，\n\n09:56.078 --> 09:57.554\n就是我们要保护那个环境，\n\n09:57.653 --> 09:58.054\n嗯。\n\n09:59.202 --> 10:00.802\n让我们的环境不要受污染，\n\n10:00.802 --> 10:01.226\n对吧？\n\n10:01.226 --> 10:05.202\n要定期清洁清消毒定期的清洁消毒，\n\n10:05.302 --> 10:05.702\n嗯，\n\n10:06.351 --> 10:08.627\n就嗯就像病房一样，\n\n10:08.627 --> 10:12.401\n医院的走廊都要什么要要要消毒的。\n\n10:12.552 --> 10:12.877\n嗯，\n\n10:12.877 --> 10:13.851\n然后个人卫生，\n\n10:13.851 --> 10:14.627\n个人卫生嘛，\n\n10:14.627 --> 10:17.851\n主要是跟感跟预防感染有关了，\n\n10:17.952 --> 10:20.901\n那就要什么勤洗手戴口罩对吧？\n\n10:21.002 --> 10:25.226\n然后要减少那种不良环境的接触，\n\n10:25.226 --> 10:25.927\n对吧，\n\n10:25.927 --> 10:27.952\n避免接触这种污染源对吧。\n\n10:28.815 --> 10:29.366\n你们。\n\n10:30.020 --> 10:30.320\n嗯，\n\n10:30.320 --> 10:32.669\n就是还有一个就是疫苗接种了。\n\n10:32.669 --> 10:34.219\n疫苗接种我们也知道，\n\n10:34.219 --> 10:36.270\n就是它可以提高一种免疫力的，\n\n10:36.369 --> 10:36.820\n对吧？\n\n10:36.820 --> 10:38.719\n我们因此要定期的接种。\n\n10:39.926 --> 10:40.276\n嗯，\n\n10:41.125 --> 10:41.726\n另外呢，\n\n10:41.726 --> 10:43.176\n我们有康复期的护理。\n\n10:43.226 --> 10:44.200\n康复期的护理，\n\n10:44.200 --> 10:45.825\n我们知道我们要休息，\n\n10:45.825 --> 10:46.825\n有规律的运动，\n\n10:47.075 --> 10:47.676\n对吧？\n\n10:47.776 --> 10:50.950\n然后要调整好自己的作息时间，\n\n10:50.950 --> 10:51.325\n对吧？\n\n10:51.325 --> 10:52.726\n要有保证足够的睡眠，\n\n10:52.726 --> 10:53.226\n对吧？\n\n10:53.476 --> 10:53.875\n嗯，\n\n10:54.226 --> 10:55.476\n那么营养成分嘛，\n\n10:55.476 --> 10:56.276\n也要跟上去，\n\n10:56.276 --> 10:56.726\n对吧？\n\n10:57.026 --> 10:57.700\n蔬菜呀，\n\n10:57.700 --> 10:59.926\n新鲜的蔬菜水果有各种成分，\n\n10:59.926 --> 11:03.051\n胡萝卜素什么的都可以增加一点，\n\n11:03.051 --> 11:03.476\n对吧。\n\n11:03.943 --> 11:04.193\n嗯。\n\n11:05.080 --> 11:05.804\n因为运动呢，\n\n11:05.804 --> 11:06.255\n里面呢，\n\n11:06.255 --> 11:09.179\n我们就是注注意一个有氧运动，\n\n11:09.179 --> 11:09.630\n对吧？\n\n11:09.729 --> 11:10.405\n这个呢，\n\n11:10.405 --> 11:12.729\n一个要注意一个有氧运动，\n\n11:12.729 --> 11:16.479\n还有一个注意一个运动的方式跟运动的强度，\n\n11:16.630 --> 11:18.354\n要找适合自己的运动，\n\n11:18.354 --> 11:18.830\n对吧？\n\n11:18.929 --> 11:21.505\n超超出自己体能范围的运动呢，\n\n11:21.505 --> 11:23.179\n我们也不主张的对吧？\n\n11:23.179 --> 11:24.479\n人还弄得来的，\n\n11:24.479 --> 11:26.429\n等一下就做心生什么的，\n\n11:26.580 --> 11:26.905\n嗯，\n\n11:26.905 --> 11:28.530\n也也不好对吧。