Asthma is a relatively common respiratory disease and also a lung disease that can cause great discomfort to people. Asthma patients are common in many populations, especially in children, the probability of asthma is also very high. Asthma in children usually recurs frequently. To completely cure it, the child and parents must cooperate with the doctor and adopt reasonable treatment methods. 1. Overview Infantile asthma is a common lung disease in children. It is a reversible, obstructive respiratory disease characterized by recurrent cough, wheezing, and dyspnea accompanied by airway hyperresponsiveness. Asthma is a common chronic respiratory disease that seriously endangers children's health. It has a high incidence rate and is often manifested as a chronic course of recurrent illness, which seriously affects the children's learning, life and activities, and affects their growth and development. Many children with asthma eventually develop adult asthma due to untimely or improper treatment, which causes prolonged illness, impaired lung function, and some children even completely lose the ability to engage in physical activities. Severe asthma attacks can be fatal if not treated promptly and effectively. 2. Causes The prevalence of asthma around the world ranges from 0.1% to 32%. The reasons may be related to genetic genes, age, geographical location, climate, environment, race, industrialization, urbanization, interior decoration, living standards, eating habits, etc. 3. Clinical manifestations 1. Symptoms and signs during acute attack The main symptoms of an acute asthma attack include coughing, wheezing, difficulty breathing, chest tightness, etc. The typical presentation is episodic expiratory dyspnea with wheezing. In mild attacks, paroxysmal cough and chest tightness are the main symptoms. During a severe attack, the child becomes restless, sits up to breathe, shrugs and gasps, has a pale face, flaring nostrils, blue lips and nails, cold sweats all over the body, and cannot speak coherent words. The "three-depression sign" is obvious, with abnormal chest and abdominal movements, thorax bulging, percussion sound is too clear, exhalation is prolonged, and most have widespread wheezing mainly in the expiratory phase. If the airway obstruction is severe, the breath sounds may be significantly weakened, while the wheezing sounds may weaken or even disappear. The heart rate increases, and signs such as distended neck veins and pulsus paradoxus may appear. In severe cases, heart failure may occur, resulting in widespread medium and small bubbling sounds at the lung bases, enlarged liver, and edema. The symptoms of an acute asthma attack can be relieved by treatment with bronchodilators or on their own over a few hours to a few days. 2. Symptoms and signs during remission During the remission period, all symptoms and signs of most children disappear. Some children feel chest tightness and weakened breath sounds when auscultating their lungs, but there is often no wheezing. IV. Treatment 1. Treatment should be actively carried out to completely control the symptoms. 2. Protect and maintain lung function as normal as possible. 3. Avoid or reduce adverse drug reactions. In order to achieve the above goals, the key is to develop a reasonable treatment plan and adhere to long-term treatment. Inhalation therapy is an important measure to achieve better therapeutic effects and reduce adverse reactions. |
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