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最后审阅: 21 Oct 2024
最后更新: 06 Feb 2024

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 急性发作
  • 鼻炎
  • 咽痛
  • 喷嚏
  • 鼻后滴流
  • 咳嗽
  • 发热
  • 非特异性咽部发红
  • 鼻黏膜水肿/红斑
  • 鼻孔和后咽脓性分泌物
  • 脉搏和血压在正常范围内

其他诊断因素

  • 不适感
  • 肌痛
  • 口臭
  • 扁桃体发炎

危险因素

  • 暴露于患病的个体
  • 低龄
  • 冬季
  • 日间托儿所托管
  • 暴露于吸烟或其他呼吸道刺激物

诊断性检查

需考虑的检查

  • 全血细胞计数 (FBC)
  • 咽喉拭子
  • 痰培养
  • 嗜异性抗体试验
  • C 反应蛋白 (CRP)
  • 胸部 X 线检查
  • 鼻窦 CT 扫描
  • 病毒检测

治疗流程

急症处理

撰稿人

作者

Bruce Arroll, MBChB, PhD, FRNZCGP

Professor

Department of General Practice and Primary Health Care

University of Auckland

Auckland

New Zealand

利益声明

BA is an author of a number of references cited in this topic.

Timothy Kenealy, MBChB, PhD, FRNZCGP

Associate Professor of Integrated Care

Department of General Practice and Primary Health Care

University of Auckland

Auckland

New Zealand

利益声明

TK is an author of a number of references cited in this topic.

同行评议者

Fatima Syed, MD, MSc

Associate Professor of Medicine

Duke University School of Medicine

Durham

NC

利益声明

FS declares that she has no competing interests.

Christopher Cates, MA, FRCGP

Senior Research Fellow

Division of Community Health Sciences

St. George's University of London

London

UK

利益声明

CC declares that he has no competing interests.

Christopher Del Mar, MA MB, BChir MD, FRACGP, FAFPHM

Professor

Faculty of Health Sciences and Medicine

Bond University

Queensland

Australia

利益声明

CDM declares that he has no competing interests.

An De Sutter, MD, PhD

Associate Professor

Department of General Practice and Primary Health Care

Ghent University

Belgium

利益声明

ADS declares that she has no competing interests.

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