\n\n11:29.026 --> 11:29.450\n然后，\n\n11:29.450 --> 11:32.276\n突出病人的预防就是我们的小孩，\n\n11:32.476 --> 11:34.301\n小孩肯定要对吧，\n\n11:34.301 --> 11:35.476\n要预防针呀，\n\n11:35.776 --> 11:36.176\n嗯，\n\n11:36.276 --> 11:38.075\n就是然后，\n\n11:38.125 --> 11:38.976\n家长呢，\n\n11:39.026 --> 11:39.375\n嗯，\n\n11:39.375 --> 11:42.575\n要要要关注小孩的病情，\n\n11:42.926 --> 11:44.476\n或者是关注。\n\n11:45.236 --> 11:45.486\n嗯，\n\n11:45.585 --> 11:48.361\n要要重视儿童的一个生存环境，\n\n11:48.361 --> 11:48.710\n对吧？\n\n11:48.710 --> 11:49.736\n我们要帮助他，\n\n11:50.135 --> 11:50.460\n嗯，\n\n11:50.460 --> 11:51.685\n干嘛改变环境，\n\n11:51.736 --> 11:52.236\n对吧？\n\n11:52.286 --> 11:53.385\n要增强体质，\n\n11:53.435 --> 11:54.736\n这个是我们要。\n\n11:55.512 --> 11:55.661\n嗯，\n\n11:55.661 --> 11:56.861\n要做的啊，\n\n11:56.861 --> 11:57.812\n老年人呢。\n\n11:58.643 --> 11:59.169\n也是的，\n\n11:59.169 --> 12:02.544\n他们一个因为年龄大，\n\n12:02.544 --> 12:03.494\n免疫功能差，\n\n12:03.494 --> 12:04.093\n对吧？\n\n12:04.193 --> 12:05.568\n而基础疾病呢，\n\n12:05.568 --> 12:06.143\n又很多，\n\n12:06.343 --> 12:09.744\n那么肯定的容易感染这种老年人呢，\n\n12:09.744 --> 12:10.893\n我们也要保护好的，\n\n12:10.893 --> 12:11.343\n对吧？\n\n12:11.494 --> 12:11.893\n嗯，\n\n12:12.143 --> 12:12.768\n就是呢，\n\n12:12.768 --> 12:13.143\n就是。\n\n12:14.306 --> 12:16.606\n祝大家就是身体健康吧，\n\n12:16.806 --> 12:18.406\n生活快乐吧。\n\n12:19.176 --> 12:20.776\n工作顺利好吧。\n\n12:21.473 --> 12:21.973\n没有，\n\n12:22.223 --> 12:22.624\n嗯。\n\n12:24.469 --> 12:24.770\n嗯，\n\n12:25.020 --> 12:26.669\n我们就是。\n\n12:28.392 --> 12:29.492\n另外还有一点时间呢，\n\n12:29.492 --> 12:30.192\n我们就是什么，\n\n12:30.192 --> 12:31.091\n补充一点就是。\n\n12:31.971 --> 12:33.396\n像这种情况对吧，\n\n12:33.396 --> 12:34.171\n你想我们。\n\n12:34.971 --> 12:36.697\n一般如果，\n\n12:36.697 --> 12:37.572\n合并感染了，\n\n12:37.572 --> 12:38.697\n或者是感冒了，\n\n12:38.697 --> 12:39.322\n咳嗽了，\n\n12:39.471 --> 12:39.872\n嗯，\n\n12:39.872 --> 12:40.771\n我们一般呢，\n\n12:40.771 --> 12:41.521\n刚开始呢，\n\n12:41.521 --> 12:44.947\n都是经都是用一种经验治疗啊，\n\n12:44.947 --> 12:46.971\n经验治疗就是看你的鼻。\n\n12:47.564 --> 12:53.513\n看你流的鼻涕是清的还是混的你咳嗽咳出来的是泡沫痰还是那个浓痰，\n\n12:53.864 --> 12:58.864\n然后我们初步的判断是那个真菌还是病毒对吧？\n\n12:58.864 --> 13:00.114\n如果有清水涕，\n\n13:00.263 --> 13:03.614\n就是清水一样的鼻涕或者是泡沫痰的，\n\n13:03.713 --> 13:04.664\n那么一般呢，\n\n13:04.664 --> 13:06.763\n主要是什么病毒为主。\n\n13:07.314 --> 13:10.614\n然后你想如果浓鼻涕或者是浓的痰，\n\n13:10.963 --> 13:11.314\n嗯，\n\n13:11.314 --> 13:13.088\n而且体热的这种呢，\n\n13:13.088 --> 13:14.463\n可能细菌为主。