{"nowTime30":1787728894666,"lyBarModerator":null,"metaSearch":{"description":"　　继治疗白内障“神药”莎普爱思滴眼液被曝光调查之后，又一个“神药”匹多莫德被北京和睦家医院药师门诊主任、中国协和医科大学药学硕士冀连梅扒皮。据她透露，这个进口药在国外医学临床试验尚处于小白鼠阶段，疗效尚不明确，但在我国却摇身一变成了价格昂贵的“神药”，在各大医院儿科滥用，销售额预计达到40亿元。冀","keywords":"儿科神药匹多莫德遭扒皮 几乎是病就开_洞医","title":"儿科神药匹多莫德遭扒皮 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style=\"margin: 0px; padding: 0px; border-width: 0px 0px 1px; border-bottom-style: solid; border-bottom-color: #f0c8c8; font-weight: normal; height: 35px; line-height: 35px; overflow: hidden; text-align: center; font-family: 黑体; font-size: 20px; color: #03005c; white-space: normal; background-color: #fcf1f5;\">家有咳嗽宝宝该怎么办？</h1>\n<p style=\"text-align: center;\"><img title=\"1486299444504.jpg\" src=\"http://01luntan.com/ly_img/uimgs/1486299444504.jpg\" alt=\"57bd6457aead9.jpg\" /></p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　杭州夜里第一次飘雪的日子，贝贝妈迫不及待地拖出了油汀开始用。房间热了，22个月的贝贝正是爱跑爱动的时候，他高兴地脱了外套，在床上又跳又唱。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　一冷一热，第二天一起床，贝贝就开始有点咳嗽了。贝贝妈也不在意，翻出贝贝最喜欢的咳嗽药水，让他喝了一支。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　可是，当天半夜，喝了牛奶之后，贝贝一阵猛咳，吐了一头一床的牛奶。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　想着上医院可能会交叉感染，贝贝妈立刻翻出家里的抗生素给他吃下去。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　可是，昨天起床时，听到贝贝一如既往猛烈的咳嗽声，贝贝妈着急了：是给宝宝继续吃点药？还是马上上医院？</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　贝贝妈的咨询电话打到了记者这里。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　浙江大学医学院附属儿童医院呼吸科专家汪天林主任医师告诉记者，其实天气一冷，人体呼吸道感染的几率就增高，咳嗽是很常见的呼吸道症状，尤其是小孩子的支气管黏膜较娇嫩，抵抗力较弱，容易发生呼吸道炎症。有的家长特别紧张，一听到孩子咳两声，就怕有啥事，急着看病吃药，其实，咳嗽不见得就要吃药，更不要随便用抗生素。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　他说，急性咳嗽大多数是由病毒感染引起，盲目使用抗生素自然没有疗效；即使是由于细菌引起的咳嗽，也需要规范使用抗生素治疗；同时，咳嗽分热咳、寒咳、内伤咳嗽等，止咳药也有寒、热、温、凉之分，不对症下药，反而适得其反，例如川贝止咳露偏寒，就不适合风寒咳嗽者服用。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　<strong>家有咳嗽宝宝怎么办？</strong></p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　省儿童医院中医科副主任吴芳说，其实，宝宝咳嗽时，家庭护理有时候比吃药更重要&mdash;&mdash;老底子说得好，鱼生火，肉生痰，青菜豆腐保平安；大鱼大肉、甜、咸、辣、凉等食物对呼吸道有刺激作用，会使咳嗽加重，要注意避免。而新鲜蔬菜如青菜、胡萝卜、西红柿等，可以供给多种维生素和无机盐，有利于身体的恢复。</p>\n<p style=\"margin-top: 15px; margin-bottom: 15px; padding: 0px; border: 0px; font-size: 14px; line-height: 23px; font-family: Simsun; white-space: normal; background-color: #fcf1f5;\">　　对于贝贝这样一咳嗽就容易吐奶的宝宝，汪天林也给出了建议：让孩子侧卧睡觉，最好将头部或上身用毛巾、枕头垫得稍高一些，以免上呼吸道分泌物或食物返流到气管引起咳嗽，这样也可使小儿感到舒服些，缓解呼吸困难。</p>\n<p>&nbsp;</p>","barId":"1431","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","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":2},{"id":"3138","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"感冒导致的小儿咳嗽的家庭护理方法","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486297445867.jpg\" title=\"1486297445867.jpg\" alt=\"u=817879407,411876187&amp;fm=11&amp;gp=0.jpg\"/></p><ol class=\"exp-conent-orderlist list-paddingleft-2\" style=\"list-style-type: none;\"><li class=\"exp-content-list \"><p><br/></p></li><li class=\"exp-content-list \"><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">1、夜间抬高宝宝头部：如果宝宝入睡时咳个不停，可将其头部抬高，咳嗽症状会有所缓解。头部抬高对大部分由感染引起的咳嗽是有帮助的，因为平躺时，宝宝鼻腔内的分泌物很容易流到喉咙下面，引起喉咙瘙痒，致使咳嗽在夜间加剧，而抬高头部可减少分泌物向后引流。还要经常调换睡的位置，最好是左右侧轮换着睡，有利于呼吸道分泌物的排出。咳嗽的宝宝喂奶后不要马上躺下睡觉，以防止咳嗽引起吐奶和误吸。如果出现误吸呛咳时，应立即取头低脚高位，轻拍背部，鼓励宝宝咳嗽，通过咳嗽将吸入物咳出。<br/></p></li><li class=\"exp-content-list \"><p><br/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　2、水蒸气止咳法：咳嗽不止的宝宝在室温为20度左右，湿度为60—65%左右的环境下症状会有所缓解。如果宝宝咳嗽严重，可让宝宝吸入蒸气；或者抱着宝宝在充满蒸气的浴室里坐5分钟，潮湿的空气有助于帮助宝宝清除肺部的黏液，平息咳嗽。