【呼吸道合胞病毒】嬰幼兒定必感染? 即睇症狀、預防及傳播途徑 ...

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href="https://www.bowtie.com.hk/blog/zh/category/%e5%91%bc%e5%90%b8%e9%81%93%e5%8f%8a%e8%82%ba%e9%83%a8%e8%b3%87%e8%a8%8a/">呼吸道及肺部資訊</a> <h1 class="post__title">【呼吸道合胞病毒】嬰幼兒定必感染？即睇症狀、預防及傳播途徑</h1> <div class="post__desc">於2023年3月18日香港屯門醫院公布發現呼吸道合胞病毒組群個案。其中一名11日大的嬰兒更因感染呼吸道合胞病毒而令情況危殆。也許你有聽過呼吸道合胞病毒對嬰兒影響嚴重，但此病毒實質是甚麼？傳播途徑、症狀和預防方法你又了解嗎？Bowtie 將提供資料讓大家認識呼吸道合胞病毒！</div> </div> <div class="post__side"> <div class="info__content"> <div class="info__row"> <span class="info__title">作者</span> <span><a href="https://www.bowtie.com.hk/blog/zh/author/bowtie-team/">Bowtie 團隊</a></span> </div> <div class="info__row"> <span class="info__title">日期</span> <span>2023-04-20</span> </div> <div class="info__row"> <span class="info__title">更新</span> <span>2023-04-20</span> </div> </div> </div></main><main class="post__content is--lower"> <div class="post-submenu-sticky"> <div class="post-submenu-sticky__inner"> <div class="post-submenu-sticky__item post-submenu-sticky__subtitle">目錄</div> <a class="post-submenu-sticky__item" href="#content-1" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>甚麼是呼吸道合胞病毒？</a><a class="post-submenu-sticky__item" href="#content-2" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>呼吸道合胞病毒的病因及傳播途徑</a><a class="post-submenu-sticky__item" href="#content-3" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>呼吸道合胞病毒的症狀</a><a class="post-submenu-sticky__item" href="#content-4" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>新冠肺炎和呼吸道合胞病毒有何分別?</a><a class="post-submenu-sticky__item" href="#content-5" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>呼吸道合胞病毒的預防方法</a><a class="post-submenu-sticky__item" href="#content-6" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>治理方法</a><a class="post-submenu-sticky__item" href="#content-7" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>「免疫缺口」令嬰幼兒定必感染呼吸道合胞病毒?</a><a class="post-submenu-sticky__item" href="#content-8" data-track-event="Content Interacted" data-interaction-type="Page Navigation"><span class="post-submenu-sticky__icon icon-arrow_forward"/>常見問題</a> </div> </div> <div class="post__side"> <div class="info__content"> <div class="post-submenu"> <div class="post-submenu__subtitle">目錄</div> <ul class="post-submenu__list"> <li class="post-submenu__row"><a class="post-submenu__item" href="#content-1"><span class="post-submenu__icon icon-arrow_forward"/>甚麼是呼吸道合胞病毒？</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-2"><span class="post-submenu__icon icon-arrow_forward"/>呼吸道合胞病毒的病因及傳播途徑</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-3"><span class="post-submenu__icon icon-arrow_forward"/>呼吸道合胞病毒的症狀</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-4"><span class="post-submenu__icon icon-arrow_forward"/>新冠肺炎和呼吸道合胞病毒有何分別?