\n\n13:14.914 --> 13:15.314\n嗯，\n\n13:15.463 --> 13:17.088\n而另外一种情况呢，\n\n13:17.088 --> 13:17.513\n就是。\n\n13:17.851 --> 13:21.726\n它就是浓浓鼻涕和流清涕啊，\n\n13:21.726 --> 13:22.351\n什么的，\n\n13:22.502 --> 13:22.901\n嗯，\n\n13:23.052 --> 13:23.901\n交替的。\n\n13:23.901 --> 13:26.452\n那有可能是什么混合性的感染，\n\n13:26.552 --> 13:28.552\n就是病毒细菌一起感染。\n\n13:28.702 --> 13:29.101\n嗯，\n\n13:29.252 --> 13:29.952\n因此。\n\n13:30.953 --> 13:32.703\n出现这种情况的时候呢，\n\n13:32.703 --> 13:35.403\n我们应该到医院里做一个实验室的检查，\n\n13:35.754 --> 13:38.304\n就是测一下那个血常规啊，\n\n13:38.304 --> 13:39.854\n你看白细胞是高的，\n\n13:39.854 --> 13:40.929\n中性是高的，\n\n13:40.929 --> 13:42.504\n那么是什么细菌感染？\n\n13:42.703 --> 13:44.854\n如果白细胞不高，\n\n13:45.054 --> 13:46.104\n对吧，\n\n13:46.104 --> 13:47.479\n淋巴高的啊，\n\n13:47.479 --> 13:49.504\n我们考虑什么病毒感染对吧，\n\n13:49.504 --> 13:50.703\n这个是初步的检查，\n\n13:50.953 --> 13:55.179\n然后条件好一点的那就什么拍一个片子看一下，\n\n13:55.179 --> 13:55.653\n对吧。\n\n13:55.903 --> 13:57.453\n现在就是做个CT啊，\n\n13:57.453 --> 13:58.453\n很简单的对吧，\n\n13:58.453 --> 14:01.254\n看一下肺部是什么情况的对吧。\n\n14:01.424 --> 14:03.823\n现在病情怎么样？\n\n14:03.823 --> 14:06.924\n我们选择怎样选择是吧？\n\n14:07.124 --> 14:07.523\n嗯，\n\n14:07.523 --> 14:08.924\n选择合适的治疗，\n\n14:09.223 --> 14:09.624\n嗯。\n\n14:11.052 --> 14:13.901\n然后对于那个儿童和老年人的话，\n\n14:14.202 --> 14:15.752\n儿童和老年人的话呢，\n\n14:15.752 --> 14:17.202\n我们一般，\n\n14:17.452 --> 14:18.702\n小孩子的话呢，\n\n14:18.702 --> 14:23.427\n因为他他是这个交流能力比较差一点，\n\n14:23.427 --> 14:26.851\n对于疾病的认识能力也比较比较差一点。\n\n14:26.901 --> 14:27.702\n因此呢，\n\n14:28.002 --> 14:30.651\n一定要通过家长认真的。\n\n14:31.239 --> 14:32.440\n认真仔细的观察，\n\n14:32.640 --> 14:37.239\n然后要告诉医生一种详细的那个症状，\n\n14:37.489 --> 14:38.039\n对吧？\n\n14:38.039 --> 14:38.590\n病程，\n\n14:38.940 --> 14:39.340\n嗯，\n\n14:39.640 --> 14:42.190\n还有疾病的发病的特征。\n\n14:42.976 --> 14:43.125\n嗯，\n\n14:43.125 --> 14:43.726\n然后呢，\n\n14:43.726 --> 14:45.776\n让医生选择，\n\n14:45.926 --> 14:48.226\n恰当的治疗方案。\n\n14:49.830 --> 14:51.229\n而我们老年人呢，\n\n14:51.530 --> 14:54.780\n就是什么有家属也是要有家属陪伴。\n\n14:55.130 --> 14:56.405\n因为老年人呢，\n\n14:56.405 --> 14:57.429\n反应比较差。\n\n14:57.729 --> 14:58.104\n嗯，\n\n14:58.104 --> 14:58.929\n有时候啊，\n\n14:58.929 --> 15:01.929\n他等于发热症状不明显，\n\n15:01.979 --> 15:04.755\n或者是咳嗽症状不明显。