本文转自【北京晚报微信公众号】；

近期，社交网络上有不少人反映出现嗓子疼的症状，有人怀疑与新冠新毒株感染有关。北京佑安医院感染综合科主任医师李侗曾说，本月该院感染综合科门诊接诊呼吸道疾病患者人数较上月略有增加，但不明显。其中多为普通上呼吸道感染患者，流感、新冠患者比例非常低。

李侗曾说，近期门诊过程中，引起学龄前儿童咽痛的主要原因是疱疹性咽峡炎。该病多发于6岁以下儿童，由柯萨奇病毒A型和肠道病毒71型感染引起。发病表现为发热、咽痛，咽部出现疱疹、红肿。

“这种疾病与手足口病为相同病原体引起。随着较‘厉害’的肠道病毒71型有了预防的疫苗，现在出现的病例多是由柯萨奇病毒A型感染引起。”李侗曾说，疱疹性咽峡炎部分患儿可能出现高热，令家长揪心，不过绝大多数患儿病情较为轻微，“一般情况下，一周左右能够痊愈。”

目前，佑安医院感染综合科接诊学龄儿童、青少年的咽痛等上呼吸道症状，主要由猩红热引起。李侗曾介绍，猩红热是由A组β型溶血性链球菌引起的急性出疹性传染病，好发于5至9岁的儿童。猩红热的症状包括咽痛、“草莓舌”“杨梅舌”、皮疹、发热。 多数患儿症状轻微，对症使用抗生素一周左右可康复。 不过，由于这种疾病病原学检测周期较长，容易被误诊为上呼吸道病毒感染，耽误治疗、造成传播。

对于成年人来说，目前引起咽痛的主要原因是鼻病毒、腺病毒、链球菌等普通上呼吸道感染。李侗曾说，从门诊人数上看，呼吸道感染患者较上个月没有明显增加。“这一波感染的患者症状没有流感或新冠那么严重，因此多数人可能没有‘跑医院’治疗。”

天气越来越热，人们戴口罩的意愿逐渐下降，开空调多了、开窗通风少了，这些都会增加呼吸道疾病的感染风险。李侗曾提醒，呼吸道疾病并未“偃旗息鼓”，仍要注意个人健康。室内要多开窗通风，去人员密集、空气流通不畅的地方，最好还是戴上口罩，平时要注意勤洗手。

对于学龄及学龄前的孩子，如出现皮疹、发热症状，首先要居家休息、不能带病上学。如出现持续高热、使用退热药物效果不明显的高热，或出现嗜睡、精神萎靡、烦躁、频繁呕吐、肢体不自主抖动等症状，一定要及时就医。“呼吸道传染病病程一般在5到7天，前3天可能出现高热，家长们在不要恐慌的同时也要提高警惕。”

另外，李侗曾建议适龄儿童接种肠道病毒71型灭活疫苗，降低感染发病、出现重症的风险。

北京晚报记者 孙乐琪

责任编辑：齐汝钰 UN970

新闻译文：

This article is transferred from [WeChat official account of Beijing Evening News];

Recently, many people on social networks reported sore throat symptoms, and some people suspected that it was related to the infection of COVID-19 virus strain. Li Dong, the chief physician of the Infectious Diseases department at Beijing You'an Hospital, once said that the number of respiratory disease patients received in the outpatient department of the hospital's Infectious Diseases Department this month has slightly increased compared to last month, but not significantly. Most of them are patients with ordinary upper respiratory tract infection, and the proportion of patients with influenza and COVID-19 is very low.

Li Dong once said that the main cause of sore throat in preschool children during recent outpatient procedures is herpetic pharyngitis. This disease is more common in children under 6 years old and is caused by infection with Coxsackie virus type A and enterovirus type 71. The onset is characterized by fever, sore throat, and blisters, redness, and swelling in the throat.

"This disease is caused by the same pathogen as hand, foot, and mouth disease. With the availability of preventive vaccines for the more severe enterovirus 71, most cases now occur due to Coxsackie virus A infection." Li Dong once said that some children with herpetic pharyngitis may experience high fever, which worries parents, but the vast majority of children have mild conditions. "Generally, it takes about a week to recover."

