如何区分感冒、流感和新冠肺炎？实际病例分析
<div class="wx_rich_media_content" id="jsWxContainer"><p style='text-align: center;'><br></p><section style='max-width: 100%; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important;'><section style='max-width: 100%; box-sizing: border-box !important;'><section data-tools="135编辑器" data-id="96681" style='max-width: 100%; box-sizing: border-box !important;'><section style='margin: 10px auto; max-width: 100%; box-sizing: border-box !important;'><section style='margin: -16px auto; max-width: 100%; box-sizing: border-box; border-top: 2px solid rgb(212, 195, 248); border-bottom: 2px solid rgb(212, 195, 248);'><section data-autoskip="1" style='padding: 1em; max-width: 100%; box-sizing: border-box; font-size: 14px; letter-spacing: 1.5px; line-height: 1.75em; color: rgb(63, 62, 63);'><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>发热、头痛</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'><span style='max-width: 100%; font-family: 微软雅黑, Arial, sans-serif; box-sizing: border-box !important;'>这些</span>不仅是普通感冒的症状</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>流感和<span style='max-width: 100%; box-sizing: border-box !important;'>“新冠”</span>肺炎同样也有类似的表现</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 293px !important;'></span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>在发热门诊值守6天</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>接诊过300多个发热病人后</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>武汉大学人民医院心血管内科冯高科博士</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>通过3个典型病例教你了解和区分</span></p><p style='max-width: 100%; min-height: 1em; text-align: center; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>普通感冒、流感、“新冠”肺炎</span></strong><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'></span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="97036" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='margin: 10px auto; max-width: 100%; display: flex; justify-content: center; align-items: center; box-sizing: border-box !important;'><section style='max-width: 100%; width: 10px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 10px !important;'></span></section><section style='max-width: 100%; width: 5px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 5px !important;'></span></section><section style='margin-right: -12px; margin-left: -12px; padding-top: 4px; padding-bottom: 4px; max-width: 100%; box-sizing: border-box; display: inline-block; background: rgb(226, 46, 41); border-top: 2px solid rgb(254, 236, 173); border-bottom: 2px solid rgb(254, 236, 173);'><section data-brushtype="text" style='padding: 6px 1.5em; max-width: 100%; box-sizing: border-box; text-align: center; letter-spacing: 1.5px; background: rgb(255, 255, 255);'><strong style='max-width: 100%; box-sizing: border-box !important;'>病例分析</strong></section></section><section style='max-width: 100%; width: 5px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;transform: scaleX(-1);box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 5px !important;'></span></section><section style='max-width: 100%; width: 10px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;transform: scaleX(-1);box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 10px !important;'></span></section></section></section><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="93962" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='padding-top: 10px; padding-bottom: 10px; max-width: 100%; box-sizing: border-box; text-align: center;'><section style='max-width: 100%; display: flex; justify-content: center; align-items: center; box-sizing: border-box !important;'><section style='margin-right: -10px; margin-bottom: -30px; max-width: 100%; height: 0px; width: 0px; border-left: 10px solid rgb(192, 0, 0); border-bottom: 18px solid transparent; transform: rotate(25deg); box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></section><section style='padding-top: 4px; padding-bottom: 4px; max-width: 100%; box-sizing: border-box; display: inline-block; background: rgb(192, 0, 0);'><section data-original-title="" title="" style='padding-right: 12px; padding-left: 12px; max-width: 100%; box-sizing: border-box; font-size: 18px; color: rgb(255, 255, 255);'>1</section></section><section style='margin-left: 4px; padding-top: 2px; padding-bottom: 2px; max-width: 100%; box-sizing: border-box; display: inline-block; border-bottom: 3px solid rgb(192, 0, 0);'><section data-brushtype="text" style='padding-right: 4px; padding-left: 4px; max-width: 100%; box-sizing: border-box; font-weight: bold; letter-spacing: 1px;'>普通感冒（上呼吸道感染）</section></section></section></section></section><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>主诉：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>受凉后鼻塞、流涕3天，伴发热1次</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>病情：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>患者男性26岁，3天前夜间受凉后间断出现鼻塞、流涕（水样鼻涕），今天出现发热，在家测量体温38.7℃，服用感冒灵冲剂，症状好转不明显，遂来就诊。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>无明显咳嗽、咳痰，无胸闷、呼吸困难。