<span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">一、小儿咳嗽变异性哮喘是什么疾病?怎么办?</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　咳嗽变异性哮喘是引起儿童尤其是学龄前和学龄期儿童慢性咳嗽的常见原因之一。</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　CVA的临床特征和诊断线索有：</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　(a)持续咳嗽>4周，常在夜间和(或)清晨发作，运动、遇冷空气后咳嗽加重，临床上无感染征象或经过较长时间抗生素治疗无效;</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　(b)支气管扩张剂诊断性治疗可使咳嗽症状明显缓解;</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　(c)肺通气功能正常，支气管激发试验提示气道高反应性;</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　(d)有过敏性疾病史包括药物过敏史，以及过敏性疾病阳性家族史。过敏原检测阳性可辅助诊断;</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　治疗主要是应用抗白三烯的药，现在最常用的是孟鲁斯特纳。</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　二、儿童哮喘的症状有哪些?</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　儿童哮喘急性发作时最明显的症状是喘息，但是也有些症状不容易被家长认识，例如有家长看病时会反映自己的孩子有反复的咳嗽或者是痰多症状，经常被误诊为喘支炎、肺炎，每个月都会发作一到两次，一般持续一到两周，这样往往会被家长误认为气管炎，或者认为是孩子体质弱，但通过询问病史我们就可以发现这类的咳嗽、气管炎的发作往往很有规律性，那么这就要把病史告诉医生，由医生来甄别您的小孩是不是哮喘了。另外大部分哮喘的患者还常伴有过敏性鼻炎，经常打喷嚏、流鼻涕，揉眼睛、揉鼻子，晚上睡眠时常有鼻塞、打鼾等。</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　三、小儿哮喘治疗有哪些误区?哪些药物较有效?</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　国内外的指南都是强烈推荐用吸入激素，口服静脉不建议长期用，只在急性发作的时候可以使用几天，或者有喘息出现的孩子也会考虑短期内用半个月，这对孩子没影响。</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　小儿哮喘治疗容易犯的错误是：</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　第一：孩子三岁之前的反复咳嗽喘的可能跟早产或者跟肺的发育不成熟有关系，不一定就是哮喘，真正的哮喘要根据检查和治疗效果判断。</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　第二：哮喘患者偶尔气喘不算严重，这个想法是不对的。随着病情的紧张，气道的阻塞会越来越严重，一旦要严重起来是赶不上抢救的，所以哮喘一定要及时治疗和控制，及时病情稳定了，没有吃症状也还是要吃药，因为炎症导致的1气道高敏感性反应要几年才能改善的。</span><br style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: rgb(255, 255, 255);" /> <span style="color: rgb(89, 87, 87); font-family: 'Microsoft YaHei', 微软雅黑, 黑体; font-size: 14px; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: 30px; orphans: auto; text-align: start; text-indent: 28px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-stroke-width: 0px; display: inline !important; float: none; background-color: rgb(255, 255, 255);">　　第三：不能以为生病就不锻炼了，哮喘治疗除了药物之外，还有体育锻炼。在病情控制良好1-2个月后就要开始出去跑步、打球。有小升初的家长过来开证明，说哮喘就不参加体育活动了，这是不对的，只能说锻炼要注意锻炼的方式，不能太剧烈，但是要锻炼。</span>