At present, the infection comprehensive department of You'an Hospital treats upper respiratory symptoms such as sore throat in school-age children and adolescents, mainly caused by scarlet fever. Li Dong once introduced that scarlet fever is caused by Group A β Acute eruptive infectious disease caused by Streptococcus pyogenes is more common in children aged 5 to 9 years old. The symptoms of scarlet fever include sore throat, strawberry tongue, waxberry tongue, rash, and fever. Most children have mild symptoms, and symptomatic use of antibiotics can take about a week to recover. However, due to the long pathogenic testing cycle of this disease, it is easy to be misdiagnosed as an upper respiratory virus infection, delaying treatment and causing transmission.

For adults, the main causes of sore throat are common upper respiratory tract infections such as rhinoviruses, adenoviruses, and streptococci. Li Dong once said that in terms of the number of outpatient patients, there was no significant increase in respiratory tract infection patients compared to last month. "The symptoms of patients with this wave of infection are not as serious as influenza or COVID-19, so most people may not have 'run to hospital' for treatment."

The weather is getting hotter and hotter, and people's willingness to wear masks is gradually decreasing. Turning on more air conditioning and less window ventilation can increase the risk of respiratory infections. Li Dong once reminded that respiratory diseases have not yet subsided, and personal health should still be taken into consideration. Indoor windows should be opened for ventilation, and it is best to wear a mask when going to crowded areas with poor air circulation. It is also important to wash hands frequently.

For school-age and preschool children, if they experience rash or fever symptoms, they should first rest at home and cannot go to school with illness. If there is persistent high fever, low fever with ineffective antipyretic medication, or symptoms such as drowsiness, mental fatigue, irritability, frequent vomiting, and involuntary limb tremors, it is necessary to seek medical attention in a timely manner. "The course of respiratory infectious diseases generally lasts from 5 to 7 days, and high fever may occur in the first 3 days. Parents should not panic but also be vigilant."

In addition, Li Dong suggested that children of appropriate age be vaccinated with inactivated enterovirus 71 vaccine to reduce the risk of infection and severe illness.

Beijing Evening News reporter Sun Leqi

Editor in charge: Qi Ruyu UN970

重点词汇

• 社交网络 The Social Network ; SNS ; social networking

• 嗓子疼 have a sore throat

• 医院感染 nosocomial infections

• 科主任 head of department

• 呼吸道疾病 respiratory disease ; respiratory illnesses ; Respiratory Tract Diseases

• 不明显 Not obvious ; Unconspicuous ; inapparent ; implicit

• 上呼吸道感染 upper respiratory tract infection ; infection of the upper respiratory tract

• 原因是 as a result of ; on the score of

• 疱疹性咽峡炎 herpangina

• 肠道病毒 enterovirus

句子成分分析：

[For school-age and preschool children], if they experience rash or fever symptoms, || they should first rest [at home] 

and cannot go to school [with illness].

句子语法结构详解：

(children 为 child 的复数形式。cannot = can not)

* if 为连词，引导条件状语从句。
* experience 为谓语，采用一般现在时。
* 第2个 they 开头为陈述句。
* rest 为谓语。
* go 为谓语。
* should, can 为情态动词。they 为人称代词主格。

句子相关词汇解释：

Phrase:

Vocabulary:

句子成分分析：

"The symptoms (of patients (with this wave (of infection))) are not as serious [as influenza or COVID-19], || so most 

people may not have 'run to hospital' [for treatment]."

句子语法结构详解：

(run 为过去分词，与其动词原形拼写相同。)

* are 为系动词作谓语，采用一般现在时。
* 句中含有用于比较的结构 not so/as...as...，意为“不像……那样……”
* serious 为形容词作表语。
* so 为连词，引导状语从句。
* run 为谓语，采用完成时态。
* may 为情态动词。have 为助动词。the 为定冠词。

句子相关词汇解释：

Phrase:

Vocabulary:

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