{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1590","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1590","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":null,"keywords":"北京协和医院传染科","title":"北京协和医院传染科","channels":null},"data":{"list":[{"id":"2901","isDel":0,"createAt":1486738334955,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"登革热及登革出血热的临床表现","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　潜伏期</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">15</span><span style=\"line-height: 200%;font-family: 宋体\">日，平均为</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">6</span><span style=\"line-height: 200%;font-family: 宋体\">日左右，其长短与侵入的病毒量有一定关系。</span></p><p style=\"line-height: 200%\">　<strong>　</strong><strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">(</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">一</span></strong><strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">) </span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">登革热</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">典型病程可分为侵袭期、缓解期和出疹期。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">1</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、侵袭期</span></strong><strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">(</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">发热期</span></strong><strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">)</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">多数患者起病急骤，少数病人可有短暂的前驱症状如头痛、背痛、疲倦、食欲不振等。热度迅速上升至</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">39</span><span style=\"line-height: 200%;font-family: 宋体\">℃</span><span style=\"line-height: 200%;font-family: 宋体\">以上，伴畏寒、严重头痛，以及背痛，肌肉关节疼痛</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(</span><span style=\"line-height: 200%;font-family: 宋体\">均极剧烈，因此本病曾有</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">“</span><span style=\"line-height: 200%;font-family: 宋体\">断骨热</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">”</span><span style=\"line-height: 200%;font-family: 宋体\">之称</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">)</span><span style=\"line-height: 200%;font-family: 宋体\">，眼眶痛，眼球后痛</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(</span><span style=\"line-height: 200%;font-family: 宋体\">转动眼球时尤甚</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">)</span><span style=\"line-height: 200%;font-family: 宋体\">等。颜面和眼结膜显著充血、颈及上胸皮肤潮红。全身淋巴结可有轻度肿大，脾将触及、质软、肝也有肿大。甚至症状尚有感觉过敏、恶心、呕吐、腹痛、胃纳不佳等，腹泻和便秘均有所见。可有相对缓脉。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　少数病例在起病</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">24</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">48</span><span style=\"line-height: 200%;font-family: 宋体\">小时内出现一过性全身钟尖样细小斑疹，主要见于四肢的肘、膝及面部，压之退色。本期持续约</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">日。</span></p><p style=\"line-height: 200%\">　<strong>　</strong><strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">2</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、缓解期</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">多数出现于第</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">病日，本期约</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">日。一般症状减轻，体温也降至正常。但各次流行情况可有很大差别，多数病例并无缓解期、发热持续无下降趋势。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">3</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、出疹期</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">皮疹于发病后</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5</span><span style=\"line-height: 200%;font-family: 宋体\">日出现，初见于掌心、脚底，或先发生于躯干及腹部，渐次延至颈和四肢，部分病人面部出疹。皮疹相当明显，多数呈麻疹样，少数呈猩红热样，或介于两者之间；稍有搔痒，压之退色。体温已下降者此时又下上升，呈马鞍型热，全身症状也随之加重。第二次发热可较第一次为高，常骤然下降。皮疹于</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5</span><span style=\"line-height: 200%;font-family: 宋体\">日</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(</span><span style=\"line-height: 200%;font-family: 宋体\">平均</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">日</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">)</span><span style=\"line-height: 200%;font-family: 宋体\">内消失，一般与体温同时消退，但也有体温下降后皮疹反见明显者。