China News Service, Beijing, January 15th (Reporter Li Chun) The Chinese government recently released the tenth edition of the new coronavirus infection diagnosis and treatment plan, which includes the treatment of children's special conditions, and provides information on special conditions such as acute laryngitis and wheezing that may occur in children infected. treatment plan.
Liu Hanmin, member of the Standing Committee of the Pediatric Branch of the Chinese Medical Association and president of the Second West China Hospital of Sichuan University, recently accepted an interview with the media and interpreted the content of the diagnosis and treatment of the new crown in children in the new version of the diagnosis and treatment plan.
The new version of the diagnosis and treatment plan further optimizes the clinical manifestations and treatment-related content of children's cases, puts forward the characteristics of children infected with the Omicron strain in combination with clinical practice, and improves the early warning indicators for severe cases in children.
According to Liu Hanmin, the intensive care unit of West China Second Hospital of Sichuan University has admitted many patients with acute laryngitis and laryngotracheitis.
The reason why these two diseases are included in the treatment of severe cases in children is because they will seriously hinder the child's breathing, causing obvious dyspnea, respiratory distress, and then life-threatening.
Compared with adults, especially elderly people infected with the new crown, there are significant differences in the incidence of severe illness in children.
Since the adjustment of the epidemic prevention and control policy, after the first wave of severe cases, the proportion of children with severe cases has also declined very quickly.
"The speed of recovery is also beyond our imagination. If you come to our pediatrics now, the number of patients is relatively less." Liu Hanmin said that in his impression, the peak of severe illness occurred one to two weeks later, The incidence of severe infection in children has dropped significantly.
Liu Hanmin emphasized that there are currently not many specific medicines for children infected with the new coronavirus, and all treatment measures are aimed at alleviating the more serious clinical symptoms.
In the new version of the diagnosis and treatment plan, the administration method of aerosol inhalation has been mentioned many times.
Because it is difficult for infants and young children to take medicines orally, nebulization has become an important way of drug administration for respiratory diseases.
"After the formation of nebulization as an administration method, it will be a revolutionary improvement in the treatment of pediatric respiratory diseases." Liu Hanmin said that for clinical symptoms such as clear laryngeal asthma or frequent coughing, nebulization administration can be carried out very well. treat.
In the new version of the diagnosis and treatment plan, nebulized inhalation of budesonide is also used as a relatively important drug for the treatment of acute laryngitis.
In response to the concerns that many parents have when using glucocorticoids, Liu Hanmin pointed out that everyone should not be afraid of glucocorticoids. As long as they are not used in large doses for a long time, glucocorticoids can significantly improve symptoms in the treatment of acute severe inflammatory reactions, and at the same time reduce the risk of laryngitis. The risk of further exacerbation of the disease in children with inflammatory disease.
In view of the common symptoms of cough and sputum in children after being infected with the new crown, Liu Hanmin also recommends the use of nebulized expectorants, such as N-acetylcysteine, which can help children expel sputum.
"We hope that after nebulizing the child, especially after nebulizing, let the child lie on the stomach, the parents pat the back, and use physical vibration to help the child expel the phlegm, and the child's clinical discomfort will be relieved."
At the same time, Liu Hanmin also reminded that regarding the overall selection and timing of symptomatic treatment drugs for children's upper respiratory tract infection and lower respiratory tract infection, it is recommended that doctors weigh and guide parents to use medication, and children will be safer.
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