\n\n15:04.755 --> 15:06.479\n但片子一拍啊，\n\n15:06.630 --> 15:08.155\n糟糕都是肺炎了，\n\n15:08.155 --> 15:10.405\n或者是重症肺炎了对吧？\n\n15:10.405 --> 15:11.405\n这种病例呢，\n\n15:11.405 --> 15:12.179\n也很多的。\n\n15:12.643 --> 15:13.068\n因此呢，\n\n15:13.068 --> 15:15.494\n请大家就是一定要什么。\n\n15:16.596 --> 15:18.796\n患者就是一一定要重视，\n\n15:18.796 --> 15:21.346\n就是患者如果出现了这些感冒，\n\n15:21.645 --> 15:22.721\n好像流感啊，\n\n15:22.721 --> 15:24.645\n或者普通感冒的症状的时候，\n\n15:24.745 --> 15:27.745\n我们用常规的药物治疗以后，\n\n15:27.895 --> 15:29.995\n好像症状没有好转的。\n\n15:30.145 --> 15:32.570\n那么这一部分人你一定要重视，\n\n15:32.570 --> 15:34.245\n干嘛把他带到医院去，\n\n15:34.445 --> 15:34.995\n对吧，\n\n15:34.995 --> 15:37.870\n带给他做什么生化检查对吧，\n\n15:37.870 --> 15:39.046\n常血常规检查，\n\n15:39.296 --> 15:40.096\n然后呢。\n\n15:40.846 --> 15:42.171\n拍片子对吧，\n\n15:42.171 --> 15:43.445\n实体片拍一个，\n\n15:43.445 --> 15:44.471\n这样扫一下呢，\n\n15:44.471 --> 15:45.195\n比较安全。\n\n15:47.133 --> 15:47.434\n嗯，\n\n15:47.833 --> 15:53.508\n就是我们现在反正家里条件什么的都都是还可以的，\n\n15:53.508 --> 15:58.734\n然后医院设备什么的也是也是比较先进的，\n\n15:58.734 --> 16:00.434\n因此这方面呢，\n\n16:00.434 --> 16:01.184\n我们还是。\n\n16:02.004 --> 16:04.554\n还是操作起来比较方便的对吧？\n\n16:04.804 --> 16:05.203\n嗯，\n\n16:05.254 --> 16:05.929\n然后呢，\n\n16:05.929 --> 16:07.403\n就是现在嘛。\n\n16:08.130 --> 16:08.804\n工作啊，\n\n16:08.804 --> 16:10.630\n什么比较压力大，\n\n16:10.830 --> 16:11.229\n嗯，\n\n16:11.280 --> 16:12.405\n特别是年轻人，\n\n16:12.405 --> 16:12.880\n对吧？\n\n16:12.979 --> 16:13.380\n嗯，\n\n16:13.479 --> 16:14.530\n晚上睡眠少，\n\n16:14.530 --> 16:15.229\n熬夜，\n\n16:15.479 --> 16:15.854\n嗯，\n\n16:15.854 --> 16:18.080\n然后容易着凉感冒，\n\n16:18.229 --> 16:18.880\n对吧？\n\n16:19.583 --> 16:19.734\n嗯，\n\n16:19.734 --> 16:20.283\n熬夜的嘛，\n\n16:20.283 --> 16:21.234\n免疫力低下了，\n\n16:21.234 --> 16:22.359\n那么容易感冒了。\n\n16:22.359 --> 16:23.658\n了而年轻人呢，\n\n16:23.658 --> 16:24.434\n就是什么？\n\n16:24.633 --> 16:25.033\n嗯，\n\n16:25.234 --> 16:26.758\n年轻人就是有的人呢，\n\n16:26.758 --> 16:28.008\n也喜欢窝在家里的，\n\n16:28.008 --> 16:28.684\n还有呢，\n\n16:28.883 --> 16:31.309\n就是有的人喜欢捂空调屋。\n\n16:31.309 --> 16:32.033\n空调的话，\n\n16:32.033 --> 16:33.984\n不管是年轻人还是老年人。\n\n16:34.835 --> 16:37.260\n这个都容易出现什么，\n\n16:37.559 --> 16:37.960\n嗯。\n\n16:39.403 --> 16:40.653\n支气管的炎症。\n\n16:41.557 --> 16:42.658\n或者是肺部的。\n\n16:43.976 --> 16:44.625\n炎症。