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　也有在发热最后一日或在热退后，于脚腿背后、踝部、手腕背面、腋窝等处出现细小瘀斑，加压时不退色；</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">日内消退，并短暂遗留棕色斑。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　相对缓脉在本期相当明显。重症患者可有出血倾向如鼻衄、瘀点、胃肠道出血等。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　整个病程约</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">7</span><span style=\"line-height: 200%;font-family: 宋体\">日。病后患者常感虚弱无力和抑郁，完全恢复常需数周。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">(</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">二</span></strong><strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">) </span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">登革出血热</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">本病病程可分为发热期、休克期和恢复期。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">1</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、发热期</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">本期的主要症状有发热、上呼吸道症状、头痛、呕吐、腹泻等。起病急骤，体温迅速上升，可达</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">40</span><span style=\"line-height: 200%;font-family: 宋体\">℃</span><span style=\"line-height: 200%;font-family: 宋体\">以上，也有起病较慢而有</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">日的前驱症状如低热，头痛，恶心、厌食等。颜面潮红，咽部充血伴干咳。瘀点出现于第</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">病日，常见于面部前额或四肢远端，斑丘疹少见。束臂试验在瘀点出现前即呈阳性。可伴有严重腹痛及腹部有压痛。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">2</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、休克期</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">严重患者常突然出现休克，常发生于第</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">病日</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">(2</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5</span><span style=\"line-height: 200%;font-family: 宋体\">病日</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">)</span><span style=\"line-height: 200%;font-family: 宋体\">，持续</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">12</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">24</span><span style=\"line-height: 200%;font-family: 宋体\">小时。出现烦躁不安，四肢厥冷、体温下降、呼吸快而不规则、脉搏细弱，部分病人出现胃肠道大出血，皮肤大片瘀斑等，偶有昏迷。少数病人可并发支气管肺炎、脑水肿、颅内出血等。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:&#39;Tahoma&#39;,&#39;sans-serif&#39;;color:#333333\">2</span></strong><strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">、恢复期</span></strong> <span style=\"line-height: 200%;font-family: 宋体\">经及时抢救，患者可于休克、出血控制后</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">天好转，恢复迅速而完全，无软弱或抑郁现象。偶有心动过缓、过早搏动等。</span></p><p style=\"line-height:200%\"><span style=\";line-height: 200%\">&nbsp;</span></p><p><br/></p>","barId":"1590","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1433,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486738334956,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486738334955,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4196","isDel":0,"createAt":1486738053178,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"手足病带来了哪些症状呢","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　由于手足口在刚刚发病的时候症状不是特别的明显，特别是当孩子口腔当中出现斑点的时候很容易被我们当成口腔溃疡来治疗，所以我们必须要对手足口的症状有一个全面的了解，当孩子患上手足口病之后，就会在手足口三个部位出现严重的红疹，而且具有相当严重的传染性，因此该病是十分复杂的，我们需要在生活中正确了解此病带来的症状表现才行，往下看为大家介绍一下手足口病的症状有哪些呢。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　手足口病是一种肠道病毒病，具有肠道病毒感染的共同特征。从最常见的无症状或仅有轻度不适，至严重的并发症甚至死亡均可发生。潜伏期一般</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">7d</span><span style=\"line-height: 200%;font-family: 宋体\">，没有明显的前驱症状，多数病人突然起病。约半数病人于发病前</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2d</span><span style=\"line-height: 200%;font-family: 宋体\">或发病的同时有发热，多在</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">38</span><span style=\"line-height: 200%;font-family: 宋体\">℃</span><span style=\"line-height: 200%;font-family: 宋体\">左右。主要侵犯手、足、口、臀四个部位</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">;</span><span style=\"line-height: 200%;font-family: 宋体\">皮疹具有不痛、不痒、不结痂、不结疤的四不特征。部分患者初期有轻度上感症状，如咳嗽、流涕、恶心、呕吐等等。由于口腔溃疡疼痛，患儿流涎拒食。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　口腔粘膜疹出现比较早，起初为粟米样斑丘疹或水疱，周围有红晕，主要位于舌及两颊部，唇齿侧也常发生。