{"id":31152,"date":"2020-08-03T14:19:43","date_gmt":"2020-08-03T07:19:43","guid":{"rendered":"https:\/\/www.synphaet.co.th\/ramintra\/clinics\/%e0%b8%a8%e0%b8%b9%e0%b8%99%e0%b8%a2%e0%b9%8c%e0%b9%82%e0%b8%a3%e0%b8%84%e0%b8%95%e0%b8%b4%e0%b8%94%e0%b9%80%e0%b8%8a%e0%b8%b7%e0%b9%89%e0%b8%ad\/"},"modified":"2026-08-06T16:05:58","modified_gmt":"2026-08-06T09:05:58","slug":"infectious","status":"publish","type":"clinics","link":"https:\/\/www.synphaet.co.th\/ramintra\/zh-hans\/clinics\/infectious\/","title":{"rendered":"\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u4f20\u67d3\u75c5\u4e2d\u5fc3 (Infectious Diseases Center)"},"content":{"rendered":"<h1>\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u4f20\u67d3\u75c5\u4e2d\u5fc3<\/h1>\n<p>\u5f53\u5371\u9669\u75c5\u539f\u4f53\u73af\u7ed5\u56db\u5468\u2026\u2026\u5feb\u901f\u7cbe\u51c6\u8bca\u65ad\u662f\u4e34\u5e8a\u6cbb\u7597\u7684\u5173\u952e\u3002<\/p>\n<p>\u6bcf\u5929\uff0c\u6211\u4eec\u7684\u8eab\u4f53\u90fd\u5728\u63a5\u89e6\u8089\u773c\u65e0\u6cd5\u770b\u89c1\u7684\u5fae\u5c0f\u751f\u7269\u2014\u2014\u65e0\u8bba\u662f\u75c5\u6bd2\u3001\u7ec6\u83cc\u3001\u771f\u83cc\u8fd8\u662f\u5bc4\u751f\u866b\uff0c\u5b83\u4eec\u6f5c\u4f0f\u5728\u7a7a\u6c14\u3001\u98df\u7269\u4ee5\u53ca\u5468\u56f4\u73af\u5883\u4e2d\u3002\u8bb8\u591a\u65f6\u5019\uff0c\u4e00\u6b21\u666e\u901a\u7684\u53d1\u70ed\u53ef\u80fd\u662f\u4e25\u91cd\u4e14\u4f20\u64ad\u8fc5\u901f\u7684\u611f\u67d3\u6027\u75be\u75c5\u7684\u9884\u8b66\u4fe1\u53f7\u3002\u5982\u679c\u5f97\u4e0d\u5230\u6b63\u786e\u7684\u8bca\u65ad\uff0c\u8fd9\u4e9b\u75c5\u539f\u4f53\u53ef\u80fd\u4f1a\u4fb5\u5165\u8840\u6db2\uff0c\u635f\u5bb3\u5173\u952e\u5668\u5b98\u751a\u81f3\u5371\u53ca\u751f\u547d\u3002\u56e0\u6b64\uff0c\u83b7\u5f97\u4f20\u67d3\u75c5\u4e13\u79d1\u533b\u751f\u7684\u6b63\u786e\u8bca\u7597\uff0c\u662f\u53ca\u65f6\u904f\u5236\u5371\u9669\u75c5\u539f\u4f53\u7684\u6700\u5173\u952e\u4e00\u6b65\u3002<\/p>\n<p>\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u4f20\u67d3\u75c5\u4e2d\u5fc3\u81f4\u529b\u4e8e\u4e3a\u611f\u67d3\u6027\u75be\u75c5\u60a3\u8005\u63d0\u4f9b\u4e00\u7ad9\u5f0f\u3001\u7cfb\u7edf\u5316\u7684\u8bca\u7597\u670d\u52a1\u3002\u7531\u4f20\u67d3\u75c5\u79d1\u4e13\u5bb6\u56e2\u961f\u9886\u8854\uff0c\u8054\u5408\u591a\u5b66\u79d1\u533b\u62a4\u56e2\u961f\uff0c\u4f9d\u6258\u5148\u8fdb\u7684\u8bca\u65ad\u6280\u672f\u3001\u89c4\u8303\u7