Recently, our respiratory group has received a lot of "bronchial pneumonia" children, a considerable part of them are not real pneumonia, because they have experienced many wheezing, after understanding the medical history, lung function and other tests, they were finally diagnosed as : "Infection with bronchial asthma".

　　Clinic, we often meet One or two older children who "repeated pneumonia" or "pneumonia can''t be cured". The reason why they are enclosed in double quotes is that they are misdiagnosed many times!

　　The most impressive thing is a child named Zhang Dong who came from the surrounding county seat a month ago. Because it has the same name as the table in my middle school, I remembered his name at once.

　　 I went to the clinic that day, and suddenly a group of people came in. A 5-year-old boy with a round face and big eyes was brought in. The child looked pale and breathed a little hard, but the spirit was still it is good. They did not say to see a doctor, but directly asked me to give them a hospitalization certificate, saying that the child had pneumonia and had been treated in the local area for more than 2 weeks. After using very good antibiotics, there was still no effect, so the local county hospital let them Transfer. The whole family rented a car and came together. Because they didn''t contact us in advance, our wards had no empty beds anymore, not even extra beds. After I explained the situation to my family, the child''s mother cried. At this time, the family had a discussion, some said to go to other hospitals to see, some said to treat first in our hospital outpatient service and so on.

　　 I heard from my family that the child had pneumonia for two weeks, and I also used good antibiotics. Looking at the child again, I suddenly had an intuition. Will the child be asthmatic and misdiagnosed? What? I interrupted their argument. I said to the family, since you have registered my number, let me check it first, at least let me write down the medical record. If it is not serious, you can go to the clinic for a day and wait for discharge Yes, I will help them contact the bed again. My family listened to me saying this, and quickly took out the local referral cases and laboratory tests. I looked at the child''s chest radiograph. The child''s lung texture was a little heavy, but it was not the kind of common lobar pneumonia that was difficult to treat. I listened to the child''s lungs again, without any rales or typical wheezing, but I felt that the child''s breathing was superficial and the feeling of lack of breath was not enough. I let the child breathe hard, and then I barely heard a little wheezing. I immediately understood that my judgment was basically correct. This should be an asthmatic child!

　　 I said to my family: "Your child has a problem with the diagnosis. You take your child to have a lung function test." , The result came out, perhaps no need to be hospitalized." The family looked at me suspiciously and said, "Where can we find the director to see! His diagnosis will be a problem?"

I said, "If you believe me, go for an exam, and I will explain it to you when the exam comes back." The family saw my self-confidence, although a little reluctant, but still took the child to do the exam.

　　The child’s lung function results are back. The above hint is that the function of the small airway is damaged, and many indicators are abnormal! I said to the family: "Combining the child’s examination and the results of your local review, your child The current diagnosis should be bronchial asthma. This disease is not well treated by anti-inflammatory drugs. At present, it is mainly treated by inhaled drugs.

　　 "Really? No need to be hospitalized? You see this child is breathing very hard, and he doesn’t even want to walk on his own!"

　　 "Professor''s diagnosis still has problems?" "The family of the child surrounds me, you say it, I ask it in one sentence.

　　"Can’t say that the diagnosis was wrong, let me tell you in general, your child’s acute lung infection treatment is good, But the child has another illness called bronchial asthma. This disease is a chronic airway inflammation. The child''s bronchi will be spasmed and the airflow is restricted, so there will be insufficient air to hold your breath. It''s just that your child is not a typical acute asthma attack, so they didn''t find it.

　　 When I saw my family’s expression, I still had a little disbelief. It happened to be at noon, and I said to them: "I am mainly engaged in childhood asthma. I have seen a lot of such children. , I have medicine here, first spray the child twice, you observe whether it is effective, and then take the child to have a meal, wait for the meal after a while, if it feels effective, you come to see me again. If you don’t believe me, I can show you the professors in our department.

　　The family nodded. I took out the Vantorin I bought and sprayed the child twice through the mist storage jar. When I saw the family taking the child away, I also got up to eat.< /p>

　　 After eating, I saw my family waiting for me at the entrance of the clinic. The child’s mother said happily: “Just now you sprayed the medicine on the child, and it really worked. The child felt the suffocation was significantly reduced. Walked by myself. Thank you so much! Give your child medicine! We believe in you.

　　 I gave the child inhaled medicine and taught them how to inhale. The mother told me: "We have already stayed in the hotel next door, we want to observe the two according to your method. God, if it gets better and better, we will not be hospitalized. If it gets worse, would you please contact us for hospitalization? Can you leave your contact information?"

　　我Say yes, so I left my phone to them.

　　Two days later, Zhang Dong’s mother called me and she said that the children are better every day, and their family is very happy, they I have returned to my hometown and said that I will come back for a review after one month. Later, the child recovered very well and is still inhaled. The family will call me regularly to ask some questions.

　　我I just remembered my case where the treatment was more successful, I wanted to remind parents and some young doctors that when older children (mainly over 5 years old), especially one who usually looks very healthy, but always love "pneumonia" or When there is wheezing, or a child who often coughs (of course to exclude the child''s lungs with congenital developmental deformities), think more about whether he has a diagnosis.

　　 Many times, this child is recommended The truth is to become a lung function! Because older children will not get pneumonia easily, even if the child has pneumonia, their lung function is mostly normal. Of course, children with normal lung function are not necessarily asthma. Combine clinical manifestations.