Viral and bacterial infections can cause pediatric bronchitis, such as syncytial virus, influenza virus, staphylococcus, pneumococcus, etc. In many cases, it is a mixed infection of viruses and bacteria. Therefore, to treat pediatric bronchitis, we must first control the viral and bacterial infections, and secondly, we can use some bactericidal and antiviral drugs. 1. Infection control If acute bronchitis is caused by bacterial infection, the following antibacterial drugs can be used: co-trimoxazole 0.05/kg/day taken orally twice, penicillin 30,000-50,000 U/mg/day taken intramuscularly twice, medetomidine and erythromycin 30-50 mg/kg/day taken orally 3-4 times. 2. Symptomatic treatment (1) Relieve cough and eliminate phlegm: If the phlegm is thick and difficult to aspirate, you can use nebulizer inhalation and choose 10% ammonium chloride mixture, Bisouping, and Xiaoer Qiangli Tanling. Frequent dry coughs affect sleep and rest. You can take a small amount of antitussive drugs, but you should be careful to avoid overdose and prolonged use, which will affect the physiological activity of cilia and make secretions difficult to discharge. (2) Antispasmodic Aminophylline: 2-4 mg/kg/time, 3-4 times/day, orally. Salbutamol: For children under 6 years old, 1-2 mg/day, orally in 3-4 doses or 0.1 mg/kg/time, Salbutamol aerosol (0.5% 1 press = 0.1 mg), 1-2 presses/time, 2-3 times a day. If the wheezing is severe, prednisone 1 mg/kg/day can be added, taken orally in 3 divided doses, with a course of 4-7 days. Beclosan propionate aerosol can also be used. Local administration can reduce the side effects of systemic medication. It is not suitable for infants and young children who are difficult to cooperate. Children should take 1-2 presses (50μg-100μg) each time, 2-4 times a day. 3. Traditional Chinese medicine treatment (1) Antitussive and antiasthmatic: During the remission period, some Chinese herbal preparations for antitussive and antiasthmatic can be used, which can also alleviate the symptoms to a certain extent. (2) External application of medicine: When many infants and young children become ill, long-term medication may lead to some drug toxicity. The safety and convenience of applying Chinese medicine externally is also a good solution. 4. Massage therapy Through traditional Chinese medicine massage techniques, children with bronchitis symptoms are given acupoint massage and acupressure to unblock the breath and achieve the therapeutic effect. |
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