If a child has a bronchial cough, it means that the child's respiratory tract is infected by bacteria. At this time, the first thing parents should do is to control the growth of bacteria. For this purpose, relevant antibacterial drugs can be used. If the disease is serious, symptomatic treatment should be chosen. 1. Infection Control If acute bronchitis is caused by bacterial infection, the following antibacterial drugs can be used: co-trimoxazole 0.05/kg/day orally twice, penicillin 30,000-50,000 U/mg/day intramuscularly twice, medetomidine and erythromycin 30-50 mg/kg/day orally 3-4 times. If there is no clear bacterial infection or mixed infection, 10-15 mg/kg/day of ribavirin can be used or added for intramuscular injection twice, or 5 mg/kg/day for nebulized inhalation twice. 200,000 U/day of interferon-a-muscle injection can also be tried. 2. Symptomatic treatment 1. Relieve cough and eliminate phlegm: If the phlegm is thick and difficult to suck out, you can use nebulization inhalation and choose 10% ammonium chloride mixture, Bisouping, and Xiaoer Qiangli Tanling (1-2 tablets for 2-4 years old, 2-3 tablets for 5-8 years old). . Frequent dry coughs affect sleep and rest. You can take a small amount of antitussive drugs, such as promethazine and chlorpromazine 0.5-1 mg/kg/time, 2-3 times a day. Care should be taken 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. Chinese medicine treatment 1. Antitussive and antiasthmatic: During the remission period, some antitussive and antiasthmatic Chinese medicine preparations can be used, which can also alleviate the symptoms to a certain extent. |
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