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>既往体健，无鼻炎，无哮喘，无慢性呼吸道疾病病史</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(192, 0, 0); box-sizing: border-box !important;'>流行病学接触史：</span></strong><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>未接触活鸡活鸭、未接触确诊流感和新型冠状病毒患者</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>检查：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>血常规、呼吸道病原、流感病毒检测，结果均未见明显异常</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>诊断考虑：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>上呼吸道感染（感冒）</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>处理：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>予以酚麻美敏片（一天三次，每次一片）治疗</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>病例分析：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>发热伴随呼吸道卡他样症状，症状轻微，流感病毒阴性，考虑普通感冒，只要注意通风保暖、多饮水，增加营养，一般5-7天可以痊愈</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="93962" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='padding-top: 10px; padding-bottom: 10px; max-width: 100%; box-sizing: border-box; text-align: center;'><section style='max-width: 100%; display: flex; justify-content: center; align-items: center; box-sizing: border-box !important;'><section style='margin-right: -10px; margin-bottom: -30px; max-width: 100%; height: 0px; width: 0px; border-left: 10px solid rgb(192, 0, 0); border-bottom: 18px solid transparent; transform: rotate(25deg); box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></section><section style='padding-top: 4px; padding-bottom: 4px; max-width: 100%; box-sizing: border-box; display: inline-block; background: rgb(192, 0, 0);'><section data-original-title="" title="" data-num="2" style='padding-right: 12px; padding-left: 12px; max-width: 100%; box-sizing: border-box; font-size: 18px; color: rgb(255, 255, 255);'>2</section></section><section style='margin-left: 4px; padding-top: 2px; padding-bottom: 2px; max-width: 100%; box-sizing: border-box; display: inline-block; border-bottom: 3px solid rgb(192, 0, 0);'><section data-brushtype="text" style='padding-right: 4px; padding-left: 4px; max-width: 100%; box-sizing: border-box; font-weight: bold; letter-spacing: 1px;'>流感（甲型流感）</section></section></section></section></section><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(192, 0, 0); box-sizing: border-box !important;'>主诉：</span></strong><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>间断畏寒发热伴头痛、乏力2天</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>病情：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>患者男性19岁，2天前无明显诱因出现畏寒、发热，体温最高38.9℃，在家服用对乙酰氨基酚后可以退热，伴有头痛、肌肉酸痛和乏力。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>无明显咳嗽、咳痰，无胸闷、呼吸困难。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>既往体健，无鼻炎，无哮喘，无慢性呼吸道疾病病史</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>流行病学接触史：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>5天前接触过班上有确诊流感同学，未接触活鸡活鸭、未接触确诊新型冠状病毒患者</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>检查：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>血常规、呼吸道病原、流感病毒检测，结果显示甲型流感病毒阳性</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>诊断考虑：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>流行性感冒（甲型）</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>处理：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>采取居家隔离措施，予以酚麻美敏片（一天三次，每次一片）、奥司他韦胶囊（一天两次，每次一片），对乙酰氨基酚（体温大于38.5℃服用1片），连花清瘟胶囊（一天三次，每次4粒）</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>病例分析：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>发热伴肢体症状，呼吸道卡他样症状轻微，流感病毒阳性，考虑流感。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>只要注意隔离，通风保暖、多饮水，增加营养，服用抗病毒药物，一般5-7天可以痊愈</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="93962" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='padding-top: 10px; padding-bottom: 10px; max-width: 100%; box-sizing: border-box; text-align: center;'><section style='max-width: 100%; display: flex; justify-content: center; align-items: center; box-sizing: border-box !important;'><section style='margin-right: -10px; margin-bottom: -30px; max-width: 100%; height: 0px; width: 0px; border-left: 10px solid rgb(192, 0, 0); border-bottom: 18px solid transparent; transform: rotate(25deg); box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></section><section style='padding-top: 4px; padding-bottom: 4px; max-width: 100%; box-sizing: border-box; display: inline-block; background: rgb(192, 0, 0);'><section data-original-title="" title="" data-num="3" style='padding-right: 12px; padding-left: 12px; max-width: 100%; box-sizing: border-box; font-size: 18px; color: rgb(255, 255, 255);'>3</section></section><section style='margin-left: 4px; padding-top: 2px; padding-bottom: 2px; max-width: 100%; box-sizing: border-box; display: inline-block; border-bottom: 3px solid rgb(192, 0, 0);'><section data-brushtype="text" style='padding-right: 4px; padding-left: 4px; max-width: 100%; box-sizing: border-box; font-weight: bold; letter-spacing: 1px;'>新型冠状病毒感染的肺炎</section></section></section></section></section><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>主诉：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>间断畏寒发热3天，咳嗽伴乏力2天</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>病情：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>患者男性54岁，3天前无明显诱因出现畏寒、发热，体温最高40.1℃，未服用特殊药物，2天前出现咳嗽，干咳为主，伴有乏力、肌肉酸痛。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>无明显鼻塞、流涕，无明显喘气、呼吸困难。