Pneumonia is a common disease in children. It is more likely to have pneumonia during infants and young children, which is mainly related to the physiological, anatomy and immune characteristics of its respiratory system. For example, the bronchial and bronchial lumen of the pediatric and the bronchial cavity are relatively narrow, the mucus secretion is less, and the cilia is poor. The blood vessels of the lung tissue are rich in blood vessels, are easy to congested, the lung quality develops strong, the number of alveoli is small, the lung content is small, and the mucus obstruction is prone to occur. In addition, the immune function of the immune function of this age is immature, making infants and young children prone to pneumonia.
Intellectual department 丨 Children pneumonia 9 question 9 answers
@Children’s Asthma Doctor Xi’an Jiaotong University Second Hospital Chief Physician
1. Colds and pneumonia are fever and cough. How do you know that your baby is suffering from pneumonia?
Whether it is an upper respiratory tract infection (a cold), or the lower respiratory tract infection (bronchitis or pneumonia), there will be symptoms such as cough, sputum, and fever. Because bronchial mucosal congestion, edema, and bronchial alveolar secretions during pneumonia affect the respiratory ventilation and ventilation function, it often leads to hypoxia, causes the number of breathing times, and even breathe. Parents can judge whether the child is increased according to the increase in the number of breathing times. Patriotic pneumonia, if the child has a poor mental, high fever, and cough, the respiratory frequency exceeds 40 times/min, most of them suffer from pneumonia. Of course, the doctor must be listened to the “wet sound” in the lungs. If the lungs do not have such a special sound, they cannot diagnose pneumonia.
2. The baby does not have a fever, why is it diagnosed with pneumonia?
Fever is one of the most common symptoms of pediatric pneumonia, and the temperature of the body temperature is often related to the severity of pneumonia, but not every child with pneumonia will appear fever. Children or children with severe condition may not have fever. Therefore, cough, sputum, and breathing are increasing, and “wet sounds” appear in the lungs. Even if they are not fever, they can diagnose pneumonia. Due to poor response ability, newborns are not typical when suffering from pneumonia. They may not fever or cough. They often have symptoms such as white foam, not eating milk, low crying, gray complexion, and blue and purple around the lips. When you find that newborns have the above symptoms, you should be particularly alert to pneumonia.
3. Do you have to use antibiotics after pneumonia? Do I have to inject intravenously?
Pediatric pneumonia can be caused by different pathogenic bacteria such as viruses, bacteria, and mycoplasma. Among them, bacterial infections are the most common, accounting for more than 50%. Treatment of pneumonia should be used. Children with mild pneumonia are cough, fever, and sputum. At this time, antibiotics such as cephalosporins and cephalosporins can be taken orally. In severe children, they have a sense of posture. Cefbal second or third -generation drugs.
4. The baby has been used for 2 days, why is there no effect yet? Do you use the medicine?
Whether it is pneumonia caused by virus, or bacterial or mycoplasma infection, the treatment effect can usually be seen after using targeted therapeutic drugs. It is manifested as gradually decreased in the body temperature, the mental improvement, the increase of appetite, and the decrease in lung 音. Therefore, after 2 days of treatment with pneumonia, the child has not improved, and it is not effective. Don’t change the medicine easily. For example, when using antibiotics to treat pediatric pneumonia, it is generally only 3 to 5 days after medication to see obvious effects. Drugs cannot be replaced frequently, so as not to cause bacterial resistance. Some children will have diarrhea after using antibiotics. At this time, there is no need to stop taking medicine, which can give oral mommy love. At the same time, it is also given to take hot medicines when fever, and phlegm and cough drugs can be given when coughing. When children have shortness of breath, appearance, irritability, and continuous fever, they should go to the hospital for hospitalization in time.