{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1431","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1431","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为病友提供:小儿咳嗽论坛_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"小儿咳嗽论坛_病友论坛","title":"小儿咳嗽论坛_病友论坛","channels":null},"data":{"list":[{"id":"22161","isDel":0,"createAt":1541498257708,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"蒲地蓝 网友表示是药三分毒","content":"

【儿童“万能药”蒲地蓝走下神坛 孩子和孕妇都要慎用】在不少家长心中，蒲地蓝几乎没有副作用，是孩子感冒咳嗽等常见疾病的常备药。但近日国家药监局明确指出，蒲地蓝消炎制剂的不良反应包括：恶心、呕吐、腹泻、过敏等反应。同时明确了孕妇慎用和过敏体质者慎用。有儿科专家认为，此次明确药物可能产生的不良反应，对于儿科来说是件好事，这可以有效避免老百姓自作主张给孩子滥用药的行为。

 

\"蒲地蓝

 

对此有网友表示：

 

晋津大少_90662 ： 是药三分毒

 

·陈浩南：万能神药板蓝根[doge]

 

阿屁Monkkkey：医院专开蒲地兰[微笑]

 

吴实诚：医院最近给开的蓝芩

 

诚实的小狗：禁忌尚不明确，难道一定会安全？

 

爱缺的醄醄猪：世上哪有没有不良反应的药啊


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【男孩被西瓜肉卡喉致缺氧 海姆立克手法可急救】近日，贺州市某医院急诊科接到一起两岁男孩被异物卡喉的病例，男孩可能有窒息死亡的危险。在询问了男孩家长后，院方初步认定异物可能是没嚼碎的西瓜馕，经过医护人员对男孩十多分钟的背部按压和拍打，男孩终于把卡在喉道的异物吐了出来，原来真是一块宽度达到四厘米的西瓜果肉。

医师提醒：孩子因为吃东西被卡喉，再加上抢救不及时而导致的悲剧不少，特别是像没有牙齿或者牙齿不全的幼儿。所以家长在给孩子喂食物的时候，一定要把食物弄碎，如果发现三岁以下孩子的喉咙被异物卡住，可以自己使用海姆立克手法进行急救。

 

\"西瓜肉卡喉致缺氧

 

对此有网友表示：

 

做只狗喔：看成西卡

 

落叶--无声：昨天我也卡住了，小块的，感觉有东西在食道里下不去，过了一会儿最终还是咽下去了

 

付可乐NaYo：看成西卡[允悲]，对不起德云色[泪]

 

_女青年凸：缺氧十几分钟没事吗？

 

一茶不爱喝茶：孩子吃东西卡住急救办法


","barId":"1431","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1636,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1527042325823,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1527042325823,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"13717","isDel":0,"createAt":1523773980882,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":1523774125692,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","title":"外卖送餐员脱衣为婴儿遮雨","content":"


【暖心！外卖送餐员脱衣为婴儿遮雨[心]】12日，宁夏银川普降小雨。一年轻妈妈推着婴儿车在交叉路口等红灯，没有随身携带雨具。外卖小哥苏伟发现后，连忙上前脱下雨衣，轻轻罩在婴儿车上方，在不耽误送餐情况下将母女护送到家。他说，相信所有人碰到这个情况都会这么做。为外卖小哥点赞！

\"外卖送餐员脱衣为婴儿遮雨\" 

对此有网友表示：

 

my梦旅：饿了么在外卖大战中先拔头筹

 

尘世中一个有趣的皮囊：某外卖的广告

 

阳自东来：下雨，为什么带个婴儿站街上?避下雨，或打个车或买个伞都可以呀。

 

小胖家的Yoky：壮哉我大宁夏！


","barId":"1431","topicTypeId":"2","topicThemeId":"1032","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1730,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1523773980883,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1523773980883,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"10569","isDel":0,"createAt":1515311760471,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"儿科神药匹多莫德遭扒皮 几乎是病就开","content":"

　　继治疗白内障“神药”莎普爱思滴眼液被曝光调查之后，又一个“神药”匹多莫德被北京和睦家医院药师门诊主任、中国协和医科大学药学硕士冀连梅扒皮。据她透露，这个进口药在国外医学临床试验尚处于小白鼠阶段，疗效尚不明确，但在我国却摇身一变成了价格昂贵的“神药”，在各大医院儿科滥用，销售额预计达到40亿元。冀连梅建议相关部门对匹多莫德的临床疗效进行再评价。

 \"儿科神药匹多莫德遭扒皮

　　儿科“神药”几乎“是病就开”

 

