感染后一直咳,“肺都要咳出来了”,有必要拍CT吗?
<section style="margin-bottom: 0px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;visibility: visible;" data-mpa-powered-by="yiban.io"></section><p></p><section data-support="96编辑器" data-style-id="32722" style="margin-bottom: 0px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;"><section data-align="title" style="outline: 0px;letter-spacing: 0.544px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="margin-bottom: 0em;outline: 0px;line-height: 2;visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px;text-align: center;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section data-support="96编辑器" data-style-id="31626" style="outline: 0px;visibility: visible;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px;widows: 1;visibility: visible;"><section data-tools="135编辑器" data-id="94047" mpa-from-tpl="t" data-color="#ac1d10" style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><section data-width="25%" mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><section style="outline: 0px;line-height: 1.6em;visibility: visible;"></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><section style="margin-bottom: 0px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;visibility: visible;"><span style="letter-spacing: 0.544px;"></span></section><p></p><p style="margin-right: 8px;margin-bottom: 0em;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;font-size: 16px;letter-spacing: 0.5px;visibility: visible;">近日,有网友表示感染新冠病毒后“肺都要咳出来了”,也有网友疑惑不停咳嗽会不会导致肺炎?有必要去医院拍个CT吗?</span></p><p style="margin-right: 8px;margin-bottom: 0em;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;visibility: visible;">多位医生表示,不是所有“阳”过的人都要做肺部CT,对于大多数轻症患者来说必要性不大。但老年人和基础病患者要特别小心,出现危重症情况需要做肺部CT。</span></p><p style="margin-right: 8px;margin-bottom: 0em;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><br style="outline: 0px;visibility: visible;"/></p><p></p><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;"><section data-mpa-template="t" mpa-from-tpl="t" style="padding-right: 0.5em;padding-left: 0.5em;outline: 0px;visibility: visible;"><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><section style="margin: 0.5em 8px;outline: 0px;text-align: center;letter-spacing: 0.5px;line-height: 1.75em;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;display: inline-block;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-top: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-top: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="outline: 0px;height: 0px;clear: both;visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="margin-top: -5px;margin-bottom: -5px;padding-right: 4px;padding-left: 4px;outline: 0px;visibility: visible;"><section mpa-from-tpl="t" style="padding-right: 10px;padding-left: 10px;outline: 0px;border-width: 2px;border-style: solid;border-color: rgb(0, 122, 170);font-size: 19.2px;color: rgb(255, 255, 255);background-color: rgb(0, 122, 170);visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><p style="outline: 0px;visibility: visible;"><span style="outline: 0px;font-size: 16px;visibility: visible;"><strong mpa-from-tpl="t" style="outline: 0px;visibility: visible;">“肺都要咳出来了”</strong></span></p><p style="outline: 0px;visibility: visible;"><span style="outline: 0px;font-size: 16px;visibility: visible;"><strong mpa-from-tpl="t" style="outline: 0px;visibility: visible;">需要去医院拍CT吗?</strong></span></p></section></section></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-bottom: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-bottom: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);visibility: visible;"><br style="outline: 0px;visibility: visible;"/></section></section></section></section></section></section></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;visibility: visible;">复旦大学附属中山医院重症医学科主任钟鸣介绍,<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">如果单纯是刺激性的干咳,并不代表有肺炎。</strong></span>因为如果有肺炎的话,还有气急、胸闷这种感觉。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;visibility: visible;">上呼吸道感染,是上呼吸道的一个炎症和损伤的过程,很容易感觉到有异物感,容易咳嗽。<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">炎症的消退和上呼吸道受损黏膜的修复需要时间,</strong></span>在修复之前可能一直会有干咳,这都是很常见的。<span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;">所以</span><span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;"><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;">短时间可以等待自愈</span></strong></span><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;visibility: visible;">,如果咳嗽非常明显,影响到生活质量、睡眠、日常工作,可以用一些镇咳的药去缓解症状。</span></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;visibility: visible;">但需要提醒的是,<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">有时候急性炎症如果没有完全修复好,会变成上呼吸道的慢性炎症,</strong></span>咳嗽会变成很迁延的症状。建议在转阴的这段时间里,也要<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">有规律的作息</strong></span>,让身体保持在比较好的状态,尽量去修复之前损伤的部位。<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">也不是鼓励完全卧床,适当的运动加上营养,有利于康复。