仙桃儿科门诊探访！医生提醒：这些患者要尽快就医
<div class="wx_rich_media_content" id="jsWxContainer"><section class="mp_profile_iframe_wrp"><mp-common-profile class="js_uneditable custom_select_card mp_profile_iframe" data-pluginname="mpprofile" data-id="MzA5MDEwNjgwOQ==" data-headimg="http://mmbiz.qpic.cn/mmbiz_png/bfOudia0OnxsJZR3ImEQ6Z6tCNN9SsA4zkmUMic7vFVFm4Ce4p7oK7CQjW17FpIILC5icA0EetmEh62fnpVctyCeA/0?wx_fmt=png" data-nickname="红辣椒传媒" data-alias="xtweekly" data-signature="红辣椒传媒是《仙桃周刊》新媒体品牌。我已加入“维权骑士”(rightknights.com)的版权保护计划。" data-from="0" data-is_biz_ban="0" data-service_type="1"></mp-common-profile></section><p>近日，全国多地流感高发，引发广泛关注。中国疾控中心监测显示，当前全国流感病毒阳性率快速上升，其中99%以上为甲流。甲流作为一种常见的呼吸道传染病，其症状包括发热、咳嗽、咽痛、肌肉酸痛等，给公众健康拉响了警报。</p><p>1月13日，仙桃周刊融媒体记者深入市妇幼保健院（以下简称市妇幼）、市第一人民医院（以下简称市一医）等地，探寻甲流防治真相。</p><section style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><br style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'></section><section data-tools="135编辑器" data-id="91030" style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><br></section></section><section style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotate(0deg);visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;margin-top: 10px;margin-bottom: 10px;outline: 0px;text-align: center;visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;padding: 3px;outline: 0px;display: inline-block;vertical-align: middle;visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;background-color: rgb(198, 217, 240);visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;margin: -3px 3px 3px -3px;padding-right: 8px;padding-left: 8px;outline: 0px;border-radius: 5px;border-color: rgb(77, 77, 77);border-style: dashed;border-width: 1px;display: inline-block;vertical-align: top;visibility: visible;'><p style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'><span style='-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;font-size: 17px;'>甲流“称霸”，儿科门诊承压</span></p></section></section></section></section></section></section><p style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;'><span style='font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-size: 17px;'>1月13日上午10点半左右，市一医儿科门诊人头攒动，四个诊疗室门前座无虚席，电子叫号屏数字不断跳动：37、39、43、57……候诊区的小朋友普遍都无精打采，偶有孩子哭闹着依偎在家长怀中。输液室里，15名患儿正在输液，记者随机询问了几位家长，均表示孩子确诊“甲流”。</span></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><p style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;'><span style='color: rgb(136, 136, 136);'>1月13日上午10点半左右，市一医儿科门诊前不少家长正带着孩子在候诊区有序等待</span></p><p><span style='font-size: 17px;'>市一医儿科副主任冯玲玲告诉记者，今冬流感九成是甲流。她回顾了近期就诊趋势：从2024年10月开始零星出现甲流感染病例，到12月中旬病例数一路攀升，在12月下旬达到峰值，如今已呈下降趋势。“去年12月，我院儿科门诊共诊疗7624名甲流患儿。近半个月门诊量虽仍较多，但相较前两周有所缓解。”</span></p><p><span style='font-size: 17px;'>市妇幼儿科主任赵俊华指出：“今年的甲流疫情较去年稍迟，但爆发得更为全面。”2023年甲流在3月和10月爆发了两波，而2024年12月才真正开始全面爆发。12月中旬以来，门诊量猛增。相较于之前的支原体感染，此次甲流来势更猛。赵俊华还告诉记者，“虽说感染儿童数量较去年略减，但症状更重，发烧、呕吐、腹泻等症状患儿比例远超往年。”</span></p><section style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><br style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'></section><section data-tools="135编辑器" data-id="91030" style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><br></section></section><section style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotate(0deg);visibility: visible;'><section style='margin-top: 10px;margin-bottom: 10px;-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><section style='padding: 3px;-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: middle;visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;background-color: rgb(198, 217, 240);visibility: visible;'><section style='margin: -3px 3px 3px -3px;padding-right: 8px;padding-left: 8px;-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;border-color: rgb(77, 77, 77);border-style: dashed;border-width: 1px;display: inline-block;vertical-align: top;visibility: visible;'><p style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'><span style='-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;font-size: 17px;'>家长揪心，医护奔走“战疫”忙</span></p></section></section></section></section></section></section><p style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;'><span style='font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-size: 17px;'>在市妇幼，记者采访了正在焦急等待孩子检测报告的刘先生。“中午孩子突然烧到38.8℃，我赶紧带他来，一查真是甲流。不过医院就诊流程挺顺，看医生、拿报告，不到1小时搞定。”</span></p><p><span style='font-size: 17px;'>同样，在市一医儿科门诊，张女士讲述着6岁半孩子的患病经历：“一开始就流鼻涕、咳嗽，没想到第二天凌晨烧到39.3℃，送来确诊甲流。按医生嘱咐吃退烧药、抗病毒药，现在好多了。”她还不忘提醒其他家长：孩子有症状，千万别耽搁，一定遵医嘱。</span></p><p><span style='font-size: 17px;'>市一医儿科门诊护士长张琼告诉记者，近期日均30余名孩子输液，超半数是甲流患儿。“儿科门诊现在就诊的孩子太多了，得分流，有些病情严重的孩子大部分都在住院部，留下输液的多是轻症。”