684\u4e34\u5e8a\u5b9e\u9a8c\u5ba4\u4ee5\u53ca\u56fd\u9645\u6807\u51c6\u8bca\u7597\u6307\u5357\uff0c\u786e\u4fdd\u60a3\u8005\u83b7\u5f97\u7cbe\u51c6\u3001\u5feb\u901f\u4e14\u5b89\u5168\u7684\u533b\u7597\u7167\u62a4\u3002\u533b\u9662\u5730\u5904\u62c9\u654f\u8fbe\u5730\u533a\uff0c\u4ea4\u901a\u4fbf\u5229\u3002<\/p>\n<h2>\u6211\u4eec\u53ef\u4e3a\u60a8\u8bca\u6cbb\u7684\u611f\u67d3\u6027\u75be\u75c5\u4e0e\u72b6\u51b5<\/h2>\n<p>\u6211\u4eec\u63d0\u4f9b\u9488\u5bf9\u6025\u6027\u3001\u6162\u6027\u53ca\u65b0\u53d1\u4f20\u67d3\u6027\u75be\u75c5\u7684\u7b5b\u67e5\u3001\u8bca\u65ad\u548c\u6cbb\u7597\u670d\u52a1\uff0c\u5305\u62ec\uff1a<\/p>\n<ul>\n<li><strong>\u547c\u5438\u9053\u611f\u67d3\u75be\u75c5\uff1a<\/strong>\u6d41\u611f (Influenza)\u3001\u65b0\u51a0\u80ba\u708e (COVID-19)\u3001\u611f\u67d3\u6027\u80ba\u708e (Pneumonia)\u3001\u7ed3\u6838\u75c5 (Tuberculosis)\u3001\u611f\u67d3\u6027\u652f\u6c14\u7ba1\u708e\u3002<\/li>\n<li><strong>\u866b\u5a92\u4e0e\u70ed\u5e26\u4f20\u67d3\u75c5\uff1a<\/strong>\u767b\u9769\u70ed\u3001\u759f\u75be\u3001\u57fa\u5b54\u80af\u96c5\u70ed\u3001\u6591\u75b9\u4f24\u5bd2\u3001\u94a9\u7aef\u87ba\u65cb\u4f53\u75c5\uff08\u51fa\u8840\u70ed\uff09\u3002<\/li>\n<li><strong>\u91cd\u75c7\u611f\u67d3\u4e0e\u83cc\u8840\u75c7\uff1a<\/strong>\u8113\u6bd2\u75c7 \/ \u8d25\u8840\u75c7 (Sepsis)\u3001\u611f\u67d3\u6027\u4f11\u514b (Septic Shock)\u3002<\/li>\n<li><strong>\u6d88\u5316\u9053\u611f\u67d3\u75be\u75c5\uff1a<\/strong>\u98df\u7269\u4e2d\u6bd2\u3001\u7ec6\u83cc\u6027\u6216\u75c5\u6bd2\u6027\u80a0\u708e\u3001\u75c5\u6bd2\u6027\u809d\u708e\u3001\u809d\u8113\u80bf\u53ca\u8179\u8154\u8113\u80bf\u3001\u5bc4\u751f\u866b\u611f\u67d3\u3002<\/li>\n<li><strong>\u6ccc\u5c3f\u7cfb\u7edf\u611f\u67d3\uff1a<\/strong>\u8180\u80f1\u708e\u3001\u80be\u76c2\u80be\u708e\u3001\u7559\u7f6e\u5bfc\u5c3f\u7ba1\u76f8\u5173\u5c3f\u8def\u611f\u67d3\u3002<\/li>\n<li><strong>\u76ae\u80a4\u53ca\u8f6f\u7ec4\u7ec7\u611f\u67d3\uff1a<\/strong>\u8702\u7a9d\u7ec7\u708e\u3001\u75c8\u80bf\u3001\u8113\u80bf\u3001\u611f\u67d3\u6027\u4f24\u53e3\u3001\u5e26\u72b6\u75b1\u75b9\u3001\u5355\u7eaf\u75b1\u75b9\u3002<\/li>\n<li><strong>\u6027\u4f20\u64ad\u75be\u75c5\uff1a<\/strong>\u5305\u62ec\u63d0\u4f9b\u827e\u6ecb\u75c5\u6bd2 (HIV) \u611f\u67d3\u7684\u54a8\u8be2\u4e0e\u89c4\u8303\u6cbb\u7597\u3002<\/li>\n<li><strong>\u514d\u75ab\u7f3a\u9677\u60a3\u8005\u7684\u611f\u67d3\u7ba1\u7406\uff1a<\/strong>\u6076\u6027\u80bf\u7624\u60a3\u8005\u3001\u5668\u5b98\u79fb\u690d\u53d7\u8005\u3001\u63a5\u53d7\u514d\u75ab\u6291\u5236\u5242\u6cbb\u7597\u8005\u3001\u8001\u5e74\u4eba\u53ca\u6162\u6027\u75c5\u60a3\u8005\u3002<\/li>\n<li><strong>\u6297\u751f\u7d20\u5408\u7406\u4f7f\u7528\u54a8\u8be2\uff1a<\/strong>\u6307\u5bfc\u5408\u9002\u836f\u7269\u7684\u9009\u62e9\u3001\u76d1\u6d4b\u8010\u836f\u83cc\u682a\u3001\u9632\u6b62\u6297\u751f\u7d20\u8fc7\u5ea6\u4f7f\u7528\u3002<\/li>\n<\/ul>\n<h2>\u7cbe\u51c6\u7684\u8bca\u65ad\u8bbe\u5907\u4e0e\u65b9\u6cd5<\/h2>\n<p>\u672c\u4e2d\u5fc3\u914d\u5907\u4e86\u5148\u8fdb\u7684\u68c0\u67e5\u4eea\u5668\uff0c\u4ee5\u7cbe\u51c6\u67e5\u660e\u611f\u67d3\u6e90\u548c\u75c5\u56e0\uff1a<\/p>\n<ul>\n<li><strong>\u57fa\u7840\u5316\u9a8c\uff1a<\/strong>\u5305\u62ec\u8840\u5e38\u89c4 (CBC)\u3001\u708e\u75c7\u6307\u6807 (CRP\u3001\u964d\u9499\u7d20\u539f Procalcitonin)\u3001\u809d\u80be\u529f\u80fd\u6d4b\u5b9a\uff0c\u4ee5\u53ca\u771f\u83cc\u6216\u5bc4\u751f\u866b\u7684\u663e\u5fae\u955c\u955c\u68c0\u3002<\/li>\n<li><strong>\u75c5\u539f\u4f53\u6838\u9178\u68c0\u6d4b (PCR)\uff1a<\/strong>\u91c7\u7528\u5206\u5b50\u8bca\u65ad\u6280\u672f\u68c0\u6d4b\u75c5\u539f\u4f53\u7684 DNA \u6216 RNA\uff0c\u53ef\u5728\u6570\u5c0f\u65f6\u5185\u83b7\u5f97\u9ad8\u7cbe\u5ea6\u7ed3\u679c\u3002<\/li>\n<li><strong>\u7ec6\u83cc\u57f9\u517b\u4e0e\u836f\u654f\u8bd5\u9a8c (Culture &amp; Antibiogram)\uff1a<\/strong>\u5bf9\u6807\u672c\uff08\u8840\u6db2\u3001\u5c3f\u6db2\u3001\u75f0\u6db2\uff09\u8fdb\u884c\u7ec6\u83cc\u57f9\u517b\u4ee5\u786e\u8bca\u83cc\u79cd\uff0c\u5e76\u6d4b\u8bd5\u5176\u5bf9\u4f55\u79cd\u6297\u751f\u7d20\u654f\u611f\uff0c\u4ece\u800c\u8fdb\u884c\u7cbe\u51c6\u5bf9\u75c7\u7ed9\u836f\u3002<\/li>\n<li><strong>\u8840\u6e05\u5b66\u68c0\u6d4b (Serology Test)\uff1a<\/strong>\u68c0\u6d4b\u8840\u6db2\u4e2d\u7684\u6297\u4f53\u6216\u6297\u539f\uff0c\u4ee5\u786e\u8bca\u611f\u67d3\u7684\u75c5\u7a0b\u9636\u6bb5\u3002<\/li>\n<li><strong>\u9ad8\u5206\u8fa8\u7387\u5f71\u50cf\u5b66\u8bca\u65ad\uff1a<\/strong>\u5229\u7528 CT \u626b\u63cf\u3001\u8d85\u58f0\u6216\u6838\u78c1\u5171\u632f (MRI) \u8bc4\u4f30\u80ba\u90e8\u6216\u8179\u8154\u7b49\u5185\u810f\u5668\u5b98\u7684\u611f\u67d3\u7076\u3002<\/li>\n<\/ul>\n<h2>\u7cfb\u7edf\u5316\u7684\u6cbb\u7597\u4e0e\u75be\u75c5\u63a7\u5236\u65b9\u6848<\/h2>\n<p>\u6211\u4eec\u6839\u636e\u75c5\u539f\u4f53\u7c7b\u578b\u53ca\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\uff0c\u4e3a\u60a3\u8005\u63d0\u4f9b\u4e2a\u6027\u5316\u6cbb\u7597 (Personalized Treatment)\uff1a<\/p>\n<ul>\n<li><strong>\u9776\u5411\u6297\u611f\u67d3\u6cbb\u7597 (Targeted Antimicrobial Therapy)\uff1a<\/strong>\u9009\u7528\u4e0e\u75c5\u539f\u4f53\u7c7b\u578b\u53ca\u836f\u654f\u7ed3\u679c\u76f8\u5339\u914d\u7684\u6297\u751f\u7d20\u3001\u6297\u75c5\u6bd2\u836f\u3001\u6297\u771f\u83cc\u836f\u6216\u6297\u5bc4\u751f\u866b\u836f\uff0c\u4ee5\u8fbe\u5230\u6700\u5927\u7597\u6548\u5e76\u51cf\u5c11\u526f\u4f5c\u7528\u3002<\/li>\n<li><strong>\u6297\u751f\u7d20\u5242\u91cf\u7684\u7cbe\u786e\u8ba1\u7b97\u4e0e\u8c03\u6574\uff1a<\/strong>\u76d1\u6d4b\u5e76\u8c03\u8282\u8840\u6db2\u4e2d\u7684\u836f\u7269\u6d53\u5ea6\uff08\u5c24\u5176\u662f\u91cd\u75c7\u611f\u67d3\u60a3\u8005\uff09\uff0c\u786e\u4fdd\u836f\u7269\u53d1\u6325\u6700\u4f73\u6cbb\u7597\u6548\u80fd\u3002<\/li>\n<li><strong>\u8d1f\u538b\u9694\u79bb\u75c5\u623f (Negative Pressure Room)\uff1a<\/strong>\u4e13\u4e3a\u9700\u4f4f\u9662\u6cbb\u7597\u7684\u7a7a\u6c14\u4f20\u64ad\u75be\u75c5\u60a3\u8005\u8bbe\u7acb\uff0c\u5728\u4fdd\u969c\u60a3\u8005\u5b89\u5168\u7684\u540c\u65f6\u9632\u6b62\u9662\u5185\u4ea4\u53c9\u611f\u67d3\u3002<\/li>\n<li><strong>\u514d\u75ab\u63a5\u79cd\u4e0e\u9884\u9632 (Immunization)\uff1a<\/strong>\u6307\u5bfc\u5982\u4f55\u9884\u9632\u4e8c\u6b21\u611f\u67d3\u53ca\u5eb7\u590d\u540e\u7684\u81ea\u6211\u7167\u62a4\uff0c\u63d0\u4f9b\u5b63\u8282\u6027\u75ab\u82d7\u53ca\u6210\u4eba\/\u8001\u5e74\u4eba\u4e13\u5c5e\u75ab\u82d7\u63a5\u79cd\u670d\u52a1\uff0c\u6784\u5efa\u4e3b\u52a8\u514d\u75ab\u5c4f\u969c\u3002<\/li>\n<\/ul>\n<h2>\u4e3a\u4ec0\u4e48\u9009\u62e9\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u4f20\u67d3\u75c5\u4e2d\u5fc3\uff1f<\/h2>\n<ul>\n<li>\u2713 <strong>\u7531\u4f20\u67d3\u75c5\u4e13\u79d1\u533b\u751f\u76f4\u63a5\u8bca\u6cbb\uff1a<\/strong>\u7531\u9ad8\u8d44\u5386\u7684\u4f20\u67d3\u75c5\u5185\u79d1\u4e13\u5bb6\u4eb2\u81ea\u5236\u5b9a\u65b9\u6848\uff0c\u80fd\u6709\u6548\u5e94\u5bf9\u590d\u6742\u7684\u611f\u67d3\u53ca\u591a\u91cd\u8010\u836f\u83cc\uff08\u8d85\u7ea7\u7ec6\u83cc\uff09\u611f\u67d3\u3002<\/li>\n<li>\u2713 <strong>\u591a\u5b66\u79d1\u8054\u5408\u534f\u4f5c\u7167\u62a4\uff1a<\/strong>\u4e0e\u91cd\u75c7\u76d1\u62a4\u75c5\u623f (ICU)\u3001\u5185\u79d1\u3001\u5916\u79d1\u7b49\u591a\u4e2a\u4e13\u79d1\u79d1\u5ba4\u65e0\u7f1d\u534f\u4f5c\uff0c\u4fdd\u969c\u4f34\u6709\u590d\u6742\u57fa\u7840\u75c5\u60a3\u8005\u7684\u533b\u7597\u5b89\u5168\u3002<\/li>\n<li>\u2713 <strong>\u4e00\u7ad9\u5f0f\u95ed\u73af\u6cbb\u7597\uff1a<\/strong>\u6db5\u76d6\u7b5b\u67e5\u8bca\u65ad\u3001\u4e34\u5e8a\u7ed9\u836f\u3001\u7597\u6548\u76d1\u6d4b\u4ee5\u53ca\u51fa\u9662\u540e\u7684\u9884\u9632\u590d\u53d1\u968f\u8bbf\u3002<\/li>\n<li>\u2713 <strong>\u5b9e\u9a8c\u5ba4\u68c0\u6d4b\u5feb\u901f\u7cbe\u51c6\uff1a<\/strong>\u52a9\u529b\u533b\u751f\u5728\u9ec4\u91d1\u65f6\u95f4\u5185\u505a\u51fa\u8bca\u65ad\uff0c\u907f\u514d\u76f2\u76ee\u4f7f\u7528\u5e7f\u8c31\u6297\u751f\u7d20\uff0c\u4ece\u6e90\u5934\u4e0a\u51cf\u5c11\u672a\u6765\u4ea7\u751f\u8010\u836f\u83cc\u7684\u98ce\u9669\u3002<\/li>\n<li>\u2713 <strong>\u4e25\u5bc6\u7684\u611f\u63a7\u5236\u5ea6\u4e0e\u5b89\u5168\u6807\u51c6\uff1a<\/strong>\u8bbe\u6709\u89c4\u8303\u7684\u75c5\u60a3\u5206\u6d41\u4e0e\u9694\u79bb\u673a\u5236\uff0c\u670d\u52a1\u533a\u57df\u7684\u6e05\u6d01\u4e0e\u6d88\u6bd2\u6d41\u7a0b\u5747\u8fbe\u5230\u56fd\u9645\u611f\u63a7\u6807\u51c6\u3002<\/li>\n<\/ul>\n<h2>Q&amp;A \u5e38\u89c1\u95ee\u9898\u89e3\u7b54<\/h2>\n<h3>Q: \u201c\u8010\u836f\u6027\u201d\u662f\u5982\u4f55\u4ea7\u751f\u7684\uff1f\u4e3a\u4ec0\u4e48\u5728\u4f20\u67d3\u75c5\u4e2d\u5fc3\u6cbb\u7597\u80fd\u89e3\u51b3\u8fd9\u4e2a\u95ee\u9898\uff1f<\/h3>\n<p>A: 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\u82e5\u9ad8\u70ed\u6301\u7eed\u8d85\u8fc72-3\u5929\uff0c\u670d\u7528\u9000\u70ed\u836f\u65e0\u660e\u663e\u6548\u679c\uff0c\u6216\u4f34\u6709\u6c14\u4fc3\u3001\u795e\u5fd7\u6539\u53d8\u3001\u5267\u70c8\u5934\u75db\u3001\u9888\u9879\u5f3a\u76f4\u3001\u6781\u5ea6\u4e4f\u529b\uff0c\u6216\u51fa\u73b0\u539f\u56e0\u4e0d\u660e\u7684\u6162\u6027\u53d1\u70ed\u6301\u7eed\u8d85\u8fc71\u5468\uff0c\u5e94\u7acb\u5373\u5c31\u533b\u3002<\/p>\n<h3>Q: \u6bcf\u6b21\u53d1\u70ed\u90fd\u5fc5\u987b\u4f7f\u7528\u6297\u751f\u7d20\u5417\uff1f<\/h3>\n<p>A: \u4e0d\u9700\u8981\u3002\u8bb8\u591a\u611f\u67d3\u662f\u7531\u75c5\u6bd2\u5f15\u8d77\u7684\uff0c\u800c\u6297\u751f\u7d20\u5bf9\u75c5\u6bd2\u65e0\u6548\u3002\u6297\u751f\u7d20\u7684\u4f7f\u7528\u5fc5\u987b\u4e25\u683c\u9075\u533b\u5631\u3002<\/p>\n<h3>Q: \u201c\u8010\u836f\u6027\u201d\u662f\u5982\u4f55\u4ea7\u751f\u7684\uff1f<\/h3>\n<p>A: 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