小儿久咳不愈怎么办 王秀芳 郑州大学第三附属医院

小儿久咳不愈怎么办 王秀芳 郑州大学第三附属医院
儿童慢性咳嗽是非常常见的，我们所说的慢性咳嗽，就是指长达四周以上的咳嗽。如果病程一个孩子咳嗽，长达四周以上了，我们就会称它为慢性咳嗽。那么慢性咳嗽的原因非常的多，首先是感染后咳嗽，那么有些孩子在病毒感染以后，可以引起暂时的气道高反应，引起一个干咳、久咳不愈。特别是遇到一些冷空气等等，它就会诱发剧烈的咳嗽。另外呢是过敏性咳嗽，有些过敏因素的作用下，会让孩子的气道咳嗽感受器的敏感性增加，也容易导致久咳不愈。另外还有咳嗽变异性哮喘，咳嗽变异性哮喘，是我们说的不喘的哮喘，那么这些孩子的表现呢，也是长期的慢性咳嗽。另外除此之外呢，还有一些其他的原因，比如说胃食道反流等等，它也可以引起慢性咳嗽。所以说儿童慢性咳嗽，不要非常急于长期的抗生素治疗，不要频繁的去更换抗生素，而更重要的是要寻找它的原因，很多慢性咳嗽，不是感染本身引起的，光口服抗生素是不解决问题的。

What to do if the child coughs for a long time
Chronic cough is very common in children, What we call chronic cough, It means coughing for more than four weeks. If the course of a child's cough, For more than four weeks, We'll call it a chronic cough. There are so many reasons for chronic cough, First, cough after infection, So some children are infected with the virus, It can cause temporary airway hyperresponsiveness, Cause a dry cough, a long cough does not heal. Especially some cold air and so on, It can induce a violent cough. Another is allergic cough, Under the influence of some allergic factors, It increases the sensitivity of children's airway cough receptors, It is also easy to cause a long cough. There is also cough variant asthma, Cough variant asthma, We're talking about asthma, What about the performance of these children, It's also a long-term chronic cough. Besides, There are other reasons, For example, gastroesophageal reflux, It can also cause a chronic cough. So children's chronic cough, Don't rush into long-term antibiotic treatment, Don't change antibiotics frequently, What's more important is to find out why, A lot of chronic coughs, It's not the infection itself, Oral antibiotics alone do not solve the problem.