<br/></p><p><br/></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px;\">　　3、热水袋敷背止咳法：热水袋中灌满40度左右的热水，外面用薄毛巾包好，然后敷于宝宝背部靠近肺部的位置，这样可以加速驱寒，能很快止咳。这种方法对伤风感冒早期出现的咳嗽症状尤为灵验。给宝宝穿上几件内衣再敷，千万不要烫伤宝宝。<br/></p></li><li class=\"exp-content-list \"><p>　4、热饮止咳法：多喝温热的饮料可使宝宝黏痰变得稀薄，缓解呼吸道黏膜的紧张状态，促进痰液咳出。最好让宝宝喝温开水或温的牛奶，米汤等，也可给宝宝喝鲜果汁，果汁应选用刺激性小的苹果汁和梨汁等，不宜喝橙汁，西柚汁等柑橘类的果汁。</p></li></ol><p><br/></p>","barId":"1431","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","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":2},{"id":"11139","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小孩子咳嗽易导致什么并发症 看专家向您解答","content":"<p style=\"margin-right: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1516083999448.jpg\" title=\"小孩子咳嗽易导致什么并发症 看专家向您解答\" alt=\"小孩子咳嗽易导致什么并发症 看专家向您解答\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">现在孩子们少，每家基本就</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1个孩子，都是宝贝一样养着，见不得半点疾病，尤其是孩子们一咳嗽，大人们紧张的很，那么，</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">小儿咳嗽是什么呢？小儿咳嗽是人体的一种保护性呼吸反射动作。咳嗽的产生，是由于当异物、刺激性气体、呼吸道内分泌物等刺激呼吸道粘膜里的感受器时，冲动通过传入神经纤维传到延髓咳嗽中枢，引起咳嗽。小儿咳嗽如不及时治疗很容易使病菌扩散至肺内其它部份</span>,加重病情或引发并发症。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">一、呼吸道感染：</span></strong></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">1、如果是细菌或病毒感染引起的话，就会出现如急性上呼吸道炎、慢性副鼻窦炎、慢性咽炎、咽后壁脓肿、急性会厌炎、白喉、急性喉炎、喉气管支气管炎、急性支气管炎、慢性支气管炎、支气管扩张、肺结核、支气管内膜结核、急性微细支气管炎、肺炎、肺脓肿、麻疹、百日咳等小儿咳嗽的并发症，所以应当予以重视。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">2.霉菌感染：小儿咳嗽可引发呼吸道白色念珠菌感染，切记及时就医，遵从医嘱。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">3.寄生虫病：小儿咳嗽可并发寄生虫病，肺包虫性肺囊肿、肺吸虫病、疟疾、阿米巴原虫病、肺蠕虫蚴移行症。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">二、过敏性疾病：支气管哮喘、嗜酸粒细胞性肺浸润，小儿咳嗽可并发过敏性疾病。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">三、肺循环障碍：小儿咳嗽也有可能并发肺充血、肺水肿、肺梗塞。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">四、机械性或其他因素：环境的影响，比如吸入浓烟或其他刺激性气体、增殖体肥大、呼吸道异物吸入、食管气管瘘、胸腔积液、纵隔肿瘤、心脏肥大、心包积液、膈肌受刺激、膈疝、迷走神经耳枝受刺激</span>(如外耳道炎、异物、湿疹)。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">五、精神性小儿咳嗽。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\"font-family:宋体;font-size:16px\">六、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">其他：胰腺囊性纤维病变、出血性肺肾综合征、肺泡蛋白质蓄积症、肺泡微结石症、肺含铁血黄素沉着症、白血病或网状内皮细胞病的肺浸润。</span></p><p style=\"margin-right:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网温馨提示：如有不适，请及时就医，不要盲目自我治疗，避免并发其他疾病症状！</span></p><p><br/></p>","barId":"1431","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","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":2},{"id":"1584","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"孩子运动后咳嗽怎么办","content":"<p>孩子运动后咳嗽怎么办，晚上睡觉咳一下。谢谢</p>","barId":"1431","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","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":2},{"id":"13717","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"外卖送餐员脱衣为婴儿遮雨","content":"<p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><br/></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">【暖心！外卖送餐员脱衣为婴儿遮雨</span>[心]】12日，宁夏银川普降小雨。一年轻妈妈推着婴儿车在交叉路口等红灯，没有随身携带雨具。外卖小哥苏伟发现后，连忙上前脱下雨衣，轻轻罩在婴儿车上方，在不耽误送餐情况下将母女护送到家。他说，相信所有人碰到这个情况都会这么做。为外卖小哥点赞！</span></p><p style=\"margin: 5px 0px; text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1523774980057.jpg\" title=\"外卖送餐员脱衣为婴儿遮雨\" alt=\"外卖送餐员脱衣为婴儿遮雨\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">对此有网友表示：</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">my梦旅：饿了么在外卖大战中先拔头筹</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">尘世中一个有趣的皮囊：某外卖的广告</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">阳自东来：下雨，为什么带个婴儿站街上</span>?