Cough variant asthma, also known as atypical asthma, usually needs to be differentiated from bronchopneumonia. There are similarities and differences in clinical manifestations between them:
Diagnostic status of children's bronchial asthma: At present, the clinical diagnosis of asthma is either insufficient or excessive, especially atypical pneumonia asthma, also known as cough variant asthma, which is often misdiagnosed as chronic bronchitis or bronchial pneumonia cough, leading to the extensive use of antibiotics, which not only increases the pain of children's skin and flesh, but also increases the financial burden of parents. The diagnosis of bronchial asthma in children can not be diagnosed as bronchopneumonia just because children's lungs hear moist rales. Immunoregulation can prevent children's asthma and improve children's allergic constitution through anti-allergic probiotics Kangmin source.
History: Bronchopneumonia is a pathogen infection, which may have a history of communication room contact and acute onset. After reasonable and effective antibiotic treatment, it can generally improve and recover day by day, and there should be no recurrence history.
Bronchial asthma (cough variant asthma) is respiratory allergy and reactive inflammation caused by contact with allergens such as dust mites and pollen. The onset is slow, recurrent and has a history of genetic susceptibility. Children are often allergic or have a history of eczema, food allergy/drug allergy and allergic rhinitis.
1, fever:
Bronchopneumonia is an infectious inflammation. Theoretically, children should generally have a fever, unless they are severely malnourished or in poor health, they will not show a fever.
Bronchial asthma is allergic inflammation. Unless it is complicated with infection, the average child is "not feverish".
2. Cough:
Children with bronchopneumonia often cough day and night and often cough up yellow pus and phlegm. After proper anti-infection treatment, the condition was relieved and the cough was relieved and disappeared.
Cough in children with asthma has its own characteristics: it is often "morning cough or night cough", often coughing up foam and phlegm. Sometimes it lasts for half an hour until the food you eat is spit out. This cough can be effectively treated by atomizing inhalation. When stimulated by strenuous exercise or inhalation of cold air, it can be repeated or paroxysmal. Because asthmatic children inhale allergens that are hard to avoid contact every day in their living environment, even if they don't breathe (don't breathe)
3. Shortness of breath:
Children with bronchopneumonia have pulmonary alveoli lesions, the gas exchange area is affected, the amount of oxygen inhaled is reduced, and the body will naturally accelerate the compensatory breathing frequency and appear shortness of breath.
During the acute attack of asthma in children, the airway cavity is narrowed due to the contraction of airway smooth muscle, and dyspnea often occurs during expiratory phase.
4, poisoning symptoms:
When children with bronchopneumonia are seriously infected, symptoms of systemic poisoning may occur, such as listlessness, pallor, cyanosis around the lips and cold limbs.
Children's asthma has no serious infection, but no symptoms of systemic poisoning. When children's asthma is mild or moderate, they are generally in good condition and have no symptoms of hypoxia and poisoning. When children have an acute attack of asthma, they may have difficulty breathing.
5. Logo:
When children with bronchopneumonia are auscultated, they can hear moderate to fine moist rales in both lungs, which gradually disappear after more than one week of treatment.
Typical asthmatic children can hear the obvious wheezing sound of both lungs during auscultation, while atypical asthmatic children can hear moderate or subtle moist rales besides the wheezing sound of both lungs. This is because cytokines secreted by inflammatory cells (such as IL-4, IL-5, etc. ) stimulate mucus glands to secrete too much, and produce excessive mucus to accumulate in airway cavity. When breathing, air flow with mucus through the lumen will produce bubbles. So it is often clinical. Whenever we hear that there are blisters in both lungs, we will habitually consider the diagnosis of bronchopneumonia without thinking, which is easy to be misdiagnosed as asthma in children and needs to be paid attention to by medical workers.
6. Test:
The total number of white blood cells in children with bronchopneumonia is generally high, and the classified count shows that neutrophils are elevated.
When children with asthma undergo routine blood examination, the total number of white blood cells is generally in the normal range, and neutrophils do not increase, but eosinophils often increase, and the released eosinophil cationic protein (ECP) also increases correspondingly, and IgE often increases.
It is not difficult to diagnose typical children with asthma. According to the clinical symptoms, chronic paroxysmal cough, mostly morning cough or night cough, produces white foam and phlegm, but generally does not have fever (unless accompanied by secondary infection), repeatedly or continuously wheezing, and wheezing can be heard in both lungs during auscultation.
7, children's asthma treatment:
Bronchopneumonia belongs to infectious inflammation, and rational use of sensitive antibiotics is effective, and it can be cured in 1~2 weeks.
Allergic asthma in children belongs to non-infectious inflammation, but allergic inflammation. Inhaled hormone is a first-line treatment drug. At present, children's asthma, especially atypical asthma (also known as cough variant asthma) is used to antibiotics in clinic. Generally, intravenous drip for 3~5 days, symptoms include cough, wheezing and wheezing, and blisters have not improved, so the dosage of antibiotics will be increased or more advanced antibiotics will be used. In fact, even if the curative effect is not ideal, antibiotics are ineffective for allergic asthma. Children asthma and atypical cough variant asthma should be treated with hormone inhalation as soon as possible, and wheezing blisters can disappear within 1~2 days.
8. Children's asthma is transferred to Kangminyuan, a non-drug antiallergic probiotic;
Although allergic asthma in children takes effect quickly after hormone therapy, cough or wheezing is relieved or stabilized, due to the existence of allergic constitution and repeated contact with the inevitable allergens in the living environment, such as cold air, dust mites or pollen in outdoor air, it will cause chronic airway inflammation in asthmatic children and become a chronic recurrent disease, which will recur one day. Therefore, the treatment plan of asthma should adhere to the principle of long-term, continuous and standardized individualized treatment. Especially in recent years, Kangminyuan anti-allergic probiotics have played an important role in improving children's allergic constitution, correcting immune function and preventing allergic cough and asthma in respiratory tract. It can be said that Kangminyuan anti-allergic probiotics is a recommended therapy in the treatment of childhood asthma.
Children's asthma must be emphasized. Clinical pediatricians must carefully distinguish atypical asthma, pneumonia asthma and bronchopneumonia, and detect eosinophils and IgE when necessary to avoid unreasonable or unnecessary use of antibiotics, otherwise it will not only increase the pain of children with asthma, but also increase the emergence of drug-resistant strains. Asthma in children is the root of allergic constitution, so Kangminyuan anti-allergic probiotics can be supplemented to improve allergic constitution. It can reduce inflammatory mediators and cytokines in the body and reduce allergic IgE antibodies. Children with asthma can be supplemented with Kangminyuan anti-allergic probiotics every day, which can not only reduce the inflow of eosinophils induced by allergens into the respiratory tract, but also reduce the cytokine reaction caused by allergic reactions. It plays an important role in the long-term treatment of childhood asthma and shortens the hormone treatment cycle. Not all probiotics can have some effect. Kangminyuan's five patented anti-allergic probiotics can regulate the immune response of the lungs, reduce the frequency and severity of respiratory virus infection in children, and strengthen children's respiratory defense ability.