手、足等远端部位出现或平或凸的班丘疹或疱疹，皮疹不痒，斑丘疹在</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5d</span><span style=\"line-height: 200%;font-family: 宋体\">左右由红变暗，然后消退</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">;</span><span style=\"line-height: 200%;font-family: 宋体\">疱疹呈圆形或椭圆形扁平凸起，内有混浊液体，长径与皮纹走向一致，如黄豆大小不等，一般无疼痛及痒感，愈合后不留痕迹。手足口病在同一患者身上不一定全部出现。水疱和皮疹通常在一周内消退。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　手足口病表现在皮肤和口腔上，但病毒会侵犯心、脑、肾等重要器官。如出现高热、白细胞不明原因增高而查不出其他感染灶时，就要警惕暴发性心肌炎的发生。</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\"> ev71</span><span style=\"line-height: 200%;font-family: 宋体\">较</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">coxal6</span><span style=\"line-height: 200%;font-family: 宋体\">所致手足口病有更多机会发生无菌性脑膜炎，其症状呈现为发烧、头痛、颈部僵硬、呕吐、易烦燥、睡眠不安稳等</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">;</span><span style=\"line-height: 200%;font-family: 宋体\">身体偶尔可发现非特异性红丘疹，甚至点状出血点。中枢神经系统症状多见于</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2</span><span style=\"line-height: 200%;font-family: 宋体\">岁以内儿童。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　大多数患儿是突然发病，首先表现为发高烧，体温多在</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">38</span><span style=\"line-height: 200%;font-family: 宋体\">度以上，同时伴有头痛，咳嗽，流涕等症状，体温持续不退，体温越高，病程越长，病情也就越重。患儿发热的同时或发热</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1-2</span><span style=\"line-height: 200%;font-family: 宋体\">天后，可在他们的口腔粘膜、唇内见到疱疹，疱疹破溃后会形成溃疡，疼痛感较重，患儿常表现出烦燥、哭闹、流口水，不吃饭等不适。口腔疱疹后</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1-2</span><span style=\"line-height: 200%;font-family: 宋体\">天可在患儿的手心、足心及屁股上看到皮肤斑丘疹，以脚心部最多，疱疹呈圆形或椭圆形扁平小至米粒，大至豌豆大，较硬并内有混浊液体疹子周围绕以红晕。小儿手足口病的疹子较少出现在躯干及面部，一般</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">7</span><span style=\"line-height: 200%;font-family: 宋体\">天左右就能消退，不会造成瘢痕，更不会留下印迹。小儿手足口病是一种病情较轻的自愈性疾病，绝大部分患儿预后较好，少数重症患儿可合并心肌炎、脑炎、但这种可能很小。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1590","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1651,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486738053179,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486738053178,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"2306","isDel":0,"createAt":1486737835932,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"咽白喉的临床表现有哪些?","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">&nbsp; &nbsp; &nbsp;</span><span style=\"line-height: 200%;font-family: 宋体\">咽白喉为白喉杆菌引起的急性传染病，潜伏期短，传播较愉，患者多是</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1-7</span><span style=\"line-height: 200%;font-family: 宋体\">岁儿童。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">&nbsp;&nbsp; &nbsp; </span><span style=\"line-height: 200%;font-family: 宋体\">本病以咽部粘膜形成灰白色假膜及白喉外毒素所致的全身毒血症为主要特征。轻型者发病较缓，全身不适，体温</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">38</span><span style=\"line-height: 200%;font-family: 宋体\">℃</span><span style=\"line-height: 200%;font-family: 宋体\">左右，轻度咽痛。重者发病较急，咽痛剧烈，可有高热、烦躁、呼吸急促、发绀及循环衰竭等症。咽部检查见扁桃体肿大，表面覆有灰白色假膜，范围超出扁桃体之外，假膜多较厚，不易录音离，若强行剥离，遗留出血创血。严重者假膜迅速扩大，常波及悬雍垂、软腭、咽后壁、颊粘膜、舌、唇或整个口腔，并可蔓及鼻、喉、气管、中耳及眼等处。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1590","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1609,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486737835934,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486737835932,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"4074","isDel":0,"createAt":1486737609084,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"肺结核的症状有哪些","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　相信大家都很清楚，肺结核对患者的身体及生命造成了影响，所以大家要引起重视，肺结核病是由结核杆菌侵入人体后引起的一种慢性传染性疾病，长期以来因为没有有效药物治疗并具有较强的传染性。以下为大家详细介绍一下肺结核的症状有哪些。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">一、全身症状</span></strong></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">①</span><span style=\"line-height: 200%;font-family: 宋体\">、发热：大多为午后低热，多为</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">38</span><span style=\"line-height: 200%;font-family: 宋体\">℃</span><span style=\"line-height: 200%;font-family: 宋体\">以下。重症患者、急性粟粒型肺结核，体温可在</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">39</span><span style=\"line-height: 200%;font-family: 宋体\">℃</span><span style=\"line-height: 200%;font-family: 宋体\">以上。病人常感手脚心燥热，面颊潮红。