The other day there was a news that made people look very sad:
A girl in Jilin went to the hospital because of acute laryngitis, but she could not get timely treatment because of the problem of the medical process, and eventually died tragically.
Because of the epidemic, the child needs to wait for the nucleic acid to report the results before further treatment, which delays the treatment time in the process.
The right and wrong behind this incident, we don't comment too much.
Today we will talk to you about this article, what is acute laryngitis? How to identify acute laryngitis? Why do you say that acute laryngitis must be treated in time? Which other coughs are more critical? What kind of cough doesn't have to worry too much?
What is acute laryngitis?
To put it in layman's terms, acute laryngitis is the abbreviation of acute larynx, tracheitis, bronchitis, in the temperature sudden change or cold season is easy to get this disease, especially this kind of season change, you must be careful. Children aged 6 months to 3 years are high-prevalent.
Why say
If the child has acute laryngitis, the treatment must be fast?
The biggest differences between the incidence of acute laryngitis in children and laryngitis in adults are:
urgent!
heavy!
fatal!
The specific reasons are mainly the following 3 points:
1
Children have a narrower throat than adults
The larynx of children is narrower than that of adults, the mucous membrane is more delicate, the laryngeal cartilage is soft, the support ability is poor, and the children cry non-stop when they are sick, and laryngeal spasms often occur, resulting in extreme breathing. If not diagnosed and treated in time, it can be life-threatening.
2
Children are more likely to develop edema in the larynx
Your child's laryngeal submucosal lymphoid tissue and glandular tissue are abundant, and the subglottic tissue is loose, which is more likely to develop edema and block breathing.
3
Your child will not cough up sputum
Children have poor cough function, tracheal and laryngeal secretions are not easily discharged, and they are less resistant and immune to infection than adults.
So
Once the baby has acute laryngitis,
Must be taken seriously,
Don't hesitate,
Take your baby to the hospital right away!
How to find out in time
Does your baby have acute laryngitis?
The most typical symptom of acute laryngitis is cough.
However, the cough of acute laryngitis is very different from the cough of the common cold, and there are mainly the following characteristics:
1. Panting is strenuous, and the panting sound is a bit heavy, a bit like the feeling that people often say "whistling and hooing".
2. There is a "laryngeal sound", that is, there is a "brushing" sound when gasping for breath.
3. Coughing occasionally resembles a "dog barking", which is the sound of "empty ~ empty ~ empty".
Acute laryngitis generally begins abruptly, may have milder symptoms during the day and worsen abruptly at night.
If your baby has one of the above features, it is very likely that it is acute laryngitis that needs to be paid attention to by parents.
Don't mistake acute laryngitis for a cold
The early symptoms of acute laryngitis are usually accompanied by symptoms of upper respiratory tract infections such as fever, cough, runny nose, hoarseness, etc., which can easily make parents mistake it for the common cold, and some parents mistake "acute laryngitis" for ordinary "throat inflammation", these cognitive misunderstandings may delay the treatment of children and even endanger their children's lives.
Therefore, when the baby has some of the cough symptoms mentioned above, do not think that it is just a small cold, delaying the child's condition, and it is too late to regret it.
Many parents do not know much about this knowledge, which eventually leads to the delay of their children's illness, and such examples abound.
In the treatment of acute laryngitis, do not blindly reject hormones
In the treatment of acute laryngitis, the most important thing is to alleviate the baby's "poor breathing" as soon as possible, so hormones or antibiotics may be used, and the most important thing to do at this time is to listen to the doctor.
In medicine, laryngeal obstruction is divided into 4 degrees according to the degree of difficulty of gas entering the larynx cavity:
1 degree
Quiet is normal, and inhalatory larynx and dyspnea occur only after activity.
2 degrees
Laryngeal ringing and inspiratory dyspnea also occur at rest, but there is no change in heart rate and no hypoxia.
3 degrees
In addition to the symptoms of 2nd degree laryngeal obstruction, the child has paroxysmal crying, irritability, fear, sweating, facial blueness and other symptoms due to hypoxia, and the heart rate due to hypoxia will also increase significantly, generally at 140-160 beats / minute. At this time, it is often the best time for treatment, and it is necessary to race against the clock to reverse in time, otherwise it will develop to 4 degrees of laryngeal obstruction, which will require tracheostomy, and even leave sequelae and loss of life.
4 degrees
Severe hypoxia leads to multi-organ damage, respiratory failure, brain damage, heart damage, and the development of organ damage to this stage is inevitable, and even death. Returning to the above metaphor, if you really can't even open the door, it is a 4-degree laryngeal obstruction in medicine.
