{"nowTime30":1782503289121,"lyBarModerator":null,"metaSearch":{"description":"　　提起肺结核可能大家多少了解一些，这个病对患者的生命构成了威胁，在我国，结核病是成年人十大死亡病因之一，每年受结核病困扰的人不计其数，严重危害人类健康。其中，以肺结核最为多见。因此，做好结核病的防治工作，采取有效措施杜绝结核病原体的传播，是我们保护自己及身边亲人最有效的措施。　　做好肺结核的预防，","keywords":"如何预防肺结核疾病_洞医","title":"如何预防肺结核疾病_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1590","isDel":0,"createAt":1483439323461,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院传染科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":null,"adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1622","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"白喉患者有哪些护理的方法","content":"<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　白喉一种小儿会发生的一种疾病，当面患有白喉的时候会给患者的身体带来很大的影响，在患有白喉的时候一定在及时的治疗，白喉除了需要及时的用药以外，其护理的工作也是相当重要的，那么下面我们就为大家介绍一下，白喉患者有哪些护理的方法呢</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">?</span><span style=\"line-height: 200%; font-family: 宋体;\">希望对大家有所帮助。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　白喉的护理方法</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">、六个月以上小儿，应接种白喉类毒素。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">、土牛膝根，煎水代茶。一天用量，小于</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">岁者用</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">15</span><span style=\"line-height: 200%; font-family: 宋体;\">克</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">;3-5</span><span style=\"line-height: 200%; font-family: 宋体;\">岁</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">30</span><span style=\"line-height: 200%; font-family: 宋体;\">克</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">;6</span><span style=\"line-height: 200%; font-family: 宋体;\">岁至成人</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">46</span><span style=\"line-height: 200%; font-family: 宋体;\">克。加水两倍，煎煮。每</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">500</span><span style=\"line-height: 200%; font-family: 宋体;\">毫升水，煎至</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">60</span><span style=\"line-height: 200%; font-family: 宋体;\">毫升为度。每天</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">次，连服</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3-5</span><span style=\"line-height: 200%; font-family: 宋体;\">天。大流行时，可服</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">7-10</span><span style=\"line-height: 200%; font-family: 宋体;\">天。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">、多吃大蒜、蒜苗、葱、姜等食物。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">4</span><span style=\"line-height: 200%; font-family: 宋体;\">、隔离患病者，直至症状消失，且化验连续两次阴性，然后解除隔离。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">5</span><span style=\"line-height: 200%; font-family: 宋体;\">、对患者的住处、衣服、用具，均须严格消毒。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">6</span><span style=\"line-height: 200%; font-family: 宋体;\">、患者发热时，要绝对休息。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">7</span><span style=\"line-height: 200%; font-family: 宋体;\">、保持大便通畅。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">8</span><span style=\"line-height: 200%; font-family: 宋体;\">、病室空气要保持新鲜，但不能直接吹风。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">9</span><span style=\"line-height: 200%; font-family: 宋体;\">、宜进高热量、高蛋白、高营养的食物，并多食米汤、青菜、豆腐等清淡、容易消化者。禁鱼腥、辛辣等刺激性食物。