</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-5"><span class="post-submenu__icon icon-arrow_forward"/>呼吸道合胞病毒的預防方法</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-6"><span class="post-submenu__icon icon-arrow_forward"/>治理方法</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-7"><span class="post-submenu__icon icon-arrow_forward"/>「免疫缺口」令嬰幼兒定必感染呼吸道合胞病毒?</a></li><li class="post-submenu__row"><a class="post-submenu__item" href="#content-8"><span class="post-submenu__icon icon-arrow_forward"/>常見問題</a></li> </ul> </div> <div class="post-share"> <div class="post-share__subtitle">分享</div> <div class="post-share__body"> <div class="a2a_kit a2a_default_style"> <a class="a2a_button_copy_link gtm_blog_post_share_url_zh" data-track-event="Content Interacted" data-interaction-type="Share"><span class="post-share__item icon-link"/></a> <a class="a2a_button_whatsapp gtm_blog_post_share_wts_zh" data-track-event="Content Interacted" data-interaction-type="Share"><span class="post-share__item icon-whatsapp"/></a> <a class="a2a_button_facebook gtm_blog_post_share_fb_zh" data-track-event="Content Interacted" data-interaction-type="Share"><span class="post-share__item icon-facebook"/></a> <a class="a2a_button_wechat gtm_blog_post_share_we_zh" data-track-event="Content Interacted" data-interaction-type="Share"><span class="post-share__item icon-wechat"/></a></div> </div> </div> <a href="#" class="back-to-top" title="返回頁頂"><span class="icon-chevrons-up"/></a> </div> </div> <div class="post__main"> <div class="editor__content"> <h2 class="editor__h2 editor__menu_anchor" id="content-1">甚麼是呼吸道合胞病毒？</h2><div class="editor__item editor__text"><p><span style="font-weight: 400;">呼吸道合胞病毒（英文: </span><span style="font-weight: 400;">Respiratory syncytial virus 或RSV）</span><span style="font-weight: 400;">，是一種單鏈的核糖核酸病毒，可引致</span><span style="font-weight: 400;">呼吸道疾病，例如氣管、肺部及中耳的感染。病毒在</span><span style="font-weight: 400;">香港於春夏較活躍，2至</span><span style="font-weight: 400;">3月為高峰期，4至8月為中型爆發期。</span></p></div><div class="editor__item editor__adv"><a class="e-adv__link" href="https://www.bowtie.com.hk/zh/insurance/vhis/bowtie-pink?utm_source=blog-banner&amp;utm_medium=blog&amp;utm_content=VHIS|blog-WAWAWA-Offer" target="_blank" rel="noopener noreferrer" data-track-event="CTA Clicked" data-interaction-type="Banner"><img class="gtm_blog_post_ad1_zh lazy" data-src="https://www.bowtie.com.hk/blog/wp-content/uploads/2021/06/19171957/Bowtie-Pink-%E5%A2%9E%E9%80%B2%E5%98%A9.jpg" alt="Bowtie-Pink-增進嘩"/></a></div><h2 class="editor__h2 editor__menu_anchor" id="content-2">呼吸道合胞病毒的病因及傳播途徑</h2><div class="editor__item editor__text"><p><span style="font-weight: 400;">呼吸道合胞</span><span style="font-weight: 400;">病毒可通過直接接觸患者的分泌物、飛沫傳播，或通過受污染的手或接觸受污染的任何食具，甚至物件間接傳播。</span></p></div><h2 class="editor__h2 editor__menu_anchor" id="content-3">呼吸道合胞病毒的症狀</h2><div class="editor__item editor__text"><p>有以下症狀不一定等如感染了呼吸道合胞病毒，但身體不適求醫之前，亦可以作為參考：</p><ul><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">鼻塞及流鼻水</span></li><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">咳嗽</span></li><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">發燒</span></li><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">喉嚨痛</span></li><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">頭痛</span></li><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">胸悶</span></li><li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">呼吸困難</span></li></ul><h3><strong>嚴重感染會引致甚麼併發症?