</strong></span></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;visibility: visible;">如果<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">咳嗽伴有痰,每次都有很多痰,</strong></span>这可能就不仅仅是上呼吸道炎症的问题,还可能涉及到支气管或肺部,<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">特别是咳出来大量的黄浓痰时,建议要到医院去看。</strong></span></span></section><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);visibility: visible;"><section data-mpa-template="t" mpa-from-tpl="t" style="padding-right: 0.5em;padding-left: 0.5em;outline: 0px;visibility: visible;"><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><section style="margin: 0.5em 8px;outline: 0px;text-align: center;letter-spacing: 0.5px;line-height: 1.75em;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;display: inline-block;visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-top: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-top: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="outline: 0px;height: 0px;clear: both;visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="margin-top: -5px;margin-bottom: -5px;padding-right: 4px;padding-left: 4px;outline: 0px;visibility: visible;"><section mpa-from-tpl="t" style="padding-right: 10px;padding-left: 10px;outline: 0px;border-width: 2px;border-style: solid;border-color: rgb(0, 122, 170);font-size: 19.2px;color: rgb(255, 255, 255);background-color: rgb(0, 122, 170);visibility: visible;"><section mpa-from-tpl="t" style="outline: 0px;visibility: visible;"><p style="outline: 0px;visibility: visible;"><span style="outline: 0px;font-size: 16px;visibility: visible;"><strong mpa-from-tpl="t" style="outline: 0px;visibility: visible;">不是“阳”过就要拍CT</strong></span></p><p style="outline: 0px;visibility: visible;"><span style="outline: 0px;font-size: 16px;visibility: visible;"><strong mpa-from-tpl="t" style="outline: 0px;visibility: visible;">大多数轻症患者必要性不大</strong></span></p></section></section></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-bottom: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);visibility: visible;"><br mpa-from-tpl="t" style="outline: 0px;visibility: visible;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-bottom: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);visibility: visible;"><br style="outline: 0px;visibility: visible;"/></section></section></section></section></section></section></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;visibility: visible;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;visibility: visible;">湖北省第三人民医院的刘之枫医生表示,新冠肺炎<span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;"><strong style="outline: 0px;visibility: visible;">重症患者建议拍CT检查</strong></span>,明确到底有没有病毒肺,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">而对于大多数的轻症患者来说,做CT的必要性不是很大。</strong></span></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">福建中医药大学附属第三医院肺病科副主任医师罗斌表示,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">不是所有“阳”过的人都要做肺部CT。</strong></span></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">绝大多数“阳”性患者是轻型或普通型的,可表现为发热、乏力、咽干、咽痛、鼻塞、流涕、咳嗽等上呼吸道感染症状,并无累及肺部。因而,无需特别检查肺部。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">而对于“阳”康的患者,即症状明显好转或无明显症状、自测抗原连续两次阴性(两次检测间隔大于24小时),更无需做检查,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">即使肺部有一点感染,也会慢慢自愈。</strong></span></span></section><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><section data-mpa-template="t" mpa-from-tpl="t" style="padding-right: 0.5em;padding-left: 0.5em;outline: 0px;"><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;"><section mpa-from-tpl="t" style="outline: 0px;"><section style="margin: 0.5em 8px;outline: 0px;text-align: center;letter-spacing: 0.5px;line-height: 1.75em;"><section mpa-from-tpl="t" style="outline: 0px;display: inline-block;"><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-top: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-top: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;height: 0px;clear: both;"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="margin-top: -5px;margin-bottom: -5px;padding-right: 4px;padding-left: 4px;outline: 0px;"><section mpa-from-tpl="t" style="padding-right: 10px;padding-left: 10px;outline: 0px;border-width: 2px;border-style: solid;border-color: rgb(0, 122, 170);font-size: 19.2px;color: rgb(255, 255, 255);background-color: rgb(0, 122, 170);"><section mpa-from-tpl="t" style="outline: 0px;"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong mpa-from-tpl="t" style="outline: 0px;">老年人和基础病患者</strong></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong mpa-from-tpl="t" style="outline: 0px;">出现危重症要做肺部CT</strong></span></p></section></section></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-bottom: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-bottom: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);"><br style="outline: 0px;"/></section></section></section></section></section></section></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">罗斌提醒,对于部分患者,特别是<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">老年人</strong></span>和<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">有基础疾病(如慢阻肺、支气管疾病、肺癌、心衰、肾衰)的患者</strong></span>,要特别小心,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">可能会出现危重症,</strong><strong style="outline: 0px;">这时候做个肺部CT就非常有必要。