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">10</span><span style=\"line-height: 200%; font-family: 宋体;\">、保持口腔清洁。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">11</span><span style=\"line-height: 200%; font-family: 宋体;\">、病愈后要休息两周。如曾出现气阴衰竭者，则休息时间增加到</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">10-12</span><span style=\"line-height: 200%; font-family: 宋体;\">周。</span></p>\n<p style=\"line-height: 200%;\"><span style=\";line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"1590","topicTypeId":null,"topicThemeId":"1023","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":3},{"id":"3335","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"老人患肺结核怎么办 4个护理要点来帮你","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　老人患肺结核怎么办？有些老人知道自己患有肺结核后就不愿与亲友来往，害怕家人会被传染，因此家属在照顾肺结核老人时一定要注意老人的心理变化，下面就一起来看看护理肺结核老人的</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">4</span><span style=\"line-height: 200%;font-family: 宋体\">个要点。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　（</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1</span><span style=\"line-height: 200%;font-family: 宋体\">）注意补充营养</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　老年肺结核患者一般全身功能较差，往往存在营养不良。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　在抗结核药物治疗的全过程中，机体的组织再生修复过程比较缓慢，病程迁延不愈。因此，在积极进行治疗的同时，家人应对老年人进行精心护理和照顾，尽量使患者的居室阳光充足、空气清新、环境优美卫生，为患者提供一个安静、舒适的治疗场所。</span></p><p style=\"line-height: 200%\"><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\">）注意老人的心理卫生</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　有些老年人患上肺结核以后，自以为能够传染给他人，不愿与亲友来往。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　原来亲密无间的孙子、孙女也有意与老人相隔离，再加上患病带来的压力，都使老年人倍感抑郁和孤独，从而加重病情。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　因此，必须注意患者的心理卫生，让他们保持乐观情绪，培养业余爱好，如绘画、书法、弹琴、听轻音乐等，以陶冶情操，增强战胜疾病的信心。对于痰菌已转阴，一般情况较好的患者，也可参加一些力所能及的工作，这样既锻炼毅力，又有利于疾病的康复。</span></p><p style=\"line-height: 200%\"><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\">）注意补充热量、蛋白质、维生素</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　老年肺结核患者由于疾病的消耗、胃肠功能紊乱，容易引起营养不良。为了维持正常机体生理功能，必须摄入足够的营养素，肺结核病人每天大约需要</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">2400</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">3000</span><span style=\"line-height: 200%;font-family: 宋体\">千卡热量。结核病人的基础体温，约比健康人要高</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: 宋体\">，体内代谢消耗也比健康人多出</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">20%</span><span style=\"line-height: 200%;font-family: 宋体\">。肺结核病人每天每千克体重需要</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">1.5</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\">克蛋白质食物，比正常人需要稍多一些。优质蛋白质以乳类、蛋制品、豆制品、鱼类和瘦肉等为主。脂肪以植物油为主。另外</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">60%</span><span style=\"line-height: 200%;font-family: 宋体\">～</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">70%</span><span style=\"line-height: 200%;font-family: 宋体\">的热量主要由大米、面粉、玉米、豆类，薯类等食物供给。同时还需补充丰富的维生素，如</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">A</span><span style=\"line-height: 200%;font-family: 宋体\">、</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">B</span><span style=\"line-height: 200%;font-family: 宋体\">、</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">C</span><span style=\"line-height: 200%;font-family: 宋体\">、</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">D</span><span style=\"line-height: 200%;font-family: 宋体\">等，纤维素也是重要的营养素，所以病人要经常吃一些新鲜蔬菜和水果。