How to tell the difference between pediatric pneumonia? How to tell if a child s cough is severe or

When a child has pneumonia, parents are eager to know the prognosis of the disease. Of course, the prognosis of most children with pneumonia is good, and the prognosis of some children is poor. The following situations can help you make a decision:

1) Age factor: Generally, the younger ones are worse than the older ones. (2) Nutrition and appetite:

The prognosis of well-nourished people is better than that of poorly nourished; Exudative constitution children, often mud-like obesity, after suffering from pneumonia for a long course of disease, but also more severe; Children's appetite often reflects the condition, those with good appetite are generally mild, and those who refuse to eat indicate that the disease is serious, if there is vomiting and diarrhea, it often affects the recovery of the disease. (3) Spirit, body temperature, respiration, and pulse: If the spirit is listless, persistent high fever, or the body temperature does not rise, the breathing is shallow and rapid or uneven, and the pulse is weak with unevenness, it means that the disease is serious and the prognosis is poor; If the spirit is more active, the body temperature is high than superthermia, the breath is shortness of breath without dyspnea, and the pulse count is strong, the prognosis is good.

4) Cough and secretions: The prognosis is good for those who have a mild cough and thin secretions, and are easy to cough up without dyspnea. Patients with frequent cough, thick and viscous discharge, and dyspnea and heart failure have poor prognosis; If there is a sputum sound in the larynx, there is no cough reflex during sputum aspiration treatment, and the prognosis is poor.

5) Abdominal distention: Abdominal distension often occurs in children with pneumonia, and after reasonable treatment, the prognosis of abdominal distension is good; If the abdominal distension does not improve after the treatment of anal canal and drugs, it indicates the existence of toxic intestinal paralysis and the prognosis is poor. (6) Comorbidities and complications:

Patients with comorbidities such as severe rickets, congenital heart disease, immunodeficiency disease, chronic diarrhea or pneumonia complicated by pneumothorax, toxic myocarditis, and toxic encephalopathy have a poor prognosis. (7) Signs and laboratory tests: pulmonary rales are scarce and mainly small and medium-sized vesicle sounds, and the total number of white blood cells and neutrophils are slightly elevated, and the prognosis is good; Patients with dense rales in the lungs and small vesicular sounds, consolidation, decreased or excessively high total white blood cell count, and neutrophils accompanied by toxic granules are severely ill and have a poor prognosis.

8)**Morning and evening and pathogens: if the bacterial infection is timely**, the response is good and the prognosis is good; If it is infected with Staphylococcus aureus, Pseudomonas aeruginosa, hemolytic Escherichia coli, etc., the bacteria are often virulent and insensitive to antibiotics or even resistant, so the prognosis is poor; At present, the combination of traditional Chinese and Western medicine is mostly used for viral pneumonia, and the effect is better.

It usually occurs a few days after an upper respiratory tract infection and is characterized by fever, cough, and wheezing. The cough is initially dry. Later, the cough has phlegm, but the child does not spit, and the purring sound can be heard in the throat.

Rapid breathing, nasal flaring, perioral bluening, chest depression, irritability, and often accompanied by vomiting and diarrhea, abdominal distension, etc., may occur. Diagnosis is made if chest auscultation reveals fine crackles in both lungs or one lung. However, the neonatal pneumonia is often atypical, there may be no fever, and there are few cough symptoms, often only manifested as body temperature does not rise, refusal to breastfeed, choking, foaming at the mouth, blue around the mouth, drowsiness, irregular breathing rhythm or jaundice, etc., the lung auscultation sometimes does not hear dry and wet rales, if not careful, often missed diagnosis.

As a result, even professional pediatricians sometimes need to rely on x-rays to help diagnose neonatal pneumonia. How do parents know if their child has pneumonia? Fever and cough in children do not necessarily mean that they have pneumonia, but if they are accompanied by rapid breathing, they should be alert to pneumonia.

Since the 80s, the World Health Organization (WHO) has vigorously advocated "acute respiratory infection case management" in developing countries, and has developed a simple "acute respiratory infection routine" that can be mastered by primary health personnel and parents, that is, to determine whether children have pneumonia and judge the severity of pneumonia by observing whether children have rapid breathing and chest depression. When observing the number of breaths in your child, it is important to keep your child quiet. The number of breaths at rest in normal children varies according to age, and infants less than two months old should breathe 60 minutes at the beginning; Infants aged 2-12 months should receive 50 beats; Infants aged 1-4 years should receive 40 minutes.

