Acute respiratory infections in children caused by Haemophilus pertussis and Bacillus parapertussis. It is more common in infants and young children, and can also be infected in newborns.
Pathogenesis: Reflex of the bronchial mucosal sensory nerve endings causes a violent, continuous cough Persistent excitation of the cough center; Caused by allergy to pathogens in the cough center. Pathology: mainly causes damage to the mucosa of the bronchi and bronchioles.
More than 95% of the disease comes from infection, especially the chronic cough of the child's parents or grandparents, which is transmitted to the baby through the respiratory tract.
The initial stage of infection is called the catarrhal phase, also called the first cough stage, which is only manifested as a single dry cough, gradually turning into paroxysmal sputum cough, light day and heavy night, lasting about 1-2 weeks, if the catarrhal phase can be applied in a timely and accurate manner, it can significantly alleviate the symptoms of entering the cramp cough stage. The spasmodic cough period is about 2-6 weeks, persistent spasmodic cough, especially at night, the typical manifestation of cough can have a chicken-like echo, coughing babies are particularly painful, and even have perioral bruising, coughing and vomiting, etc., if the drug is used at this time, even if it is accurate, the effect will not be particularly obvious. The recovery period lasts around 2-3 weeks, and longer if complications occur.
General**: Isolation of the respiratory tract to avoid convulsive cough triggers. Antibiotics: erythromycin preferred, 7 14d.
Symptomatic**: sedation, sputum suction, nebulized inhalation, artificial respiration. Hormone **: in severe cases, 3 5d.
Complications**: antibiotics, drainage, sedation, dehydration, traditional Chinese medicine**: relieve lung health, clear phlegm and clear heat.
Prevention: Vaccination: diphtheria, tetanus, tetanus, te
Drug: Erythromycin combined SMZ, 7 10d.
In recent years, due to the limitations of pertussis bacillus testing, most hospitals have made a comprehensive analysis and diagnosis based on the child's symptoms, source of infection, etc., as well as some basic laboratory data. Most recover within a month. Small babies are young, have low immunity, and have weak sputum cough, even if it is 1 month, it is best not to infect the disease. Hotspot Engine Program