Pediatric Clinical manifestations of bronchial asthma

Onset or urgency or ease, Before the onset of asthma in infants often have one to two days of upper respiratory tract infection symptoms, including nasal itching, sneezing, streaming-T, rubbing eyes, rubbing noses, and other performance, and obviously cough, breathing. Older children are often more sudden onset, often waves to start coughing, and then there breathing, breathing difficulties. (1) when the symptoms of acute attack Acute attack, children with irritability, respiratory sit, shrug one's shoulders breathing space to breath difficulties more markedly, looking pale and alar Fanning, your lips and fingernails bruised and systemic cold sweats, assisted respiratory muscle contraction, private prosecution chest tightness, shortness of breath , words can not even speak a row. After appropriate treatment, if after coughing from the thick white sputum, may slightly reduce the symptoms. Infants with abdominal breathing mainly because the thorax soft, often do not sit there breathing, but often parents take Hi, head affixed to the shoulders of parents, emotional disturbance, irritability, and so on. When there inspiratory "three concave sign", that is, sternum, Waterloo, supraclavicular fossa, Legong show lower depression, and in breath due to increased pressure within the chest, upper and lower sternum Department anti-see protruding. Older children Visibility jugular. Auscultation have Wheezing or dry-tone sound, the sound can sometimes be breathing its cover, such as the Airway obstruction serious respiratory sounds can significantly weakened. Often accelerated heart rate, emphysema, liver and spleen appeared in may touch upon the serious cases complicated by heart failure. (B) The period of intermittent attack symptoms In this period the patient often consciously chest discomfort, breathing lung auscultation audio weakened, without Wheezing tone, but most of all the children with signs and symptoms disappear. (C) cough variant asthma symptoms Airway hyperresponsiveness of bronchial asthma is the basis for airway hyperresponsiveness due to the extent of the different clinical symptoms are not the same, only a small number of patients showed symptoms of respiratory tract allergies, such as repeated cough, cough and timing of RUF after the seizure stimulating cough. These patients can be no respite, not even the sound of dry and wet of Romania, but may have a history of allergic diseases such as eczema, allergic rhinitis or urticaria. Elevated serum IgE may,or antiasthmatic drug effective. If airway reactivity assay (past said bronchial provocation test), there might be abnormal. This was mainly demonstrated the cough asthma, also called cough variant asthma, often onset earlier, the 3-year-old multi-ago performance, without special treatment, can be developed for the typical asthma, may also have been expressed as cough variant asthma. Repeated asthma attack after a long period of time, may lead to emphysema, then was deepened thorax diameter bucket chest. Serious stunted, its tall thin short, these children often accompanied with allergic rhinitis and sinusitis. The above changes in childhood can be an effective treatment, most will resume.