Therefore, for the more critical acute laryngitis, it is a race against time, and parents and doctors need to race against the clock to snatch the child from the "god of death".
In addition to acute laryngitis, coughs in the following conditions should also be treated promptly:
These 5 conditions occur when your baby coughs
Don't hesitate to go to the hospital
Sometimes the baby's cough does not look serious, but in fact, the situation is very urgent, when the baby has the following conditions, you must send the baby to the hospital in time:
Shortness of breath, making abnormal noises when breathing
For general cough, parents do not have to rush to intervene, but if the baby has shortness of breath (increased breathing rate), or even makes an abnormal sound when breathing, it may indicate that the lesion is deeper, or involves the throat, which requires special attention:
Stridor – is an additional sound in addition to the breath sounds of the lungs, a continuous, long-lasting additional sound. Stridor is an emergency, and if there is airway obstruction, the airway needs to be cleaned immediately to avoid accidents.
Barking cough – The cough sounds like a dog barking and sounds like a puppy barking. Common in children acute laryngitis, acute epiglottitis, it is easy to appear acute and severe edema, acute onset, very easy to cause breathing difficulties, and even suffocation death.
Metallic cough - cough sound sharp, timbre sounds very close to the mouth spring, often described as metal scraping sound, more common in dry cough tracheal spasm, asthma and other conditions, caused by tracheal compression, is also a very critical disease.
Once you hear the sound of the baby's cough and the sound of the general cough in the past, you should be vigilant, especially when you hear these three types of sounds, do not hesitate, quickly take the baby to the doctor.
Cough with wheezing and wheezing
This situation is more serious, the biggest threat to the baby's health, when the child has coughed to the point of panting, holding his breath, indicating that it is already quite seriously dangerous. How to judge the baby's asthma, breath holding, you can observe these parts of the baby:
Triangular signs (suprachnical fossa depression, supraclavicular fossa depression, intercostal space depression)
When ordinary people breathe, they can only see the rise and fall of their chest and abdomen. When the child breathes, the "three concave signs" appear, indicating that the child's breathing has been quite laborious. Your baby will show up with a depression in the upper sternum fossa, or a depression in the supravicular fossa, or a depression in the intercostal space.
Nasal flank incitement
Normal breathing, the nose is not moving, if you find that the baby has nasal flapping when breathing, it also means that the baby's breathing is more laborious.
Any of the above is abnormal, and parents should pay attention to it and take the baby to the doctor in time.
There is so much sputum that it has affected your baby's normal life
Babies are small and don't cough up sputum like adults. If you hear that the baby has a lot of phlegm every time he coughs, and it has affected the baby's normal daily activities such as feeding, eating, and breathing, it is necessary to take the baby to the doctor.
According to the baby's situation, the doctor will prescribe some drugs that make the sputum dilute and easy to cough up, or nebulization treatment to help the baby discharge the sputum as soon as possible.
4
Not only is there a cough, but it is also accompanied by a high fever
If the baby not only coughs, but also accompanied by high fever, especially in the case of high fever is difficult to reduce fever, it means that it may be infected with bacteria or viruses, this situation should also take the baby to seek medical treatment in time, through relevant tests or examinations, to find out the cause of fever and cough, symptomatic treatment.
5
Irritating dry cough at night, affecting your baby's sleep
Many babies will show "nighttime aggravation", that is, coughing more at night than during the day. I deeply felt that listening to the baby's constant coughing when sleeping was really painful.
And if the baby coughs badly at night, it will seriously affect the baby's sleep, sleep badly resistance will be lower, the disease is not easy to get better, and it has become a vicious circle.
Therefore, if the baby coughs seriously at night and has affected the baby's normal rest and sleep, it is necessary to take the baby to the doctor. According to the baby's condition, the doctor will prescribe some medicines that make the baby cough less at night and sleep well to alleviate these conditions.
Cough following these conditions
Don't worry too much
Of course, in most cases, coughs are caused by colds and other reasons, so don't worry too much, such as the following:
Occasionally coughing in the morning, just the child is cleaning up the mucus of the respiratory tract, there is no need to be nervous.
Cold air irritation, generally easy to cough when going out in autumn and winter, take precautions when going out.
Coughs caused by colds generally last for 7-14 days and gradually subside until they are completely healed.
Cough caused by gastroesophageal reflux: more often than not, after lying down at night, the cough symptoms of sitting up are significantly reduced.