修复是指将病变的组织，加以吸收和重新弥补的意思。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　鳗鱼和牡蛎是肺结核病人食疗的佳品。牡蛎中含有磷酸钙，对修复病变的组织有利。甲鱼肉有促进结核病病变吸收和钙化的功能。大蒜和百合，也是肺结核病人经常吃的食物。此外，肺结核病人应该戒烟、戒酒。祖国医学认为，辣椒、生葱、胡椒等刺激性强的食物病人也不宜多吃。</span></p><p style=\"line-height: 200%\"><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\">）适当运动</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　老年肺结核病情稳定后，可适当地参加体育活动，如散步、慢跑、气功、太极拳、保健操等，这样既改善呼吸功能，又有增强体质，促进肺结核病灶的修复，有利于早日康复。</span></p><p style=\"line-height:200%\"><span style=\";line-height: 200%\">&nbsp;</span></p><p><br/></p>","barId":"1590","topicTypeId":null,"topicThemeId":"1022","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":"4271","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"转氨酶在60至130持续两年了，要抗病毒吗？吃什么药呢？","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">乏力，眼涩，脸色不好其他没有不适。三年前开始戒了酒，心理压力较大，白天工作不算累，晚上要带孩子，有办法治吗？好怕肝硬化肝癌。</span></p>","barId":"1590","topicTypeId":null,"topicThemeId":"1020","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":"4592","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"怎么降低胆红素","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">抗病毒前大三阳,从2012年开始阿德+拉米抗病毒至今，病情稳定，B超正常，肝弹正常，肝功能中就是胆红素始终不正常，病毒低于检测标准（盛京医院标准是&lt;1000)，而且 表抗比较高（13000）</span></p><p><br/></p><p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">是否能够换药（恩替卡韦）或者搭配点降黄的药物 来降低胆红素？</span><br/><br/><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">如果换药的话需要做哪些检查？是否需要做耐药监测？</span></p>","barId":"1590","topicTypeId":null,"topicThemeId":"1019","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":"4074","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"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":null,"topicThemeId":"1016","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":"4412","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肺结核的三大传染途径 呼吸道传染","content":"<p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　说到肺结核，相信很多人都听说过，但却不了解。因此很多人都会问：肺结核会传染吗？一起跟小编来看看吧！</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　其实肺结核是会传染的。因为肺结核属于慢性传染病。那肺结核的传染途径有哪些呢？我们又应该如何进行预防肺结核呢？今天小编就来为大家一一介绍一下，想知道的朋友就来看一下吧！</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　一、肺结核传染途径</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　相信大家现在都是知道了肺结核是会传染的。那肺结核的传染途径是什么呢？想知道话，下面我们就一起来看一下吧。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">1</span><span style=\"font-family: 宋体\">、呼吸道传染</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　是主要的传染途径。健康儿吸入带菌的飞沫或尘埃后可引起感染，产生肺部原发病灶。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">2</span><span style=\"font-family: 宋体\">、消化道传染</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　多因饮用未消毒或消毒不严的污染牛型结核杆菌的牛奶或污染人型杆菌的其它食物而得病，多产生在咽部或肠道原发病灶。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">3</span><span style=\"font-family: 宋体\">、其他传染</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　偶可通过破损的皮肤、粘膜、生殖器官等接触传染。还有先天性结核病传染途径为胎盘或吸入羊水感染，多于出生后不久发生粟粒性结核病或生殖器结核。人类普遍易感。人受染后，是否发病，与受染菌的数量、毒力、机体的非特异性及特异性抵抗力高低有关。营养状态、精神紧张、体力消耗、长期应用皮质激素治疗、肿瘤化疗、免疫抑制疗法、糖尿病等各种因素，均可降低机体抵抗力，易于受染发病或使结核扩散和病情加重。</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　二、肺结核的症状</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　对于我们来说，知道肺结核的症状的非常有必要的，因为俗话说，早发现，早治疗，不是吗？那肺结核的症状有哪些呢？