{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1697","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1697","topicTypeId":null,"topicThemeId":"1019","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":"洞医为您提供:北京协和呼吸哮喘、协和医院呼吸科肺栓塞、北京协和呼吸科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。","keywords":"北京协和呼吸哮喘_北京协和呼吸科_协和医院呼吸科肺栓塞_洞医","title":"北京协和呼吸哮喘_北京协和呼吸科_协和医院呼吸科肺栓塞_洞医","channels":null},"data":{"list":[{"id":"5533","isDel":0,"createAt":1502704519434,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"肺炎治疗效果如何，看协和医院专家怎么说","content":"

　　早春空气仍然有些凉，是万物复苏的季节，但也是肺炎的高发季节，那么肺炎治疗效果怎么样呢？

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　　肺炎治疗效果如何？

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　　青霉素使肺炎的发病率和死亡率大大降低，已知病原菌的获得性肺炎死亡病例中，肺炎总死亡率为10%。。肺炎治疗效果不好的原因主要包括以下几个方面：

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\"肺炎治疗效果\"

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    1、年龄因素：过小或过老，特别是1岁以下及60岁以上群体中；血培养阳性；病变范围大；周围血白细胞计数＜5000/ml；

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   2、其他基础疾病：有其他疾病存在(如肝硬化,心力衰竭,免疫抑制,血内丙种球蛋白缺乏,脾切除或脾功能丧失,尿毒症)；

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   3、某些血清型(尤其是第3和第8型)的病原体以及发生肺外并发症(如脑膜炎或心内膜炎)的患者。

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　　接受治疗较早的病情较轻的患者,一般在24~48小时内体温下降；但病情较重的患者，特别是具有上述情况的患者，多数需要4天或4天以上才能退热。如果肺炎病情逐步改善，病因明确,最好不要改变治疗方针。

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  如果病情没有好转,需考虑以下因素：病因诊断错误，药物反应不良，疾病大部分已经属于有晚期或重复感染，疾病本身也使病人抵抗力下降，非住院患者用药方法不符要求，使得致病的肺炎链球菌菌株有耐药性，以及存在并发症(如脓胸)需要引流、或者有转移感染灶需加大青霉素剂量(如脑膜炎,心内膜炎,脓毒性关节炎)。

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","barId":"1697","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1514,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502704519436,"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":1502704519436,"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":"5511","isDel":0,"createAt":1502187142147,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"史上最全的睡眠呼吸暂停综合征的治疗方法","content":"

1、自己治疗睡眠呼吸暂停综合征

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　　①采取侧卧位睡眠。采取侧卧睡眠，可以防止咽部组织和舌后坠堵塞气道。还可减轻腹部、胸部、颈部的额外重量造成的气道压力。

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\"睡眠呼吸暂停综合征\"

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　　②避免饮酒和服用镇静药物等，酒精和一些药物如镇静剂、安眠药以及抗组胺药物会使呼吸变得浅慢。还可使肌肉更松弛，更容易阻塞气道，这些组织的变化会加重鼾症及睡眠呼吸暂停，如果你打鼾，避免睡前饮酒及服用相关药物。

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\"睡眠呼吸暂停综合征\"

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　　③减轻体重。睡眠呼吸暂停多发生在肥胖人群中。额外的组织给肺部及颈部的组织施加压力，造成呼吸变得更加困难。减肥会有助于呼吸。理想的体重对治愈打鼾和睡眠呼吸暂停综合征至关重要。

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　　④定期锻炼，锻炼目的也是减轻体重，增强肌肉并使得肺功能更好。

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　　⑤保持鼻部通畅，如果你患有过敏、鼻息肉或其他会造成鼻腔阻塞的疾病，对这些疾病的治疗将有助于打鼾或睡眠呼吸暂停的改善。如果吸烟，建议戒掉，因为吸烟会刺激鼻腔，使阻塞的鼻腔和呼吸道变得更严重。

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2、上述如还不成功，医生治疗睡眠呼吸暂停综合征的手段

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　　①口腔矫治器治疗，夜晚带在口中，可防止打鼾及治疗轻度睡眠呼吸暂停，或者作为经持续正压通气治疗的一种辅助手段。