A chest depression is when the lower chest wall is inverted when the baby inhales. If the child has a cough accompanied by rapid breathing, it is mild pneumonia; If there is rapid breathing and a depression in the chest, it is severe pneumonia; If the above is accompanied by inability to drink water and cyanosis, it is very severe pneumonia. Generally, mild pneumonia can be done at home**; Severe pneumonia requires hospitalization**.

However, if you find symptoms, you must first go to the hospital and ask a doctor to help confirm the diagnosis.

Pneumonia will inevitably bring a high fever, if it is more than 38 degrees Celsius, and you take antipyretics, the fever is reduced at the beginning, and it is a high fever of 38 degrees immediately after the effect of the medicine, then it may be pediatric pneumonia.

Listen carefully to your child's breathing, 40 to 60 breaths a minute, even if it is normal, the best is 45 times a minute, more than shortness of breath may be pneumonia, listen to it when he is calm.

A severe cough in children is not necessarily pneumonia. If the cough is significantly aggravated, my mental state at this time is not very good, at this time I must go to the hospital for a check-up, at this time I can judge it well, and I can also detect it well.

To determine whether a child has pneumonia, the diagnosis needs to be determined based on the child's clinical symptoms, blood count, auscultation, lung X-ray, lung function and other tests. Pneumonia is associated with viral or bacterial infections, colds, weakened immunity, and other factors. Once the diagnosis is confirmed, oral anti-inflammatory drugs and cough suppressants are required**.

**During this period, pay attention to rest and do not overdo it. Don't catch a cold and take your medicine regularly. Drink plenty of water and avoid cold, greasy, desserts, snacks, drinks, etc.

According to the symptoms, the patient should be tracheitis, for overwork, long-term illness or insufficient congenital endowment resulting in lung loss, lung qi reversal, lung ventilation dysfunction, so cough, shortness of breath, chest tightness and fever, it is recommended to dispel wind and cold, cough and phlegm, nourishing yin and clearing the lungs drugs such as Yangyin Qinglung granules, lung strength cough capsules**, and give a low-salt and low-fat diet.

The appearance of pneumonia will have many symptoms in addition to cough, such as fever, poor breathing or severe mental abnormalities, in addition to these, there may also be problems such as poor appetite, so in this case should also be paid attention to.

Take my youngest son to the hospital to check the medicines, and take them for a few days, according to the doctor's prescription.

Whether this is pneumonia or not, it needs to be examined and identified by the doctor, mainly to see if there is an infection in the lungs, which cannot be seen by the eyes, but if the cough is severe, or the cough is long, it is best to go to the hospital for examination, and cure it as soon as possible

A stethoscope is required to listen and then fluoroscopy.

Pneumonia is a common disease in children, especially in winter and spring, and it is also the disease with the highest mortality rate among children.

Pneumonia initially has the symptoms of a cold, followed by:

1. Shortness of breath and wheezing.

2. Listlessness, pale or gray.

3. Blue around the mouth.

4. The nose is fanned, or it is obviously laborious when inhaling.

5. Cough aggravated.

6. Fever. Prevention of pneumonia should:

1. Increase outdoor activities to enhance children's immune function, especially the disease resistance of the respiratory tract.

2. Ventilation in the room, even in winter, should be ventilated regularly to keep the indoor air fresh and reduce the concentration of pathogenic microorganisms 3. Eat more foods rich in vitamin A to promote the health of the respiratory mucosa.

4. Prevent respiratory infections, avoid taking children to public places in winter and spring, especially during the influenza epidemic. Infectious chiropractic diseases such as influenza and measles should cause pneumonia.

If a child is found to have symptoms of pneumonia, he or she should go to the hospital for treatment as soon as possible, and care for the child should be strengthened. When the pneumonia is mild or the recovery period is at home**, the air in the room should be kept fresh, and the temperature and humidity should be appropriate. Feed water frequently to avoid sticky phlegm and bad spitting.

Let the child turn over frequently, which will help the inflammation dissipate. And the diet should be nutritious and easy to digest.

My daughter has pneumonia and has just been discharged from the hospital. Spine.

Initially the reaction was the same and the feeling was the same. However, if the high fever does not go away, accompanied by cough, the child is in poor spirits. You can hear symptoms such as shortness of breath.