Patient's question:
Tuberculosis 20091226. Previous treatment history and effectiveness for hereditary transmission: Hospitalized for a week, thorough examination results, pneumonia, used too much children's heart, not very effective, what kind of assistance is needed: What kind of medicine or treatment methods can be collected...Doctor's answer:
Bronchitis refers to lower respiratory tract infections with asthma-like symptoms in infants and young children, and is a recurrent allergic disease. It typically occurs in early childhood (under 3 years old) and is often triggered by various allergens (e.g., pollen, dust, animal hair, mites, bacteria, etc.), as well as changes in weather and emotional excitement.Treatment Recommendations:
1. Clearing the lungs and expelling phlegm: If the phlegm is thick and difficult to cough up, it can be treated with inhalation therapy, along with 10% ammonium chloride mixture, bisolvon, or pediatric strong phlegm expeller (1-2 tablets for 2-4 years old, 2-3 tablets for 5-8 years old). Frequent mild coughing that interferes with deep sleep and rest can be treated with small doses of cough suppressants, such as diphenhydramine and chlorpheniramine (0.5-1 mg/kg per dose, 2-3 times daily). It is important to avoid overuse and prolonged use, as this may impair the normal function of cilia, making it difficult to expel secretions.
2. Relaxing spasms with theophylline: 2-4 mg/kg per dose, 3-4 times daily by mouth. Salbutamol: For children under 6 years old, 1-2 mg per day, divided into 3-4 doses; or 0.1 mg/kg per dose. Salbutamol inhalation solution (0.5%, 1 puff = 0.1 mg): 1-2 puffs per dose, 2-3 times daily. In cases of severe wheezing, prednisone can be added (1 mg/kg per day, divided into 3 doses, with a course of 4-7 days). Proprionate beclomethasone inhalation can also be used, but local medication may increase the side effects of systemic medication. It is not suitable for infants and young children due to difficulty in administration. For children, 1-2 puffs (50 μg-100 μg per puff) per dose, 2-4 times daily.
(III) Traditional Chinese Medicine Treatment
1. Cough relief and wheezing relief: During the period, many traditional Chinese medicine formulations for cough relief and wheezing relief can be used, which can also alleviate symptoms to some extent.
2. Externalmedication: Many infants and young children suffer from long-term medication, which can lead to various side effects. Externalmedication with traditional Chinese medicine is a safe and convenient alternative. Currently, commonly used products include Bicaoqiong Jiyi (for expelling phlegm) and Siji (for use in winter).