</strong></span></span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">这类患者家里最好自备一个血氧监测仪,若血氧饱和度低于93,就应及时就医检查。如果没有备的话可以,也可以观察症状,如果高烧超过3天,呼吸急促,每分钟大于30次,说明肺功能下降,应及时就医,否则很容易转成危重症。</span></section><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><section data-mpa-template="t" mpa-from-tpl="t" style="padding-right: 0.5em;padding-left: 0.5em;outline: 0px;"><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;"><section mpa-from-tpl="t" style="outline: 0px;"><section mpa-from-tpl="t" style="margin-top: 0.5em;margin-bottom: 0.5em;outline: 0px;text-align: center;letter-spacing: 0.5px;line-height: 1.75em;"><section mpa-from-tpl="t" style="outline: 0px;display: inline-block;"><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-top: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-top: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;height: 0px;clear: both;"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="margin-top: -5px;margin-bottom: -5px;padding-right: 4px;padding-left: 4px;outline: 0px;"><section mpa-from-tpl="t" style="padding-right: 10px;padding-left: 10px;outline: 0px;border-width: 2px;border-style: solid;border-color: rgb(0, 122, 170);font-size: 19.2px;color: rgb(255, 255, 255);background-color: rgb(0, 122, 170);"><section mpa-from-tpl="t" style="outline: 0px;"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong mpa-from-tpl="t" style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">咳嗽是一种疾病的症状</strong></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong mpa-from-tpl="t" style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">本身不会引起肺炎</strong><br style="outline: 0px;"/></span></p></section></section></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-bottom: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-bottom: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);"><br style="outline: 0px;"/></section></section></section></section></section></section></section><p></p><p style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><span style="outline: 0px;letter-spacing: 0.5px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">武汉市中医医院肺系病科副主任医师卢丽君表示,</span><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.5px;">咳嗽和肺炎是不同的概念,</span><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">咳嗽仅是疾病的症状,不是一种疾病,</strong></span><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.5px;">咳嗽可以由各种原因引起</span><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">。咳嗽本身不会引起肺炎。</strong></span><span style="outline: 0px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.5px;">当病毒细菌等病原体仅累及上呼吸道还未累及下呼吸道时,通常就会出现咳嗽症状。而当炎症累及下呼吸道就可能发展成为肺炎。咳嗽本身也是肺炎最常见的临床表现之一。</span></span></p><p style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><span style="outline: 0px;letter-spacing: 0.5px;">如果出现</span><span style="outline: 0px;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">痰中带血、夜间(或改变体位时)咳嗽加重</strong></span><span style="outline: 0px;letter-spacing: 0.5px;">,</span><span style="outline: 0px;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">咳大量黄脓痰,</strong></span><span style="outline: 0px;letter-spacing: 0.5px;">或者</span><span style="outline: 0px;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">再次发热</strong></span><span style="outline: 0px;letter-spacing: 0.5px;">,</span><span style="outline: 0px;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">气短、呼吸困难、胸痛</strong></span><span style="outline: 0px;letter-spacing: 0.5px;">等原有症状明显加重,以及</span><span style="outline: 0px;letter-spacing: 0.5px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">咳嗽超过2周</strong></span><span style="outline: 0px;letter-spacing: 0.5px;">时,建议去医院就诊。</span></span></p><p></p><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><section data-mpa-template="t" mpa-from-tpl="t" style="padding-right: 0.5em;padding-left: 0.5em;outline: 0px;"><section data-mpa-template="t" mpa-from-tpl="t" style="outline: 0px;"><section mpa-from-tpl="t" style="outline: 0px;"><section style="margin: 0.5em 8px;outline: 0px;text-align: center;letter-spacing: 0.5px;line-height: 1.75em;"><section mpa-from-tpl="t" style="outline: 0px;display: inline-block;"><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-top: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-top: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;height: 0px;clear: both;"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="margin-top: -5px;margin-bottom: -5px;padding-right: 4px;padding-left: 4px;outline: 0px;"><section mpa-from-tpl="t" style="padding-right: 10px;padding-left: 10px;outline: 0px;border-width: 2px;border-style: solid;border-color: rgb(0, 122, 170);font-size: 19.2px;color: rgb(255, 255, 255);background-color: rgb(0, 122, 170);"><section mpa-from-tpl="t" style="outline: 0px;"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong mpa-from-tpl="t" style="outline: 0px;">怎么判断自己到底是</strong></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong mpa-from-tpl="t" style="outline: 0px;">无症状、轻症还是重症?