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　　②持续正压通气治疗，对中、重度阻塞性睡眠呼吸暂停综合征非常有效，可在家长期治疗。当你入睡时，将面罩戴好并将机器打开，机器送出一个柔和的稳定的正压气流通过鼻腔进入咽部，气流的压力强制性地使咽部的软组织不会塌陷，从而保持气道通畅。压力大小是经过睡眠呼吸监测后由医生决定的。

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\"睡眠呼吸暂停综合征\"

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　　③外科手术：去除悬雍垂和部分软腭以及扁桃体。该手术在解决由于咽部结构阻塞气道而导致的打鼾通常是比较成功，对治疗睡眠呼吸暂停疗效不确定；激光辅助悬雍-腭成形术：医生使用激光去除部分或者全部的悬雍垂以及部分的软腭。可治疗打鼾，并可在某种程度上治疗轻度的睡眠呼吸暂停综合征。可在门诊进行手术。

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　　④其他治疗手段，如鼻手术去除鼻息肉或矫正偏曲的鼻中隔；手术去除肿大的扁桃腺及肿大的腺样体；下腭手术使下腭及舌前突，扩大气道；如患有严重的、危及生命的睡眠呼吸暂停，或其他治疗均告失败则有必要施行气管切开术。

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  上述治疗手段涵盖了医疗界认可的所有的治疗方法，组织切掉了就长不上去了，因此最好先自我治疗，在选择手术前一定要谨慎。

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","barId":"1697","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1859,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502187142149,"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":1502187142149,"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":"5510","isDel":0,"createAt":1502185140384,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"睡眠呼吸暂停综合征的检查流程","content":"

\"睡眠呼吸暂停综合征的检查流程\"

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　　病友们在患有睡眠呼吸暂停综合征在门诊就诊的时候，医生会根据病史、体征和入睡后观察15分钟以上可作出推测性诊断。为了对你做个全方位的了解，医生会收集你生活中一些小习惯，对可能影响睡眠呼吸的各种情况做以了解，如睡眠及起床习惯、其它疾病情况、家族病史等。在体检时，医生还会检查你咽部是否有增生的组织和阻塞的结构以及其他可能造成睡眠呼吸暂停的原因。医生还会检查你的鼻部，判断是否有过敏性鼻炎或其他可能影响呼吸的问题。可能还需要进行实验室检查以及有关其他的健康指标的检查（如体重、血压及心率等）。如果怀疑有睡眠呼吸暂停，医生将为你推荐睡眠监测。对你的睡眠情况进行整夜监测。彻夜睡眠呼吸监测是确诊你是否患有睡眠呼吸暂停的重要手段。这种睡眠监测无痛苦、无风险。根据睡眠的问题和所需要的设备，监测可以在医院的睡眠监测中心进行，也可以在自己的家中进行。仪器整夜监测记录血压、打鼾、脑电图、眼动图、肌电图、鼻和口腔气流、胸腹式呼吸、心电及血氧饱和度等各项参数。医生将根据睡眠呼吸监测结果确诊疾病的性质及严重程度，并决定用哪种治疗方法。

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","barId":"1697","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1810,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502185140386,"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":1502185140386,"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":"5508","isDel":0,"createAt":1502181708121,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"睡眠呼吸暂停综合征的病因介绍，值得一看","content":"

　　睡眠呼吸暂停综合征的朋友都很纳闷，为什么我的呼噜声那么响，这么响的呼噜声是怎样发生的呢？

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\"睡眠呼吸暂停综合征\"