　　冀连梅发文章反映，在微信公众号里的网络咨询平台上，几乎每天都能看到关于匹多莫德口服液的咨询。粗粗浏览一遍，她才发现这个药是儿科、耳鼻喉科和皮肤科医生们的宠儿，从这三个科室看完病出来的孩子，几乎每人手里的药单上都有匹多莫德的身影，流水线一般:预防感冒来一盒、发烧咳嗽来一盒、鼻炎扁桃体炎来一盒、湿疹荨麻疹来一盒……每盒的单价从几十到上百元不等，而且一开就是一个月的量，一吃就是三个月的疗程，难怪医生们会对它推崇备至！

 

　　冀药师在网上检索到的数据显示，匹多莫德在我国销量非常好，2016年匹多莫德在国内等级医院销售额达到了35亿，在零售药店的销售额是4.27亿，再加上在其他非等级医院的销售额，“我猜总额会达到40亿！而这其中，绝大多数由儿童患者买单。”她在文章中说。

 

　　北京青年报记者在网上药店查询到，匹多莫德大致分为胶囊、颗粒剂、分散片、口服液四种剂型。其中颗粒剂、胶囊、分散片均为国产药，价格每盒三四十元，而口服液是意大利进口药，价格昂贵，单盒原价194元，促销售价140元。在该口服液的用法和用量上，百度百科上可以查询到，儿童发病期，每日两次，共两周或遵医嘱。如果是用于预防疾病，每日一次，至少60天或遵医嘱。

 

　　百度百科上显示，该药为免疫刺激调节剂，适用于机体免疫功能低下的患者；上、下呼吸道反复感染（咽炎、气管炎、支气管炎等）；耳鼻喉科反复感染（鼻炎、扁桃体炎、鼻窦炎、中耳炎）；泌尿系统感染；妇科感染；并可用于预防急性感染，缩短病程，减少疾病的严重程度，可作为急性感染期的辅助用药。

 

　　“神药”存临床疗效不明确等四大问题

 

　　检索国家食药监局官网可以查询到，匹多莫德口服液是进口药，产自意大利，发证日期2015年12月2日，有效期截至2020年12月2日。

 

　　但是冀连梅调查国外各大医学网站后发现，这个产自意大利的进口药在国外医学研究中显示，临床疗效和安全性均不明确。据冀连梅总结，该药存在四大问题。

 

　　问题一：研究者主要集中在中国和极少数几个欧洲国家如意大利、俄罗斯。排在最前面的两篇新出版文章就是中国医生的文章，可惜还停留在临床前的动物研究阶段，不是仔鸡就是小白鼠，对临床没有实际指导意义。

 

　　问题二：2015年，国外曾有一项针对57名3岁刚入幼儿园的健康孩子预防急性呼吸道疾病的研究。但是经过随机双盲安慰剂对照临床研究结果显示，与安慰剂相比，匹多莫德并没有显示出统计学意义上的预防急性呼吸道感染的作用。

 

　　问题三：令冀连梅无比惊讶的是，就在国外权威循证医学库考科兰（Cochrane）里，都没有关于匹多莫德用于儿童安全有效的研究证实文献时，国内的研究结果却几乎清一色的有效！这些结果表明匹多莫德对反复呼吸道感染、哮喘、泌尿系统感染、妇科感染、丙型肝炎，甚至非感染性疾病如白癜风、肿瘤、过敏性紫癜等病均有较好的预防或治疗效果，简直成了万能的神药。

 

　　问题四：学龄前儿童本身的免疫系统还在不断发育成熟中，不应该被轻易冠上免疫力低下的帽子而随意用药。除了疫苗可以预防疾病提高儿童免疫力外，欧美主流国家没有所谓提高儿童免疫力的药。

 

 

　　“神药”疗效应启动再评价

 

　　冀连梅认为，匹多莫德在我国热销与儿科医生喜欢开这个药密切相关。她分析，医生之所以喜欢开，主要是基于以下三个因素。

 

　　首先是创收。在外界看来，医院推行药品零差率后医生开贵药的动力会减少。不过，冀连梅认为，零差率只是减少了医院的加成，并没有斩断药代给医生的回扣。其次是照说明书机械开药。在冀连梅看来，有些医生不太关注真实疗效如何，有一部分医生从来不查原始文献，说明书怎么写他就怎么开药，他的老师怎么教他就怎么信，没准他自己家人朋友他也这样开、这样吃呢。最后是还存在医生为了安慰或者应付患儿家长的因素。

 

　　冀连梅认为，既然这个药已在国内上市多年，已经有这么多患儿使用，因此她建议行业主管部门国家食药监总局启动对这个药的再评价，比如设计科学严谨的大样本量回顾性研究来评价这个药的真实疗效和安全性。

 