避下雨，或打个车或买个伞都可以呀。</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 5px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">小胖家的</span>Yoky：壮哉我大宁夏！</span></p><p><br/></p>","barId":"1431","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"[]","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":8},{"id":"4459","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿咳嗽的早期症状有哪些？不要忽视宝宝的咳嗽","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486299841748.jpeg\" title=\"1486299841748.jpeg\" alt=\"mp47909481_1449812707881_2_th.jpeg\"/></p><p><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">轻重程度可相差很大，一般年长儿症状较轻，婴幼儿时期则重症较多。</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">1.潜伏期</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">大多为2～3日或稍久。</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">2.轻症</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">只有鼻部症状，如流清鼻涕、鼻塞、喷嚏等，也可用流泪、微咳或咽部不适，可在3～4天内自然痊愈。开始为频繁的剌激性干咳，随之咽喉部出现痰鸣音，咳嗽时可伴有呕吐、呛奶。如感染，常涉及鼻咽及咽部，常有发热、咽痛、扁桃体炎及咽后壁淋巴组织充血和增生，有时淋巴结可稍肿大。呼吸表浅增快，鼻扇，部份患儿口周、指甲轻度发绀。除呼吸道症状外，患儿可伴有精神萎靡、烦躁不安、食欲不振、哆嗦、腹泻等全身症状。在婴幼儿容易引起呕吐及腹泻。大多数发热较高，可持续2～3日至1周左右。</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">3.重症</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">除轻症肺炎表现加重外，持续高热、全身中毒等症状严重，且伴有其它脏器功能损害。</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">体温可达39～40℃或更高，伴有冷感，头痛、全身无力、食欲锐减、睡眠不安等，不久即可因部微红，发生疱疹和溃疡，称泡疹性咽炎。有时红肿明显，波及扁桃体，出现滤泡性脓性渗出物，咽痛和全身症状均加征，鼻咽分泌物从稀薄变成粘稠。呼吸表浅、急促、每分钟可达80次以上，鼻翼扇动，有三凹征，呼气呻吟，颜面部及四肢末端明显紫绀，甚者面色苍白或青灰。两肺可闻及密集的细湿罗音。颌下淋巴结显著肿大，压痛也明显。如炎症波及鼻窦、中耳或气管，则发生其它症状，全身症状也较严重。较严重症状中，要注意高热惊厥和急性腹痛，并与其它疾病作鉴别诊断。急性上呼吸道感染所致的高热惊厥大多见于婴幼儿，起病后1～2日连续几次。患儿食欲下降、呕吐、腹泻、腹胀，严重者呕吐物为咖啡色或便血，肠鸣音消失，中毒性肠麻痹，以及中毒性肝炎。急性腹痛有时很剧烈，多在脐部周围，无压痛，往往早期出现，大多为暂时性的，可能与肠蠕动亢进有关;但也可持续存在，有时与阑尾炎的症状相仿，多因并发急性肠系膜淋巴结炎所致。婴儿肺炎时常伴有心功能不全。肺炎重症常伴有烦躁、嗜睡、凝视、斜视、眼球上窜;昏睡，甚致昏迷、惊厥;球结膜水肿;瞳孔改变，对光反应迟钝或消失;呼吸节律不整;前囟门膨胀，有脑膜剌激征，脑脊液除压力增高外，其他均正常称为中毒性脑病，严重者颅压更高，可出现脑疝。有时可出现代谢性酸中毒，呼吸性酸中毒等，也可出现混合性酸中毒。</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">4.血象</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">病毒感染一般白细胞偏低或在正常范围内，但在早期白细胞总数和中性粒细胞百分数可较高;细菌感染则白细胞总数大多增高，严重病例有时也可减低，但中粒细胞百分数仍增高。</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">5.病程</span><br/><br/><span style=\"color: rgb(34, 34, 34); font-family: 微软雅黑, 宋体, sans-serif, arial, &#39;Helvetica Neue&#39;, Helvetica; font-size: 14px; line-height: 20px; background-color: rgb(255, 255, 255);\">较轻病例发热时间自1～2日至5～6日不等，较重者高热可达1～2周，偶可长期低热，达数周，由于病灶未清除，须经较长时间才能痊愈。</span></p>","barId":"1431","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","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":1},{"id":"3723","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"儿童慢性咳嗽，再烦也要慢慢治","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486297756441.png\" title=\"1486297756441.png\" alt=\"mp55033303_1453087672956_2_th.png\"/></p><section><section><section><section><section><section><section><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important; background-color: rgb(255, 255, 255);\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">慢性咳嗽特指咳嗽超过一个月的咳嗽。而有些孩子咳嗽才一两周</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">家长就急得不得了</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">其实</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">任何疾病引起的咳嗽</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">恢复都需要一个过程</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，我曾经在公益沙龙讲过咳嗽的秘密，告诉大家，为什么一次<a href=\"http://www.haodf.com/jibing/ganmao.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">感冒</a>，有时候咳嗽也会持续一个月。