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　　正常人在吸气时，空气经咽喉部而进入到肺部。气流必经之路是柔软而有弹性的咽部组织，如软腭、悬雍垂、扁桃体和舌。白天，这些组织周围的肌肉相对紧张将咽部拉紧，不会堵塞气道。但到了晚上睡眠时，肌肉就会放松。正常人得咽部位置仍正常，气道畅通，气体可以自由进出。如果咽部组织肥大或肌肉在睡眠时过于松弛，气道就会部分受阻。当气流从鼻或口经过狭窄部位时，咽部结构产生振动并形成共振，由此产生鼾声。如果咽部组织将气道完全阻塞，气流无法进入肺部，就形成了呼吸暂停。如果肺部不能得到新鲜空气，大脑就将身体短暂唤醒到刚刚能够收紧咽部肌肉的程度，这样就解除了气道阻塞，伴随一个很响亮的喘息声，呼吸恢复正常。该过程循环往复，使睡眠变得很浅，早上醒来时，虽然你不知道这些过程，但会感到十分疲劳。由于长期缺乏新鲜空气，导致血氧浓度降低，血液粘稠度增加，你的肺部、心脏及其他器官会受到损害，从而引起一系列疾病，比如高血压、高血脂、阳痿早泄等。

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","barId":"1697","topicTypeId":"2","topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1847,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1502181708123,"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":1502181708123,"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":"5501","isDel":0,"createAt":1502121204087,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"专家为你解读为什么会打呼噜，让你明白打呼噜的危害有哪些","content":"

  长期以来，人们一直认为认为打鼾是“正常”现象。其实打鼾可能是睡眠呼吸暂停的征兆，直接危害您的身体健康。下面通过专家解读为什么会打呼噜，让你明白打呼噜的危害有哪些

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\"专家为你解读为什么会打呼噜，让你明白打呼噜的危害有哪些\"

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  打鼾及睡眠呼吸暂停如何形成的呢？这是因为呼吸时，空气通过咽喉部进出肺部，在白天清醒时，这些组织周围的肌肉相对紧张而将咽部组织拉紧，不会阻塞气道。睡眠时，肌肉放松。如果咽部位置正常，气道可以保持通畅，允许气体自由进出。但咽部组织肥大或睡眠时肌肉过于松弛，气道部分就会狭窄。气流从鼻或口经过该狭窄部位时，咽部结构产生振动进而引起共振，产生鼾声。气道阻塞越重，打鼾越重。如果气道完全阻塞，气流完全无法进入肺部，此时就会出现呼吸暂停，导致缺氧。由于缺氧，大脑会将身体短暂唤醒到刚刚能够收紧咽部肌肉的程度，从而解除气道阻塞，伴随响亮的喘息声，呼吸恢复正常。该过程循环往复，睡眠变得很浅并且支离破碎，导致睡眠质量差，虽然你意识不到这些过程，但白天会感到十分疲劳。

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　　充足的睡眠对人很重要，睡眠良好的人一般都有充足的慢波睡眠时相。而睡眠呼吸暂停综合征患者由于夜间睡眠节律严重紊乱，即使一天有十几个小时都在睡觉，却仍然感到疲乏、嗜睡，极易导致交通事故、工作中发生操作性事故等一系列社会危害。由于长期缺氧，会使血氧浓度下降，血液粘稠度增加，肺部、心脏及其它身体器官会受到损害，导致其他疾病的发生：如高血压、冠心病、心律失常、肺心病、脑血管意外、内分泌紊乱及神经精神疾患等疾病，严重危害患者的身体健康，缩短患者的寿命并非空穴之言。

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CT左肺阴影痰检血项正常身体无不适症状

\n

闻到油烟或饮酒会引起咳嗽，其它一切正常。

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医生说按肺结核治疗，但又不排除肺炎

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按肺结核治疗又不排除肺炎什么意思，这玩意可咋整

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28号发烧，轻咳，29号住院，疹断大叶性肺炎，输液一个星期不见好转，转院，现在基本不咳，但是发烧还是控制不住，每天3-4次，都是38.5以上，血项高。肺里无积液，腹部淋巴肿大

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怎么才能控制作住体温

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男,5岁。目前雾化八天后，白天很少咳嗽，中午晚上躺下睡着前比八天前少了很多，睡醒以后会咳嗽几声，白天稍微活动大或者玩的开心点就会咳嗽，11月28日河北省儿童听诊说气管没事，没有喘，咳嗽声音一直是觉得咳的浅，清嗓子似的，因此最早还怀疑过是咽炎

确诊雾化需要做多久？孟鲁司特钠要吃多久

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肺大泡，平时吃力，易感冒。天气一凉马上感冒

请给予治疗建议

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