　　据悉，尽管该药在中国、韩国、俄罗斯等少数几个国家上市多年，但它没有被收录到任何一本标准的药理学教材，也没有被欧盟药品监管部门和美国药品监管部门批准上市，它的有效性和安全性仍需要进一步评估，因此不推荐上市使用。

 

看到本消息，网友沸腾了：

 

熊大农庒：医疗是一件非常复杂的综合行为，需要考虑家族史 个体免疫力 用药史 过敏史 一个好的专家医生接诊一例患者时间最短需要25分钟 像莎普爱思这类广告就是商业炒作 就是馒头和面包的关系 添加剂不同罢了 没有实质变化

 

永 劫：之前孩子生病发烧去医院，大夫开了类似的药，只看名字也不知道是啥，回家把不认识的药都查了一下，发现是帮助免疫调节的，直接扔一边没给孩子吃。家长们尽量也注意不要给孩子吃这类药，对孩子自身免疫系统的发育没有好处。

 

晓烽：这是个好医生，真心值得点赞，现在社会风气不好能有这么正直的医生太少，希望有关部门好好保护医生的人身安全，不要被奸商给害了。

 

《御猫》：这个行业太乱了，有甚者简直是在图财害命。要好好治理下了，别光罚钱，该杀的杀了吧，别再让他们祸害人了。好吗？

 

Beth：希望仗义执言的药师冀连梅不会因为揭露此事招致不便，因为冀连梅的科普文章收益的宝妈永远支持你

 

做一个淡淡的男生：不开这个怎么赚钱啊，而且医生是医生，医院是医院，医院是要赚钱的，医生不开这个，还想不想在医院工作啊

 

渔阳书生：孩子高烧不退，在当地医院输液住院一周也没效果。干脆去北京，第一天输液就明显好转，三天稳定期，活蹦乱跳了。带着北京医院的医药单回我们当地医院、药店，医药单上的针剂、口服药一样没有的卖。为什么？难道医药也有地方保护？


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\"这种衣服一年害死不少孩子

   最近，武汉一6岁小男孩玩耍时被连帽衫的绳子勒到脖子，差点窒息。儿童连帽衫上的抽绳易被滑梯等勾住，可能勒伤、勒死孩子！儿童连帽衫已有新国标，但市场上仍有带帽绳的售卖。建议：7岁以下的儿童，最好选择带纽扣的棉质衣服

\"这种衣服一年害死不少孩子

关于此事，相关网友如下评论：

蜂蜜小铺：小时候，好像经常穿这种类似的衣服……看来能活到现在也是蛮拼的


1680868481_940：国家有关部门是死人吗?不合格衣服造成孩子受伤或者死亡罚到企业倒闭，把负责任判个十年八年看看还有人卖吗？


一曦一恕：把绳子抽出来就好了啊，我孩子这种衣服的绳子我都是抽出来扔掉了


心里的荼蘼花：居然不知道！我还要给我家宝买带绳因为好看！大意了大意了


心中最明亮的少年：七岁以下的小孩穿的衣服不允许有绳带，七岁以上的绳带总长度平摊开不超过14cm，最佳选择:纽扣，白色


CU秫秫：这个小东西确实会卡在想不到的地方，为了安全没啥可说的




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5岁1个月。咳嗽10余天，无发热，无鼻涕，晚上咳嗽加重，影响睡眠。做了雾化吸入后咳嗽得更厉害，昨晚还因为咳嗽呕吐了。夜间咳嗽加重，喉间鸣痰，服药后症状无缓解。先在家中自行服用了小儿咳喘口服液，头孢克洛干混悬剂，盐酸氨溴口服液，效果不明显，去医院检查后医生开药小儿消积止咳口服液，阿奇霉素干混悬剂，盐酸氨溴咀嚼片，雾化三天，效果不明显。 

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女孩,3个月。2个月大宝宝咳嗽，有痰，吃奶正常，精神好，怎么办，要检查什么吗

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多排螺旋ct，支原体检查，血细胞分析

吃了一周的阿奇霉素颗粒，施保利通片，孟鲁司特钠，咳喘灵口服液，一天两次雾化吸入异丙托溴铵，特布他林，布地奈德，用药一周后咳嗽减轻医院复查，开的药不变，雾化改为一天两次吸入布地奈德
病史：
咳嗽两个月,后来感冒了，到现在咳嗽加重四五天了，会耽误病情吗，这周六你上班吗，还用去你那看看吗

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小儿咳嗽，之前用药一周，停药一周后除了咳嗽外，开始发烧。

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宝宝现在三个月，时不时咳嗽几声，目前无痰，两个月曾患过肺炎。可以喝易坦静吗？有没有副作用

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