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">很多时候</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">最好的治疗就是等待</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">否则就有可能被过度治疗</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">。所以，短时间的咳嗽多是某些疾病的连带症状，应该积极治疗原发疾病，咳嗽症状自然会减轻，最终痊愈。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">大多时候，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">当孩子的咳嗽超过4周的时候，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">我们才需要高度重视。</span><br/></p></section></section></section></section></section></section></section><p><section><section><section><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">&nbsp;2008年，我有幸参加了上海陆权教授发起的一项全国儿童慢性咳嗽调查。经过一年的流调，最终得出结果：我国儿童慢性咳嗽病因中前3位分别为：咳嗽变异性<a href=\"http://www.haodf.com/jibing/xiaochuan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">哮喘</a>占41.95%，上气道咳嗽综合征占24.71%，感染后咳嗽占21.73%，这三大病因总体占儿童慢性咳嗽的87.39%。所以孩子患了慢性咳嗽不一定就是<a href=\"http://www.haodf.com/jibing/xiaochuan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">哮喘</a>和过敏。而且，儿童慢性咳嗽</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">的年龄不同病因</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">也</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">不尽相同</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">，不能一概而论。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _6977_4f53_GB2312; box-sizing: border-box !important; word-wrap: break-word !important;\">婴儿期（&lt;1周岁）常见病因有呼吸道感染和感染后咳嗽，先天性气管、肺发育异常，胃食管反流，<a href=\"http://www.haodf.com/jibing/feijiehe.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺结核</a>，其他先天性心胸异常等。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _6977_4f53_GB2312; box-sizing: border-box !important; word-wrap: break-word !important;\">幼儿期（1～3周岁）除呼吸道感染和感染后咳嗽外，重点是上气道咳嗽综合征，咳嗽变异性<a href=\"http://www.haodf.com/jibing/xiaochuan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">哮喘</a>，气道异物，胃食管反流，<a href=\"http://www.haodf.com/jibing/feijiehe.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺结核</a>等。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _6977_4f53_GB2312; box-sizing: border-box !important; word-wrap: break-word !important;\">学龄前期（3～6周岁）则在学龄期的基础上还需考虑支气管扩张等。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _6977_4f53_GB2312; box-sizing: border-box !important; word-wrap: break-word !important;\">学龄期（6周岁至青春期前）又增加了心因性咳嗽这一因素。</span></p></section></section></section><section><section><br/></section></section><section><section><section><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">&nbsp; 很多家长</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">总是急于</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">让医生</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">尽快地找出孩子咳嗽的原因，一旦几天没</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">解决</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">问题，就想换个医生再试试，其实这样反而耽误孩子的病情。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">疾病很复杂，需要鉴</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">别诊断的疾病很多，需要一一排除。