\n\n16:45.432 --> 16:46.831\n就是你轻一点，\n\n16:46.831 --> 16:48.257\n就是像一个卡他症状，\n\n16:48.257 --> 16:49.531\n就像一个感冒症状。\n\n16:49.831 --> 16:50.656\n再重一点，\n\n16:50.656 --> 16:51.682\n就是支气管症状，\n\n16:51.682 --> 16:52.382\n就是咳嗽了，\n\n16:52.382 --> 16:53.581\n咳痰了对吧？\n\n16:53.632 --> 16:54.331\n再重一点，\n\n16:54.331 --> 16:55.031\n肺炎了，\n\n16:55.031 --> 16:56.031\n重症肺炎了，\n\n16:56.031 --> 16:57.932\n就是出现发烧咳嗽，\n\n16:57.932 --> 16:58.531\n咳痰，\n\n16:58.781 --> 16:59.906\n胸闷胸痛，\n\n16:59.906 --> 17:00.731\n呼吸困难，\n\n17:00.731 --> 17:01.182\n对吧。\n\n17:01.992 --> 17:02.142\n哦，\n\n17:02.142 --> 17:03.841\n一旦发生这种情况的话。\n\n17:04.595 --> 17:08.046\n我们建议马上到医院找医生就诊。\n\n17:09.395 --> 17:09.845\n对吧。\n\n17:10.524 --> 17:11.124\n就是不要拖，\n\n17:11.124 --> 17:12.524\n就是就不要拖，\n\n17:12.673 --> 17:13.899\n就是马上去医院，\n\n17:13.899 --> 17:15.223\n由医生来处理，\n\n17:15.374 --> 17:16.249\n这样比较好，\n\n17:16.249 --> 17:17.024\n这是一个。\n\n17:17.864 --> 17:18.614\n一个建议，\n\n17:18.963 --> 17:19.364\n嗯。\n\n17:20.427 --> 17:20.777\n最后呢，\n\n17:20.777 --> 17:21.228\n就是。\n\n17:22.404 --> 17:26.629\n我们希望大家都都很健健康康的对吧，\n\n17:26.629 --> 17:28.604\n都快快乐乐的，\n\n17:29.004 --> 17:30.453\n生活对吧，\n\n17:30.754 --> 17:31.129\n嗯，\n\n17:31.129 --> 17:36.328\n然后就是迎接什么每一个美好的明天，\n\n17:36.328 --> 17:36.803\n对吧。\n\n17:37.387 --> 17:39.338\n和认真的工作对吧，\n\n17:39.537 --> 17:39.937\n嗯，\n\n17:40.037 --> 17:41.437\n幸福的生活啊，\n\n17:41.787 --> 17:43.687\n那就讲到这里今天。\n\n","v0247cg10004d60r95qljht1n9j2aga0",1073,940,"2026-01-24 21:24:34","呼吸系统感染治疗指南 - 症状、用药及预防方法  ","呼吸系统感染, 呼吸道感染治疗, 肺炎治疗, 支气管炎用药, 感冒症状缓解, 病毒感染防治, 抗生素使用指南  ","专业解析呼吸系统感染（如肺炎、支气管炎、感冒等）的治疗方法，包括症状识别、药物选择（抗生素/抗病毒）、家庭护理及预防措施，帮助您快速恢复呼吸道健康。","2026-02-09 16:30:00",[37],{"menuId":38,"menuName":39,"parentId":17,"orderNum":21,"path":40,"component":41,"isFrame":42,"isCache":43,"menuType":44,"visible":26,"status":17,"createDept":6,"remark":24,"createTime":45,"children":46,"columnImage":47,"columnLogo":48,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":49,"seoKeywords":50,"seoDescription":51,"contentNum":6,"promotionalPoster":52,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":53,"routerPath":40,"componentInfo":41},"1986622624134549505","科普视频","video","/video.html","1","0","T","2025-11-07 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