</strong></span></p></section></section></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: left;border-bottom: 2px solid rgb(0, 122, 170);border-left: 2px solid rgb(0, 122, 170);"><br mpa-from-tpl="t" style="outline: 0px;"/></section><section mpa-from-tpl="t" style="outline: 0px;width: 9px;height: 9px;float: right;border-bottom: 2px solid rgb(0, 122, 170);border-right: 2px solid rgb(0, 122, 170);"><br style="outline: 0px;"/></section></section></section></section></section></section></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">钟鸣介绍,其实无症状从字面意义就知道,得了新冠后没有感觉到任何症状,就是<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">无症状</strong></span>。任何的症状,比如发热、咳嗽、咽痛,都叫有症状。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">根据症状的轻重包括是否进展到肺部,病人分成轻型、普通型和重型、危重型。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">一般来讲,症状都在上呼吸道,比如说<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">只有发热、咽痛、咳嗽、鼻塞、流鼻涕,没有肺部影像学的改变,</strong></span>也没有其他的低氧或者其他器官功能不全的表现,这些都归为<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">轻症</strong></span>。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">但在有这些上呼吸道症状的同时,如果<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">有肺部浸润的肺炎表现</strong></span>,比如<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">CT上看见毛玻璃样的改变</strong></span>,证明是有病毒性肺炎的存在,这时就是<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">普通型</strong></span>。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;letter-spacing: 0.5px;">如果肺炎的范围进一步增加,有低氧血症,比如说<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">血</strong><strong style="outline: 0px;">氧饱和度低于93</strong></span>,或者<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">有</strong><strong style="outline: 0px;">呼吸频率大于每分钟30次</strong></span>,或者有<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">明显的胸闷、气促</strong></span>症状,或者有其他器官功能的恶化,我们都把它归为<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">重型</strong></span>。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;">病人需要一种或多种的器官和生命支持手段,这些病人就归为<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">危重型</strong></span>。</span></section><section style="margin-right: 8px;margin-left: 8px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);line-height: 1.75em;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 16px;"></span></section><section style="margin-bottom: 0px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;visibility: visible;"><br/></section><p></p><p style="margin-bottom: 0px;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);font-size: 16px;text-align: center;visibility: visible;"><strong style="letter-spacing: 0.544px;text-indent: 0em;color: rgb(0, 0, 0);widows: 1;caret-color: rgba(0, 0, 0, 0);font-size: 14px;cursor: text;max-inline-size: 100%;visibility: visible;font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;outline: none 0px !important;"><strong style="letter-spacing: 0.544px;text-indent: 0em;cursor: text;max-inline-size: 100%;visibility: visible;outline: none 0px !important;">- </strong>END -</strong></p><p></p><section data-role="paragraph" style="margin-bottom: 0px;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;widows: 1;color: rgb(0, 0, 0);font-size: 16px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;caret-color: rgba(0, 0, 0, 0);max-inline-size: 100%;visibility: visible;outline: none 0px !important;"><section style="letter-spacing: 0.544px;list-style-type: none;line-height: 2em;max-inline-size: 100%;visibility: visible;font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;outline: none !important;"><section style="max-inline-size: 100%;visibility: visible;outline: none 0px !important;"><section style="max-inline-size: 100%;visibility: visible;outline: none 0px !important;"><section style="outline: 0px;letter-spacing: 0.544px;visibility: visible;"><section data-role="paragraph" style="outline: 0px;visibility: visible;"><section data-role="paragraph" style="outline: 0px;visibility: visible;"><section data-role="paragraph" style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;visibility: visible;"><p style="margin-bottom: 8px;vertical-align: inherit;text-indent: 0em;max-inline-size: 100%;line-height: 2em;visibility: visible;outline: none 0px !important;"><span style="outline: 0px;letter-spacing: 2px;font-size: 14px;visibility: visible;"><strong style="text-indent: 0em;cursor: text;letter-spacing: 0.544px;max-inline-size: 100%;visibility: visible;outline: none 0px !important;">推荐服务</strong></span></p><p style="margin-bottom: 8px;vertical-align: inherit;text-indent: 0em;max-inline-size: 100%;line-height: 2em;visibility: visible;outline: none 0px !important;"><span style="outline: 0px;letter-spacing: 2px;font-size: 14px;visibility: visible;"><strong style="text-indent: 0em;cursor: text;letter-spacing: 0.544px;max-inline-size: 100%;visibility: visible;outline: none 0px !important;"></strong></span></p></section></section></section></section></section></section></section></section></section></section></section><p></p><p style="margin-bottom: 0em;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, 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