</span></p><p><span style='font-size: 17px;'>市一医儿科住院部的情况在甲流感染的高峰期不容乐观。“最高峰的时候，住院部平均每天都有100多个患儿前来住院，其中甲流患儿的数量占到四分之三左右。”</span></p><p><span style='font-size: 17px;'>冯玲玲告诉记者，针对就诊患儿增多的情况，市一医儿科门诊诊疗室数量从上午的3个增开到了4个，下午从2个增开到了3个。为缩短就诊等候时间，减少扎堆就诊，儿科医务人员工作时间也进行了动态调整。</span></p><section style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><br style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'></section><section data-tools="135编辑器" data-id="91030" style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><br></section></section><section style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotate(0deg);visibility: visible;'><section style='margin-top: 10px;margin-bottom: 10px;-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><section style='padding: 3px;-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: middle;visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;background-color: rgb(198, 217, 240);visibility: visible;'><section style='margin: -3px 3px 3px -3px;padding-right: 8px;padding-left: 8px;-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;border-color: rgb(77, 77, 77);border-style: dashed;border-width: 1px;display: inline-block;vertical-align: top;visibility: visible;'><p style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'><span style='-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;font-size: 17px;'>轻重症有别，用药各有讲究</span></p></section></section></section></section></section></section><p style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;'><span style='font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-size: 17px;'>儿童感染甲流首选到底是吃药还是输液？抗流感药物“奥司他韦”和“玛巴洛沙韦”两者有什么区别？又该如何选择用药呢？</span></p><p><span style='font-size: 17px;'>冯玲玲介绍：“确诊后，我们先评估患儿病情，判断轻症重症。年龄稍大、精神好、病程短的轻症，优先推荐口服药；连续高烧40℃难退、病程超三天、年龄小的有重症倾向的，可能建议住院，做下步的评估及治疗。”她强调，流感并非新病种，家长别慌，多听专业建议。</span></p><p><span style='font-size: 17px;'>流感高发，抗流感药销量攀升。前几年“奥司他韦”是流感季“明星”，近两年“玛巴洛沙韦”凭借“一次服药搞定全病程”走红。但它们真的人人适用吗？</span></p><p><span style='font-size: 17px;'>赵俊华解释，玛巴洛沙韦目前仅适用于5岁以上、体重20公斤以上儿童及成人，去年新上市的玛巴洛沙韦干混悬剂虽精准了幼儿给药剂量，但5岁以下仍禁用。“从我市药物储备和临床实践看，治疗首选奥司他韦，口服方便。玛巴洛沙韦片发病24小时内用药最佳，若诊断不及时、病程长，奥司他韦更稳妥，只是需连服5天。”</span></p><section data-tools="135编辑器" data-id="91030" style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><br></section></section><section style='-webkit-tap-highlight-color: transparent; outline: 0px; letter-spacing: 0.544px; color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 16px; visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;transform: rotate(0deg);visibility: visible;'><section style='margin-top: 10px;margin-bottom: 10px;-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;visibility: visible;'><section style='padding: 3px;-webkit-tap-highlight-color: transparent;outline: 0px;display: inline-block;vertical-align: middle;visibility: visible;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;background-color: rgb(198, 217, 240);visibility: visible;'><section style='margin: -3px 3px 3px -3px;padding-right: 8px;padding-left: 8px;-webkit-tap-highlight-color: transparent;outline: 0px;border-radius: 5px;border-color: rgb(77, 77, 77);border-style: dashed;border-width: 1px;display: inline-block;vertical-align: top;visibility: visible;'><p style='-webkit-tap-highlight-color: transparent;outline: 0px;visibility: visible;'><span style='-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;visibility: visible;font-size: 17px;'>科学预防是关键，及时就医防风险</span></p></section></section></section></section></section></section><p style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;'><span style='font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.034em;font-size: 17px;'>如何有效预防甲流？两位儿科主任一致推荐：接种疫苗。</span></p><p><span style='font-size: 17px;'>冯玲玲建议：“接种疫苗是最有效预防手段。秋冬季是流感高发季，建议家长10月左右带孩子（大于6月龄且无疫苗接种禁忌的儿童）去社区卫生服务中心接种，保护性抗体生成约需2-4周。流感高发期，尽量少带孩子去人员密集、空间密闭场所。”</span></p><p><span style='font-size: 17px;'>赵俊华提醒，抗病毒药不能替代疫苗。“甲流飞沫传播，传染性强、速度快。确诊后要居家隔离，养成勤洗手、多通风等健康生活习惯。”他着重强调，甲流属于传染性疾病，有基础病、免疫力低的患者不可大意，务必及时就医，严防肺炎、心脑血管等并发症。</span></p><p><span style='font-size: 17px;'><br></span></p><p style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px;'><span style='-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 16px;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; color: rgb(178, 178, 178); font-family: 微软雅黑, "Microsoft YaHei"; font-size: 12px; letter-spacing: 0.544px; widows: 1; caret-color: rgb(34, 34, 34);'>来源/仙桃周刊融媒体</span></span></p><p style='display: none;'><mp-style-type data-value="3"></mp-style-type></p></div><p></p> 甲流厉害 为什么多是儿童？老人呢？
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