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">　　 医生</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">除了详细询问病史、仔细体格检查</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">、</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">常规拍胸部</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">X</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">线片以外，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">还</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">会根据孩子的年龄以及具体的</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">病情</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">选择各种检查，比如肺通气功能、鼻窦</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">CT</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">片、支气管镜</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">检、诱导痰或支气管肺泡灌洗液细胞学检查和病原微生物分离培养、结核菌素皮试、血清总</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">抗体</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">和特异性</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">抗体</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">测定、皮肤点刺试验、</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">24</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">小时食道pH</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">值监测等等。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">当然</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">，这不是说</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">每个慢性咳嗽患儿均需要做这些检查</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">，只是医生需要从患儿的实际病情出发</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">一一排除</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">可能引发慢性咳嗽的疾病，并最终确定病因</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">我们</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">的</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">治疗原则是先明确病因，针对病因进行治疗。有时候还要经验性对症治疗，若治疗后咳嗽症状没有缓解，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">则</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">会重新评估。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">而这个过程绝不是一两次检查或者服用几次药就能够完成的。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">遗憾的是，很多家长耐不住性子，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">短期</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">治疗后如果效果不好，家长会不断的换医院和医生。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">这样对孩子的病情恢复更为不利，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">因此家长要有耐心，要相信医生。</span></p></section></section></section><section><section><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px;\"><br/></p></section></section><section><section><section><section><section><section><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">长期咳嗽的孩子，滥用最多的药物是抗生素和止咳药</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">很多家长比医生</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">都</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">胆大，不给孩子做任何化验，想当然的给孩子</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">服用</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">抗生素和止咳药，这样的病人不胜枚举，经常有家长找我看病时这样说的：“刘大夫，我孩子咳嗽了，我给吃了一天头孢，你看可以吗？”这样的询问，让我哭笑不得，其实，家长只是为了在我这里寻求一丝安慰而已。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">针对慢性咳嗽</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">的治疗</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">，一定要听医生</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">的指导</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">，不要私自</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">用</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">药。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">尤其要注意的是，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">慢性咳嗽在未明确病因前不主张使用</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">任何抗生素和止</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; letter-spacing: 0px; box-sizing: border-box !important; word-wrap: break-word !important;\">咳药。