</strong></h3><p><span style="font-weight: 400;">嚴重的感染可擴散到患者下呼吸道、導致肺炎、中耳感染或小氣道發炎等。通常普通病症都會在一到兩周康復，但如果病情嚴重的話，患者亦有機會在兩周後仍然出現哮喘等症狀。</span></p><h3><strong>呼吸道合胞病毒的高危人士</strong></h3><p><span style="font-weight: 400;">長者、長期病患者，包括心臟病、</span><span style="font-weight: 400;">癌症、</span><span style="font-weight: 400;">神經肌肉障礙患者；以及5</span><span style="font-weight: 400;">歲或以下的小童，特別是6個月或以下的嬰兒</span><span style="font-weight: 400;">較容易受感染。</span></p><h3><strong>什麼情況下要求醫？</strong></h3><p><span style="font-weight: 400;">若患者出現呼吸困難、發高燒或皮膚呈藍色，尤其是嘴唇和甲床發藍等病徵，有機會是嚴重的感染個案。</span><span style="font-weight: 400;">家長如發現子女出現食欲不振、容易疲累、氣促等病徵亦應盡快求醫</span><span style="font-weight: 400;">。不過，就如上面所指，</span><span style="font-weight: 400;">患者一般可在1至2星期內痊癒</span><span style="font-weight: 400;">，</span><span style="font-weight: 400;">而且大部分感染個案病情都相對輕微。</span></p></div><h2 class="editor__h2 editor__menu_anchor" id="content-4">新冠肺炎和呼吸道合胞病毒有何分別?</h2><div class="editor__item editor__text"><table><tbody><tr><td/><td><b>新冠肺炎</b></td><td><b>呼吸道合胞病毒</b></td></tr><tr><td><b>病徵</b></td><td><span style="font-weight: 400;">鼻塞及流鼻水、咳嗽、發燒及喉嚨痛等，但有機會導致患者失去味覺及嗅覺</span></td><td><span style="font-weight: 400;">鼻塞及流鼻水、咳嗽、發燒及喉嚨痛等，亦有可能導致患者出現氣促或喘氣的情況。</span><span style="font-weight: 400;">引起的併發症也</span><span style="font-weight: 400;">較嚴重，包括肺炎</span></td></tr><tr><td><b>病情嚴重性</b></td><td><span style="font-weight: 400;">與嬰幼兒相比，成年人感染新冠肺炎的病徵比較嚴重。有兒童感染後甚至無病徵。</span></td><td><span style="font-weight: 400;">嬰幼兒感染後病徵比較嚴重，尤其對早產及歲數六個月以下的嬰兒</span></td></tr><tr><td><b>流行季節性</b></td><td><span style="font-weight: 400;">沒有明顯高峰期</span></td><td><span style="font-weight: 400;">春夏，三至八月</span></td></tr><tr><td><b>病毒潛伏期</b></td><td><span style="font-weight: 400;">三至四日</span></td><td><span style="font-weight: 400;">四至六日</span></td></tr></tbody></table><p> </p></div><h2 class="editor__h2 editor__menu_anchor" id="content-5">呼吸道合胞病毒的預防方法</h2><div class="editor__item editor__text"><p><span style="font-weight: 400;">保持良好的個人和環境衞生是最有效的預防方法。經常保持雙手清潔，打噴嚏或咳嗽時應用紙巾掩蓋口鼻。如感到不適，避免前往人多擠逼或空氣流通欠佳的公眾地方。保持健康生活習慣，適量運動和均衡飲食以增強抵抗力。如果家中有小孩，建議經常使用 1 比 99 稀釋家用漂白水消毒常被兒童接觸的表面，如傢俬和玩具，預防病毒散播或停留的機會。</span></p></div><h2 class="editor__h2 editor__menu_anchor" id="content-6">治理方法</h2><div class="editor__item editor__text"><p><span style="font-weight: 400;">可用支援性療法紓緩病況，例如使用退燒藥；嚴重個案或需氧氣療法或管飼法。如有引起的併發症，例如肺炎、竇炎或中耳炎，患者或須服用抗生素。</span></p></div><h2 class="editor__h2 editor__menu_anchor" id="content-7">「免疫缺口」令嬰幼兒定必感染呼吸道合胞病毒?</h2><div class="editor__item editor__text"><p><span style="font-weight: 400;">新冠疫情期間長期戴口罩，不少兒童及成年人因未有接觸過病毒，而失去對病毒的免疫屏障和令整體自身免疫力下降，因而出現「免疫缺口」。</span><span style="font-weight: 400;">加上近日天氣反復不定，嬰幼兒比較容易著涼。兒童又常用手碰觸不同事物探索，病菌容易透過雙手接觸到眼耳口鼻進入身體，因此染病機機率較高。