Child with blocked nose and difficulty breathing

Now is the season for viral colds. At this time, no matter the elderly, children or young people, they will be affected by the flu. After a cold, they may not only have a blocked nose and difficulty breathing, which will make parents worried and anxious. Not only do they have to keep an eye on the baby's body temperature and the development of the cold, but they also have to clear the child's blocked nose. How should they properly care for their baby after a cold?

1. Grading of laryngeal obstruction and corresponding treatment principles

1. Grading of laryngeal obstruction:

Depending on the severity of the disease, laryngeal obstruction is divided into grades A to D.

① Grade A: No dyspnea when at rest, mild inspiratory dyspnea when active or crying, slight inspiratory laryngeal stridor and inspiratory soft tissue depression around the chest.

② Grade B: Mild dyspnea, inspiratory laryngeal wheezing and inspiratory soft tissue depression around the thorax occur even at rest, which worsens during activity but does not affect sleep and eating, and there are no symptoms of hypoxia such as irritability. The pulse is normal.

③ Grade C: Obvious dyspnea, loud laryngeal wheezing, significant inspiratory concavity of the soft tissue around the thorax, and symptoms of hypoxia, such as irritability, difficulty falling asleep, unwillingness to eat, and rapid pulse.

④ D degree: Extreme difficulty breathing. The patient is restless, his hands and feet move around, he sweats, his face is pale or cyanotic, he loses orientation, has an irregular heartbeat, a weak pulse, low blood pressure, and incontinence. If not promptly rescued, the person may die from suffocation, coma or heart failure.

2. Treatment principles:

For patients with acute laryngeal obstruction, we must race against time, adapt to local conditions, and quickly relieve breathing difficulties to avoid suffocation or heart failure. Treatment is either medication or surgery, depending on the cause and severity of the dyspnea.

① Degree A: Identify the cause and actively treat it. If caused by inflammation, use adequate doses of antibiotics and corticosteroids.

② Grade B: If caused by inflammation, tracheotomy can be avoided in most cases by using sufficient effective antibiotics and glucocorticoids. If it is a foreign object, it should be removed quickly. If the cause cannot be removed immediately due to laryngeal tumor, laryngeal trauma, bilateral vocal cord paralysis, etc., tracheotomy should be considered.

③ Grade C: caused by inflammation, with a short duration of laryngeal obstruction. Active drug treatment can be used under close observation, and preparations for tracheotomy should be made. If drug treatment does not improve the condition and the general condition is worse, tracheotomy should be performed as soon as possible. If it is a tumor, a tracheotomy should be performed immediately.

④ Degree D: Perform tracheotomy immediately. If the condition is extremely urgent, cricothyroidotomy can be performed first, or tracheal intubation can be performed first, followed by tracheotomy.