</span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">我在很多次的沙龙和微课堂谈到以下看病的技巧。当您怀疑孩子</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">患了</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">慢性咳嗽的时候，作为家长，要做的准备非常多，首先，自制一张病历模板，把孩子的病史</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">、</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">治疗经过以及用药</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">情况</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">详细记录下来，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">一定要详细，比如用的什么药，用药的分量，用的时间，用药后的效果等等。</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">然后，</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">尽量选择一位</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">相对固定的过敏专业或者呼吸专业医生的指导，进行一些全面的</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">、</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">必要的检查，定期随访（至少三个月），</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">这样方便医生了解孩子的整体情况，便于</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">制定个性化</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">治疗</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">方案</span><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">。</span></p></section></section></section><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; text-align: center;\"><br/></p></section></section></section><section><section><section><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; max-width: 100%; clear: both; min-height: 1em; font-family: Simsun; line-height: normal; text-indent: 37px; direction: ltr; text-align: left; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"margin: 0px; padding: 0px; max-width: 100%; font-size: 19px; font-family: _5b8b_4f53; box-sizing: border-box !important; word-wrap: break-word !important;\">儿童慢性咳嗽的诊断和治疗，一定要慢慢来，心急吃不了热豆腐。最重要的，是相信你选择的医生，并且能够定期随访，而不是盲目的自行滥用药。”</span></p></section></section></section></p><p><br/></p>","barId":"1431","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","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":2},{"id":"7738","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿咳嗽引起的 小儿毛细支气管炎是怎么回事","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1510897367390.png\" title=\"小儿咳嗽引起的 小儿毛细支气管炎是怎么回事\" alt=\"小儿咳嗽引起的 小儿毛细支气管炎是怎么回事\" width=\"600\" height=\"372\"/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">找良医网</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">向您详细介绍小儿毛细支气管炎的病理病因，小儿毛细支气管炎主要是由什么原因引起的。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">小儿毛细支气管炎病因</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">主要病因：</span> <span style=\"font-family:宋体\">呼吸道合胞病毒、</span>3型副流感病毒、腺病毒、流感病毒、呼肠病毒与鼻病毒</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><br/></span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">一、发病原因</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">毛细支气管炎可由不同的病毒所致。呼吸道合胞病毒</span>(RSV)是最常见的病原，在中国医科院儿科研究所所见病例，分离出合胞病毒者占58%。此外，副流感病毒(3型较常见)、腺病毒、流感病毒、呼肠病毒与鼻病毒均可引致毛细支气管炎，少数系由人肺炎支原体引起。过去，偶自本病患儿分离出流感杆菌，可能在极个别情况下为病原菌，但也可能为带菌或病毒与细菌混合感染。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">二、发病机制</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">病变主要侵及直径</span>75～300μm的毛细支气管，黏液分泌增加，有细胞破坏物、纤维素堵塞，出现上皮细胞坏死及支气管周围淋巴细胞浸润。炎症可波及肺泡、肺泡壁及肺间质。肺不张、肺气肿较为明显。</span></p><p><br/></p>","barId":"1431","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","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":2}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"10569","isDel":0,"createAt":1515311760471,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"儿科神药匹多莫德遭扒皮 几乎是病就开","content":"<p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　继治疗白内障“神药”莎普爱思滴眼液被曝光调查之后，又一个“神药”匹多莫德被北京和睦家医院药师门诊主任、中国协和医科大学药学硕士冀连梅扒皮。