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">②</span><span style=\"line-height: 200%;font-family: 宋体\">、疲乏、无力：易感到疲劳，全身无力，休息后疲劳也不能缓解。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">③</span><span style=\"line-height: 200%;font-family: 宋体\">、盗汗：睡眠时出汗，以颈部、腋部和阴部出汗较多，严重者可使内衣湿透。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">④</span><span style=\"line-height: 200%;font-family: 宋体\">、食欲不振及消瘦：由于食欲不振，逐渐消瘦，体重减轻。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">⑤</span><span style=\"line-height: 200%;font-family: 宋体\">、月经不调：女病人可出现月经减少，经期不规则，甚至闭经。</span></p><p style=\"line-height: 200%\">　　<strong><span style=\";line-height:200%;font-family:宋体;color:#333333\">二、呼吸道症状</span></strong></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">①</span><span style=\"line-height: 200%;font-family: 宋体\">、咳嗽、咳痰：血行播散型或轻型肺结核病人表现为干咳或少量的白色粘痰，干酪空洞或损坏型肺结核咳嗽剧烈，痰量增加，合并感染时为咳大量脓性痰。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">②</span><span style=\"line-height: 200%;font-family: 宋体\">、胸痛：当结核病变波及壁层胸膜时，使胸膜产生炎症或粘连，即产生胸痛，胸痛可随着咳嗽、深呼吸或体位变动而加剧。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">③</span><span style=\"line-height: 200%;font-family: 宋体\">、咯血：相当多见，当肺部的任何病变损伤了血管时，便可出现咯血，咯血量的多少因血管损伤部位、大小不同而不同，痰中带血可因炎性病灶的毛细血管损伤所致，整口血痰是由于小的动静脉损伤，大咯血是损伤了大血管特别是肺动脉所致。对咯血病人，除应用止血剂外还应进行检查，如</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">x</span><span style=\"line-height: 200%;font-family: 宋体\">线胸透或拍片，痰液检查，以明确咯血原因。</span></p><p style=\"line-height: 200%\">　　<span style=\"line-height: 200%;font-family: 宋体\">④</span><span style=\"line-height: 200%;font-family: 宋体\">、呼吸困难：一般病人无呼吸困难，只有重度胸膜炎或肺部病灶范围很广泛时才会出现呼吸困难、气短或紫绀。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　临床上，常常可以看到肺结核病人的症状与肺部病变不成正比例，也有的病人什么症状都没有，只有体检时才被发现。</span></p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1590","topicTypeId":"2","topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1751,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1486737609085,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1486737609084,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"b1a5ca4ddfad11e6a61c00163e04584d","isDel":0,"createAt":1484984778320,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"小海螺","password":"yiren2921","level":0,"nickName":"小海螺78","realName":null,"signName":"开心每一天","head":"http://01luntan.com/ly_img/1484985295689.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"2276635444@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3611","isDel":0,"createAt":1486737128632,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"手足癣的症状是什么","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　手足癣将会困扰到较多的患者朋友，皮肤一旦发病就会引起瘙痒的症状，而且会让患者朋友特别的苦恼，各位朋友应当多了解一些手足癣的知识，认真了解手足癣的症状表现才可以，往下看为大家介绍一下手足癣的症状是什么呢。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　丘疹：是指高出皮面，有米粒大小隆起的小疙瘩，位于表皮和真皮浅层之间。红斑：其形状有圆形、环形、图环形、半环形等。颜色有深有浅</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">;</span><span style=\"line-height: 200%;font-family: 宋体\">可以一个一个的发生，也可为多发性，在一个区域内发生多个</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">;</span><span style=\"line-height: 200%;font-family: 宋体\">有的患处连成一片。鳞屑：是脱落的角质层细胞，多为白色或灰白色，分为鳞片、核状、等，用手搔痒，可随之脱落。浸渍：是指用处皮肤长时间处于潮湿状态，使皮肤变软、发白、起皱，经摩擦可破裂或脱落，多发生于手足趾缝等处。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　糜烂：水疱、脓疱壁受浸渍脱落后，可见基底处鲜红的肉芽组织，创面潮湿，称为糜烂。与溃疡的区别是愈后不留疤痕。水疱：皮损在角质层下，患处呈空隙性损害，内含液体</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">.</span><span style=\"line-height: 200%;font-family: 宋体\">表面隆起，有米粒大小，可敬在发生，亦可同时发生多个水疤，并可融合成大水疱。脓疱：多为水疱感染后继发面来，内含脓液。损害周围有红晕。痂：为皮损处的液体、脓液、血液与脱落的鳞屑及细菌干燥凝结而成。根据创面大小，所结的痂，可有大小，有薄有厚，并与皮肤黏连在一起。皲裂：皲裂发生于角质层较厚的患处，为顺皮纹方向，呈条沟状裂隙。多发于手指、手掌、足跟、足跖处。较重者可出血，一般均有疼痛。患角化型手足癣者，常于冬春季发生皲裂。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　角化现象加重，发生这种病，其患部的皮肤会变得干燥，并且有明显的增厚现象发生，冬季很容易会发生皲裂的情况发生。发生这种病患部可能会出现群集，并且会有很深的水疱，并且发生这种病不容易被穿破，很容易会有瘙痒的感染，水疱发生时很容易会引起反复的发作。有湿烂症状的发生，很容易会常见于患者的足趾间，并且皮肤的表皮会有潮湿发白的情况发生，表皮可能会有基底鲜红以及糜烂等症状的发生，瘙痒症状会比较严重。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　手足癣在初发的时候在掌心或是指缝的部位有水疱或是掌部的皮肤角化脱屑，水疱多呈透明，瘙痒难耐，水疱破溃之后干枯、叠起白屑，中间位置自愈，四周激发疱疹，并且能够延及手背、手腕部位，如果反复的发作之后，就会导致手掌皮肤肥厚，枯槁干裂，疼痛，屈伸不利，宛如鹅掌。主要有水疱鳞屑型和角化增厚型。</span></p><p style=\"line-height:200%\"><span 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