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>既往有高血压病史3年，无鼻炎，无哮喘，无慢性呼吸道疾病病史</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>流行病学接触史：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>未接触活鸡活鸭、未去过华南海鲜市场，但密切接触过疑似新型冠状病毒患者</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>检查：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>呼吸道病原（阴性）、流感病毒检测（阴性），血常规（白细胞减少）、新型冠状病毒核酸检测（阳性）、肺部CT：</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>左肺下叶病毒性肺炎</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>诊断考虑：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>新型冠状病毒性肺炎</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>处理：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>患者为轻症，建议采取居家隔离措施，注意休息、多喝水、多休息，通风保暖。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>药物予以奥司他韦胶囊（一天2次，每次一片），盐酸阿比多尔（一天3次，每次2片），对乙酰氨基酚（体温大于38.5℃服用1片），连花清瘟胶囊（一天三次，每次4粒）</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; box-sizing: border-box !important;'>病例分析：</span></strong></span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>中年患者高热，乏力，伴有咳嗽呼吸道症状，并且新型冠状病毒核酸检测阳性，肺部CT有病毒性肺炎表现，考虑诊断新型冠状病毒性肺炎。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>患者肺炎属于轻症，建议严格居家隔离，服用抗病毒药和对症支持治疗药物，注意休息，加强营养。</span><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>一般在家5-7天症状会逐渐缓解，需要至少居家隔离2周才能够出门</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="97036" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='margin: 10px auto; max-width: 100%; display: flex; justify-content: center; align-items: center; box-sizing: border-box !important;'><section style='max-width: 100%; width: 10px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 10px !important;'></span></section><section style='max-width: 100%; width: 5px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 5px !important;'></span></section><section style='margin-right: -12px; margin-left: -12px; padding-top: 4px; padding-bottom: 4px; max-width: 100%; box-sizing: border-box; display: inline-block; background: rgb(226, 46, 41); border-top: 2px solid rgb(254, 236, 173); border-bottom: 2px solid rgb(254, 236, 173);'><section data-brushtype="text" style='padding: 6px 1.5em; max-width: 100%; box-sizing: border-box; text-align: center; letter-spacing: 1.5px; background: rgb(255, 255, 255);'><strong style='max-width: 100%; box-sizing: border-box !important;'><span style='max-width: 100%; color: rgb(192, 0, 0); box-sizing: border-box !important;'>如何区分</span></strong></section></section><section style='max-width: 100%; width: 5px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;transform: scaleX(-1);box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 5px !important;'></span></section><section style='max-width: 100%; width: 10px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;transform: scaleX(-1);box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 10px !important;'></span></section></section></section><section data-tools="135编辑器" data-id="96473" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='max-width: 100%; box-sizing: border-box !important;'><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section data-bgless="spin" data-bgopacity="70%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(242, 220, 219); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="60%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(217, 150, 148); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="0%" style='padding: 3px 1em; max-width: 100%; box-sizing: border-box; background: rgb(192, 0, 0); border-radius: 30px 40px 0px 30px; color: rgb(255, 255, 255);'>01</section></section></section></section><section style='margin-left: 23px; padding: 1em; max-width: 100%; box-sizing: border-box; border-left: 1px solid rgb(192, 0, 0);'><section data-autoskip="1" style='max-width: 100%; font-size: 14px; text-align: justify; letter-spacing: 1.5px; line-height: 1.75em; color: rgb(62, 62, 62); box-sizing: border-box !important;'><p style='max-width: 100%; min-height: 1em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(12, 12, 12); box-sizing: border-box !important;'>普通感冒、流感、病毒性肺炎都是由病毒引起的，他们的症状有相似的地方，一般症状的严重程度是逐渐递进的</span></p></section></section><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section data-bgless="spin" data-bgopacity="70%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(242, 220, 219); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="60%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(217, 150, 148); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="0%" style='padding: 3px 1em; max-width: 100%; box-sizing: border-box; background: rgb(192, 0, 0); border-radius: 30px 40px 0px 30px; color: rgb(255, 255, 255);'>02</section></section></section></section><section style='margin-left: 23px; padding: 1em; max-width: 100%; box-sizing: border-box; border-left: 1px solid rgb(192, 0, 0);'><section data-autoskip="1" style='max-width: 100%; font-size: 14px; text-align: justify; letter-spacing: 1.5px; line-height: 1.75em; color: rgb(62, 62, 62); box-sizing: border-box !important;'><p style='max-width: 100%; min-height: 1em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(12, 12, 12); box-sizing: border-box !important;'>流感</span><span style='max-width: 100%; color: rgb(12, 12, 12); font-size: 15px; box-sizing: border-box !important;'>虽然</span><span style='max-width: 100%; color: rgb(12, 12, 12); font-size: 15px; box-sizing: border-box !important;'>也是由病毒引起的，但却是一种完全不同的疾病。