普通感冒

最后审阅: 2 九月 2022
最后更新: 29 三月 2022

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<100 次/分;无低血压。
更多 关键诊断因素

其他诊断因素

  • 不适感
  • 肌痛
  • 口臭
  • 扁桃体发炎
其他诊断因素

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
更多 危险因素

诊断性检查

首要检查

  • 无初步检查
更多 首要检查

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
更多 需考虑的检查

治疗流程

急症处理

所有患者

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

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.

Greg Poland, FRCOG

Mary Lowell Leary Endowed Professor

General Internal Medicine

Paediatrics

Mayo Clinic

Rochester

MN

利益声明

GP has no competing interests in regards to the common cold. He does consult with a variety of manufacturers and performs research studies related to influenza, founded by vaccine manufacturers, none of which involves virus related to the common cold.

Peter Dicpinigaitis, MD

Professor of Clinical Medicine

Albert Einstein College of Medicine

Director

Intensive Care Unit

Weiler Division/Montefiore Medical Center

Bronx

NY

利益声明

PD has served as a consultant to Reckitt Benckiser, Procter & Gamble, Wyeth Pharmaceuticals, Novartis, Glaxo SmithKline, and Boehringer Ingelheim.

  • 鉴别诊断

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    • 枯草热(变应性鼻炎)
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    更多 鉴别诊断
  • 指南

    • 普通感冒相关急性咳嗽的药物和非药物治疗:胸科专家小组报告
    • 在成人急性呼吸道感染中适当使用抗生素:美国医师协会和美国疾病预防控制中心的高价值医疗护理建议
    更多 指南
  • 患者教育信息

    普通感冒

    治疗儿童咳嗽与感冒

    更多 患者教育信息
  • 医学计算器

    咽喉疼痛(咽炎)评估和治疗标准 (McIsaac)

    更多 医学计算器
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