</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">1</span><span style=\"font-family: 宋体\">、症状</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　有较密切的结核病接触史，起病可急可缓，多为低热（午后为著）、盗汗、乏力、纳差、消瘦、女性月经失调等，呼吸道症状有咳嗽、咳痰、咯血、胸痛、不同程度胸闷或呼吸困难。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">2</span><span style=\"font-family: 宋体\">、体征</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　肺部体征依病情轻重、病变范围不同而有差异，早期、小范围的结核不易查到阳性体征，病变范围较广者叩诊呈浊音，语颤增强，肺泡呼吸音低和湿啰音。晚期结核形成纤维化，局部收缩使胸膜塌陷和纵隔移位。在结核性胸膜炎者早期有胸膜摩擦音，形成大量胸腔积液时，胸壁饱满，叩诊浊实，语颤和呼吸音减低或消失。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">3</span><span style=\"font-family: 宋体\">、肺结核的分型和分期</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　（</span><span style=\"font-family: Tahoma, sans-serif\">1</span><span style=\"font-family: 宋体\">）肺结核分型</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: 宋体\">①</span><span style=\"font-family: 宋体\">原发性肺结核（</span><span style=\"font-family: 宋体\">Ⅰ</span><span style=\"font-family: 宋体\">型）</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　肺内渗出病变、淋巴管炎和肺门淋巴结肿大的哑铃状改变的原发综合征，儿童多见，或仅表现为肺门和纵隔淋巴结肿大。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: 宋体\">②</span><span style=\"font-family: 宋体\">血型播散型肺结核（</span><span style=\"font-family: 宋体\">Ⅱ</span><span style=\"font-family: 宋体\">型）</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　包括急性粟粒性肺结核和慢性或亚急性血行播散型肺结核两型。急性粟粒型肺结核：两肺散在的粟粒大小的阴影，大小一致密度相等，分布均匀的粟粒状阴影，随病期进展，可互相融合，慢性或亚急性血行播散型肺结核：两肺出现大小不一、新旧病变不同，分布不均匀，边缘模糊或锐利的结节和索条阴影。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: 宋体\">③</span><span style=\"font-family: 宋体\">继发型肺结核（</span><span style=\"font-family: 宋体\">Ⅲ</span><span style=\"font-family: 宋体\">型）</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　本型中包括病变以增殖为主、浸润病变为主、干酪病变为主或空洞为主的多种改变。浸润型肺结核：</span><span style=\"font-family: Tahoma, sans-serif\">X</span><span style=\"font-family: 宋体\">线常为云絮状或小片状浸润阴影，边缘模糊（渗出性）或结节、索条状（增殖性）病变，大片实变或球形病变（干酪性</span><span style=\"font-family: Tahoma, sans-serif\">—</span><span style=\"font-family: 宋体\">可见空洞）或钙化，慢性纤维空洞型肺结核：多在两肺上部，亦为单侧，大量纤维增生，其中空洞形成，呈破棉絮状，肺组织收缩，肺门上提，肺门影呈</span><span style=\"font-family: Tahoma, sans-serif\">“</span><span style=\"font-family: 宋体\">垂柳样</span><span style=\"font-family: Tahoma, sans-serif\">”</span><span style=\"font-family: 宋体\">改变，胸膜肥厚，胸廓塌陷，局部代偿性肺气肿。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: 宋体\">④</span><span style=\"font-family: 宋体\">结核性胸膜炎（</span><span style=\"font-family: 宋体\">Ⅳ</span><span style=\"font-family: 宋体\">型）</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　病侧胸腔积液，小量为肋膈角变浅，中等量以上积液为致密阴影，上缘呈弧形。</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　三、预防肺结核</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　在生活中，我们应该如何进行预防肺结核呢？这对于我们来说是非常重要的。毕竟肺结核是会传染的。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">1</span><span style=\"font-family: 宋体\">、生活有规律</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　避免长期过劳和精神紧张，饮食均衡，适当进行锻炼，增强抵抗力。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">2</span><span style=\"font-family: 宋体\">、预防与结核病有关的相关疾病</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　如糖尿病，可使结核病发生机会增加</span><span style=\"font-family: Tahoma, sans-serif\">4</span><span style=\"font-family: 宋体\">倍。又如艾滋病，可使结核病发生机会增加</span><span style=\"font-family: Tahoma, sans-serif\">30</span><span style=\"font-family: 宋体\">倍。