</span><span style='max-width: 100%; color: rgb(12, 12, 12); font-size: 15px; box-sizing: border-box !important;'>普通感冒症状相对较轻，而流感则会出现更重的发热和躯体症状</span></p></section></section></section></section><section data-tools="135编辑器" data-id="96473" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='max-width: 100%; box-sizing: border-box !important;'><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section data-bgless="spin" data-bgopacity="70%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(242, 220, 219); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="60%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(217, 150, 148); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="0%" style='padding: 3px 1em; max-width: 100%; box-sizing: border-box; background: rgb(192, 0, 0); border-radius: 30px 40px 0px 30px; color: rgb(255, 255, 255);'>03</section></section></section></section><section style='margin-left: 23px; padding: 1em; max-width: 100%; box-sizing: border-box; border-left: 1px solid rgb(192, 0, 0);'><section data-autoskip="1" style='max-width: 100%; font-size: 14px; text-align: justify; letter-spacing: 1.5px; line-height: 1.75em; color: rgb(62, 62, 62); box-sizing: border-box !important;'><p style='max-width: 100%; min-height: 1em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(12, 12, 12); box-sizing: border-box !important;'>新型冠状病毒性肺炎症状通常包括：高热伴寒战，头痛，干咳，食欲不振，极度疲劳，呼吸困难，深呼吸或咳嗽时胸痛加重，频繁出汗导致皮肤冷湿。少数人伴有腹泻等消化道症状</span></p></section></section><section style='max-width: 100%; display: inline-block; box-sizing: border-box !important;'><section data-bgless="spin" data-bgopacity="70%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(242, 220, 219); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="60%" style='padding-right: 6px; max-width: 100%; box-sizing: border-box; background: rgb(217, 150, 148); border-radius: 30px 40px 0px 30px;'><section data-bgless="spin" data-bgopacity="0%" style='padding: 3px 1em; max-width: 100%; box-sizing: border-box; background: rgb(192, 0, 0); border-radius: 30px 40px 0px 30px; color: rgb(255, 255, 255);'>04</section></section></section></section><section style='margin-left: 23px; padding: 1em; max-width: 100%; box-sizing: border-box; border-left: 1px solid rgb(192, 0, 0);'><section data-autoskip="1" style='max-width: 100%; font-size: 14px; text-align: justify; letter-spacing: 1.5px; line-height: 1.75em; color: rgb(62, 62, 62); box-sizing: border-box !important;'><p style='max-width: 100%; min-height: 1em; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(12, 12, 12); box-sizing: border-box !important;'>在冬春季节，如果出现高热（体温大于38.5℃）、全身乏力可能是流感，如果还合并了胸闷、喘气、呼吸困难、频繁咳嗽那可能是肺炎。这两种疾病要尽早到医院发热门诊就诊</span></p></section></section></section></section><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="97036" style='max-width: 100%; color: rgb(51, 51, 51); font-size: 16px; letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><section style='margin: 10px auto; max-width: 100%; display: flex; justify-content: center; align-items: center; box-sizing: border-box !important;'><section style='max-width: 100%; width: 10px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 10px !important;'></span></section><section style='max-width: 100%; width: 5px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 5px !important;'></span></section><section style='margin-right: -12px; margin-left: -12px; padding-top: 4px; padding-bottom: 4px; max-width: 100%; box-sizing: border-box; display: inline-block; background: rgb(226, 46, 41); border-top: 2px solid rgb(254, 236, 173); border-bottom: 2px solid rgb(254, 236, 173);'><section data-brushtype="text" style='padding: 6px 1.5em; max-width: 100%; box-sizing: border-box; text-align: center; letter-spacing: 1.5px; background: rgb(255, 255, 255);'><strong style='max-width: 100%; box-sizing: border-box !important;'>提高抵抗力</strong></section></section><section style='max-width: 100%; width: 5px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;transform: scaleX(-1);box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 5px !important;'></span></section><section style='max-width: 100%; width: 10px; transform: rotate(0deg); box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;display: block;transform: scaleX(-1);box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible !important;width: 10px !important;'></span></section></section></section><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>无论是普通感冒、流感还是新型冠状病毒感染的肺炎，除了药物对症治疗，最主要的就是提高自身抵抗力</span><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br style='max-width: 100%; box-sizing: border-box !important;'></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>1、病毒感染（流感和病毒性肺炎）一定要进行隔离，避免传染给易感人群</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>2、注意休息、避免受凉、淋雨、过度疲劳</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>3、坚决戒烟、戒酒，多饮水，每天至少2000毫升</span></p><p style='max-width: 100%; min-height: 1em; color: rgb(51, 51, 51); font-size: 16px; line-height: 1.75em; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='max-width: 100%; font-size: 15px; color: rgb(0, 0, 0); box-sizing: border-box !important;'>4、多吃高蛋白、高热量、高维生素、低脂、易消化饮食</span></p></section></section></section></section></section></section></div>
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