</span></p><h3><strong>父母應如何護理？</strong></h3><p><span style="font-weight: 400;">兒科專科醫生、中大兒科名譽臨牀副教授周中武指，全世界解除口罩令後，均見呼吸道病毒爆發。本港幼童亦無可避免，要經歷一段陣痛期，呼籲家長毋須過分擔心，只要及早求醫，大多很快痊癒。</span></p><p> </p></div><h2 class="editor__h2 editor__menu_anchor" id="content-8">常見問題</h2><div class="editor__item editor__faq"><div class="e-faq__wrap"><div class="e-faq__list is--active"><div class="e-faq__head">呼吸道合胞病毒有疫苗嗎? <span class="e-faq__icon icon-add"/></div><div class="e-faq__body" style="display:block;"><p><span style="font-weight: 400;">此病暫時沒有疫苗可以預防；不過2023</span><span style="font-weight: 400;">年3月時，香港感染及傳染病醫學會表示針對呼吸道合胞病毒感染的疫苗經已研製成功，可望於2023年內推出。</span></p></div></div><div class="e-faq__list"><div class="e-faq__head">感染呼吸道合胞病毒會引致死亡嗎?<span class="e-faq__icon icon-add"/></div><div class="e-faq__body"><p><span style="font-weight: 400;">病毒致死率只有0.1%，致死機會偏低。</span></p></div></div></div></div><div class="editor__item editor__read_more"><div class="e-rm__title">延伸閱讀</div><ul class="e-rm__list"><li><a href="https://www.bowtie.com.hk/blog/zh/%e8%82%ba%e7%82%8e/" target="_blank" rel="noopener noreferrer">【肺炎】了解症狀、傳染、治療方法及什麼是肺炎鏈球菌！</a></li><li><a href="https://www.bowtie.com.hk/blog/zh/%e6%94%af%e6%b0%a3%e7%ae%a1%e7%82%8e/" target="_blank" rel="noopener noreferrer">【支氣管炎】咳唔停有咩原因？氣管出事隨時變肺炎，傳染他人？</a></li><li><a href="https://www.bowtie.com.hk/blog/zh/%e6%b0%a3%e7%ae%a1%e6%95%8f%e6%84%9f/" target="_blank" rel="noopener noreferrer">【氣管敏感】即睇原因、治療及預防方法</a></li><li><a href="https://www.bowtie.com.hk/blog/zh/%e5%93%ae%e5%96%98/" target="_blank" rel="noopener noreferrer">哮喘發作該如何急救？一文分析成因、症狀、診斷和改善方法</a></li></ul></div><div class="editor__item editor__source"><div class="e-src__title">資料來源</div><ul class="e-src__list"><li class="e-src__item" id="source-1"><span class="e-src__legend">1</span><a class="e-src__link" href="https://www.mayoclinic.org/diseases-conditions/respiratory-syncytial-virus/symptoms-causes/syc-20353098" target="_blank" rel="noopener noreferrer nofollow">Mayo Clinic - Respiratory syncytial virus (RSV)</a></li><li class="e-src__item" id="source-2"><span class="e-src__legend">2</span><a class="e-src__link" href="https://www.nbcnews.com/health/health-news/covid-flu-rsv-symptoms-comparison-chart-rcna58523" target="_blank" rel="noopener noreferrer nofollow">NBC News</a></li><li class="e-src__item" id="source-3"><span class="e-src__legend">3</span><a class="e-src__link" href="https://www.webmd.com/covid/covid19-rsv" target="_blank" rel="noopener noreferrer nofollow">WebMD</a></li><li class="e-src__item" id="source-4"><span class="e-src__legend">4</span><a class="e-src__link" href="https://health.clevelandclinic.org/rsv-vs-covid-vs-flu/" target="_blank" rel="noopener noreferrer nofollow">Cleveland Clinic</a></li><li class="e-src__item" id="source-5"><span class="e-src__legend">5</span><a class="e-src__link" href="https://www.chp.gov.hk/tc/healthtopics/content/24/36.html" target="_blank" rel="noopener 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