其他如矽肺、胃肠道疾病、肿瘤、器官移植、长期使用糖皮质激素等。</span></p><p style=\"line-height: 26px\">　　<span style=\"font-family: Tahoma, sans-serif\">3</span><span style=\"font-family: 宋体\">、对高发人群进行预防性治疗</span></p><p style=\"line-height: 26px\"><span style=\"font-family: 宋体\">　　其重点对象是新发现的排菌肺结核病人家庭内受感染的儿童，特别是</span><span style=\"font-family: Tahoma, sans-serif\">5</span><span style=\"font-family: 宋体\">岁以下儿童和结核菌素试验反应</span><span style=\"font-family: Tahoma, sans-serif\">≥15mm</span><span style=\"font-family: 宋体\">或有水疱的成员。</span></p><p>&nbsp;</p><p><br/></p>","barId":"1590","topicTypeId":null,"topicThemeId":"1015","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":"4849","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"自来水中流出虫，这样的水你敢喝吗","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　鹤壁淇滨区居民反映，自来水中出现小虫，居民都买桶装水饮用。记者从市城市水务（集团）有限责任公司获悉，目前，水厂已采取了措施，请小区居民不用担心。</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　记者随后联系到鹤壁市城市水务（集团）有限责任公司，该公司负责人称，由于该小区入住率较低，用水量少，而自来水管道较粗，管道内的水循环较慢，沉淀物积累时间长，藻类生长进而滋生了虫卵，这种小虫叫红线虫。</span></p><p style=\"text-align:center\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1494432513343.jpg\" title=\"自来水中流出虫\" alt=\"自来水中流出虫\" width=\"398\" height=\"299\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　自来水中出现这种红线虫，主要有以下原因：</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　一是二次供水水箱管理不善，未及时清洗，由沉积在水箱内的蚯蚓卵孵化发育而成。</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　二是春、夏季气温较高，适宜红线虫的孳生。</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　三是家庭太阳能热水器，长期不用存水腐化孳生红线虫。</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">　　预防红线虫：用户应注意用水环境的卫生，保持自来水水池清洁，拖把、抹布要拧干，日常生活中可以用塞子将自来水水池下水口塞住，以防红线虫爬入;同时，还可以经常用84消毒剂、漂白粉对水槽、下水道等长期潮湿的地带进行消毒，防止红线虫爬出。太阳能热水器长期不用时，应把水完全排空，重新使用时应注意消毒、清洗，否则就有可能孳生红线虫。</span></p><p><br/></p>","barId":"1590","topicTypeId":null,"topicThemeId":"1013","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":"3000","isDel":0,"createAt":1486737486093,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"如何预防肺结核疾病","content":"<p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　提起肺结核可能大家多少了解一些，这个病对患者的生命构成了威胁，在我国，结核病是成年人十大死亡病因之一，每年受结核病困扰的人不计其数，严重危害人类健康。其中，以肺结核最为多见。因此，做好结核病的防治工作，采取有效措施杜绝结核病原体的传播，是我们保护自己及身边亲人最有效的措施。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　做好肺结核的预防，首先需明白该病如何进行传播。因为肺结核疾病是由结核分支杆菌引起的肺部的呈慢性的传染性疾病，所以其疾病的主要传播途径是经呼吸道传播。当肺结核患者咳嗽、喷嚏、大笑或大声谈话时，其呼吸道内的传染源结核杆菌则通过飞沫排到空气中或落在地面及其他物品上，当接触到这些地方时，就会引起感染而患上该病。另外，也可以通过消化道感染，比如像喝没有经过严格消毒的牛奶，与结核病患者共用一套餐具等。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　因此，在日常生活中，我们应严格消毒结核病患者的用具，并嘱其不要对着他人打喷嚏，咳嗽等动作，以免发生传染。因该病的传染源结核分枝杆菌对紫外线比较敏感，因此我们可以采取紫外线灭菌的方法，比如其用具在阳光下爆晒</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\">7</span><span style=\"line-height: 200%;font-family: 宋体\">小时，用紫外线灯照射室内及用物。在沸水中煮</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">5min</span><span style=\"line-height: 200%;font-family: 宋体\">，或者在</span><span style=\"line-height: 200%;font-family: Tahoma, sans-serif\">80</span><span style=\"line-height: 200%;font-family: 宋体\">摄氏度的水中煮更长时间也有利于杀灭结核杆菌。或者可以嘱结核病患者将痰吐在纸上直接焚烧，也是一种最简单的杀灭结核杆菌的方法。</span></p><p style=\"line-height: 200%\"><span style=\"line-height: 200%;font-family: 宋体\">　　若家中有结核病的患者，饮食应尽量使用公筷，以免引起消化道传播。并使患者单独使用一个房间。同时，对于密切接触结核病患者的人也应定期到医院进行有关检查，给予预防性治疗。</span></p><p style=\"line-height:200%\"><span 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