据她透露，这个进口药在国外医学临床试验尚处于小白鼠阶段，疗效尚不明确，但在我国却摇身一变成了价格昂贵的“神药”，在各大医院儿科滥用，销售额预计达到</span><span style=\"font-size:16px;line-height:200%\">40</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">亿元。冀连梅建议相关部门对匹多莫德的临床疗效进行再评价。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1515312018458.jpg\" title=\"儿科神药匹多莫德遭扒皮 几乎是病就开\" alt=\"儿科神药匹多莫德遭扒皮 几乎是病就开\" width=\"600\" height=\"372\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　儿科“神药”几乎“是病就开”</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　冀连梅发文章反映，在微信公众号里的网络咨询平台上，几乎每天都能看到关于匹多莫德口服液的咨询。粗粗浏览一遍，她才发现这个药是儿科、耳鼻喉科和皮肤科医生们的宠儿，从这三个科室看完病出来的孩子，几乎每人手里的药单上都有匹多莫德的身影，流水线一般</span><span style=\"font-size:16px;line-height:200%\">:</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">预防感冒来一盒、发烧咳嗽来一盒、鼻炎扁桃体炎来一盒、湿疹荨麻疹来一盒……每盒的单价从几十到上百元不等，而且一开就是一个月的量，一吃就是三个月的疗程，难怪医生们会对它推崇备至！</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　冀药师在网上检索到的数据显示，匹多莫德在我国销量非常好，</span><span style=\"font-size:16px;line-height:200%\">2016</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">年匹多莫德在国内等级医院销售额达到了</span><span style=\"font-size:16px;line-height:200%\">35</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">亿，在零售药店的销售额是</span><span style=\"font-size:16px;line-height:200%\">4.27</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">亿，再加上在其他非等级医院的销售额，“我猜总额会达到</span><span style=\"font-size:16px;line-height:200%\">40</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">亿！而这其中，绝大多数由儿童患者买单。”她在文章中说。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　北京青年报记者在网上药店查询到，匹多莫德大致分为胶囊、颗粒剂、分散片、口服液四种剂型。其中颗粒剂、胶囊、分散片均为国产药，价格每盒三四十元，而口服液是意大利进口药，价格昂贵，单盒原价</span><span style=\"font-size:16px;line-height:200%\">194</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">元，促销售价</span><span style=\"font-size:16px;line-height:200%\">140</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">元。在该口服液的用法和用量上，百度百科上可以查询到，儿童发病期，每日两次，共两周或遵医嘱。如果是用于预防疾病，每日一次，至少</span><span style=\"font-size:16px;line-height:200%\">60</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">天或遵医嘱。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　百度百科上显示，该药为免疫刺激调节剂，适用于机体免疫功能低下的患者；上、下呼吸道反复感染（咽炎、气管炎、支气管炎等）；耳鼻喉科反复感染（鼻炎、扁桃体炎、鼻窦炎、中耳炎）；泌尿系统感染；妇科感染；并可用于预防急性感染，缩短病程，减少疾病的严重程度，可作为急性感染期的辅助用药。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　“神药”存临床疗效不明确等四大问题</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　检索国家食药监局官网可以查询到，匹多莫德口服液是进口药，产自意大利，发证日期</span><span style=\"font-size:16px;line-height:200%\">2015</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">年</span><span style=\"font-size:16px;line-height:200%\">12</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月</span><span style=\"font-size:16px;line-height:200%\">2</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日，有效期截至</span><span style=\"font-size:16px;line-height:200%\">2020</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">年</span><span style=\"font-size:16px;line-height:200%\">12</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">月</span><span style=\"font-size:16px;line-height:200%\">2</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">日。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　但是冀连梅调查国外各大医学网站后发现，这个产自意大利的进口药在国外医学研究中显示，临床疗效和安全性均不明确。据冀连梅总结，该药存在四大问题。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　问题一：研究者主要集中在中国和极少数几个欧洲国家如意大利、俄罗斯。