Unverified90% confidenceDecision RuleTime unknown
腹泻持续超过48小时、每日超过6次、伴高热39℃以上或严重脱水（尿少、意识模糊）时应就医，自备药品仅用于轻中度自限性腹泻
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90%
Confidence
Long-term
Relevance
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Unverified急性腹泻+呕吐同时出现且持续超过24小时或伴随血便、精神萎靡，属于需就医情况，不应自行用非处方止泻药，可能掩盖细小、胰腺炎等重症80% similarUnverified消食类中成药属对症急用药，一般服用不超过3-7天，症状缓解即停；若腹胀消化不良持续超2周或伴消瘦、黑便、反复呕吐，应停药就医排查器质性疾病78% similarUnverified急性腹泻或呕吐期间不应仅靠营养膏，益生菌膏起效需3-7天累积，急性期应先禁食并配合蒙脱石散或就医78% similarUnverified对乙酰氨基酚（扑热息痛）对胃肠刺激小、无出血风险，适合有胃病或空腹时服用；布洛芬退热持续时间更长（6-8小时vs4-6小时）但需随餐服用以减少胃刺激77% similarUnverified蒙脱石散长期或过量使用可能引起便秘，一旦大便成形应立即停药，不应作为止泻药连续服用超过7天，慢性腹泻需就医查因76% similar
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