排在最前面的两篇新出版文章就是中国医生的文章，可惜还停留在临床前的动物研究阶段，不是仔鸡就是小白鼠，对临床没有实际指导意义。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　问题二：</span><span style=\"font-size:16px;line-height:200%\">2015</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">年，国外曾有一项针对</span><span style=\"font-size:16px;line-height:200%\">57</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">名</span><span style=\"font-size:16px;line-height:200%\">3</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">岁刚入幼儿园的健康孩子预防急性呼吸道疾病的研究。但是经过随机双盲安慰剂对照临床研究结果显示，与安慰剂相比，匹多莫德并没有显示出统计学意义上的预防急性呼吸道感染的作用。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　问题三：令冀连梅无比惊讶的是，就在国外权威循证医学库考科兰（</span><span style=\"font-size:16px;line-height:200%\">Cochrane</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">）里，都没有关于匹多莫德用于儿童安全有效的研究证实文献时，国内的研究结果却几乎清一色的有效！这些结果表明匹多莫德对反复呼吸道感染、哮喘、泌尿系统感染、妇科感染、丙型肝炎，甚至非感染性疾病如白癜风、肿瘤、过敏性紫癜等病均有较好的预防或治疗效果，简直成了万能的神药。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　问题四：学龄前儿童本身的免疫系统还在不断发育成熟中，不应该被轻易冠上免疫力低下的帽子而随意用药。除了疫苗可以预防疾病提高儿童免疫力外，欧美主流国家没有所谓提高儿童免疫力的药。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　“神药”疗效应启动再评价</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　冀连梅认为，匹多莫德在我国热销与儿科医生喜欢开这个药密切相关。她分析，医生之所以喜欢开，主要是基于以下三个因素。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　首先是创收。在外界看来，医院推行药品零差率后医生开贵药的动力会减少。不过，冀连梅认为，零差率只是减少了医院的加成，并没有斩断药代给医生的回扣。其次是照说明书机械开药。在冀连梅看来，有些医生不太关注真实疗效如何，有一部分医生从来不查原始文献，说明书怎么写他就怎么开药，他的老师怎么教他就怎么信，没准他自己家人朋友他也这样开、这样吃呢。最后是还存在医生为了安慰或者应付患儿家长的因素。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　冀连梅认为，既然这个药已在国内上市多年，已经有这么多患儿使用，因此她建议行业主管部门国家食药监总局启动对这个药的再评价，比如设计科学严谨的大样本量回顾性研究来评价这个药的真实疗效和安全性。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">　　据悉，尽管该药在中国、韩国、俄罗斯等少数几个国家上市多年，但它没有被收录到任何一本标准的药理学教材，也没有被欧盟药品监管部门和美国药品监管部门批准上市，它的有效性和安全性仍需要进一步评估，因此不推荐上市使用。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">看到本消息，网友沸腾了：</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">熊大农庒：医疗是一件非常复杂的综合行为，需要考虑家族史</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">个体免疫力</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">用药史</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">过敏史</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">一个好的专家医生接诊一例患者时间最短需要</span><span style=\"font-size:16px;line-height:200%\">25</span><span style=\"font-size:16px;line-height:200%;font-family:宋体\">分钟</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">像莎普爱思这类广告就是商业炒作</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">就是馒头和面包的关系</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">添加剂不同罢了</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">没有实质变化</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">永</span> <span style=\"font-size:16px;line-height:200%;font-family:宋体\">劫：之前孩子生病发烧去医院，大夫开了类似的药，只看名字也不知道是啥，回家把不认识的药都查了一下，发现是帮助免疫调节的，直接扔一边没给孩子吃。家长们尽量也注意不要给孩子吃这类药，对孩子自身免疫系统的发育没有好处。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">晓烽：这是个好医生，真心值得点赞，现在社会风气不好能有这么正直的医生太少，希望有关部门好好保护医生的人身安全，不要被奸商给害了。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">《御猫》：这个行业太乱了，有甚者简直是在图财害命。要好好治理下了，别光罚钱，该杀的杀了吧，别再让他们祸害人了。好吗？</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">Beth</span><span style=\"font-size:16px;line-height: 200%;font-family:宋体\">：希望仗义执言的药师冀连梅不会因为揭露此事招致不便，因为冀连梅的科普文章收益的宝妈永远支持你</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\">做一个淡淡的男生：不开这个怎么赚钱啊，而且医生是医生，医院是医院，医院是要赚钱的，医生不开这个，还想不想在医院工作啊</span></p><p style=\"line-height:200%\"><span style=\"font-size: 16px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span 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