{"nowTime30":1782328066021,"lyBarModerator":null,"metaSearch":{"description":"有些妈妈认为剖腹产的宝宝更容易呛羊水，所以得肺炎的几率比顺产宝宝高。其实这种说法是错误的，新生儿肺炎与生产方式并无直接关系。　　新生儿肺炎与生产方式无关　　新生儿肺炎分为吸入性肺炎和感染性肺炎两种。吸入性肺炎又包括羊水吸入性肺炎、胎粪吸入性肺炎和乳汁吸入性肺炎。新生儿肺炎的发生率高低与生产方式没有直","keywords":"新生儿肺炎与什么有关呢_洞医","title":"新生儿肺炎与什么有关呢_洞医","channels":null},"identificate":{"id":"5a3adeaa985911e8972100163e0462f1","isDel":0,"createAt":1533437016805,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","realName":"周鑫","certifiedStatus":2,"phone":"15525873223","email":"langlixunta@163.com","hospitalId":"14629","departmentId":"2035","illName":"","illId":"ac6f137def9411e7a3d800163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1533437073284.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"内分泌科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1169","isDel":0,"createAt":1483430611335,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"小儿肺炎","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"6d4d3d4dbb5f11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:小儿肺炎论坛_病友论坛_病友交流平台，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿肺炎论坛_病友论坛_病友交流平台\",\"title\":\"小儿肺炎论坛_病友论坛_病友交流平台\"},\"治疗\":{\"description\":\"为您提供:小孩肺炎的治疗方法_婴幼儿肺炎的治疗方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小孩肺炎的治疗方法_婴幼儿肺炎的治疗方法\",\"title\":\"小孩肺炎的治疗方法_婴幼儿肺炎的治疗方法\"},\"症状\":{\"description\":\"为您提供:小孩肺炎的症状_小儿肺炎的早期症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小孩肺炎的症状_小儿肺炎的早期症状\",\"title\":\"小孩肺炎的症状_小儿肺炎的早期症状\"},\"并发症\":{\"description\":\"为您提供:小儿肺炎有后遗症吗_小儿肺炎的危害有多大等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿肺炎有后遗症吗_小儿肺炎的危害有多大\",\"title\":\"小儿肺炎有后遗症吗_小儿肺炎的危害有多大\"},\"饮食\":{\"description\":\"为您提供:小儿肺炎吃什么食物好_宝宝肺炎能吃什么水果等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿肺炎吃什么食物好_宝宝肺炎能吃什么水果\",\"title\":\"小儿肺炎吃什么食物好_宝宝肺炎能吃什么水果\"},\"病因\":{\"description\":\"为您提供:小儿肺炎怎么引起的_小儿肺炎是怎样引起的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿肺炎怎么引起的_小儿肺炎是怎样引起的\",\"title\":\"小儿肺炎怎么引起的_小儿肺炎是怎样引起的\"},\"病友求助\":{\"description\":\"为您提供:孩子得了肺炎怎么办_小孩肺炎一定要输液吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"孩子得了肺炎怎么办_小孩肺炎一定要输液吗\",\"title\":\"孩子得了肺炎怎么办_小孩肺炎一定要输液吗\"},\"预防\":{\"description\":\"为您提供:儿童肺炎预防措施_儿童怎么预防肺炎等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"儿童肺炎预防措施_儿童怎么预防肺炎\",\"title\":\"儿童肺炎预防措施_儿童怎么预防肺炎\"}},\"description\":\"为您提供:小儿肺炎症状及表现、儿童肺炎症状及治疗、小儿肺炎如何治疗方法、儿童肺炎家长们的治疗小心得等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"小儿肺炎症状及表现_儿童肺炎症状及治疗_小儿肺炎如何治疗方法\",\"title\":\"小儿肺炎症状及表现_儿童肺炎症状及治疗_小儿肺炎如何治疗方法\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"2259","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"家长怎样及早判断及预防小儿肺炎？","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486276862778.jpg\" title=\"1486276862778.jpg\" alt=\"1464231200386.jpg\"/></p><p><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">肺炎是小儿常见的呼吸道疾病，温差变化大的天气，体质差的孩子容易着凉感染肺炎。家长朋友们最担心的是孩子咳嗽是不是患了肺炎了？如何预防肺炎呢？</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">一、是否肺炎我们主要从呼吸快慢和症状轻重二方面判断。</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">1、呼吸快慢 ：</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">肺炎呼吸加快、急促。如果孩子发热、咳嗽、呼吸急促，就不是简单的感冒而可能是肺炎了。</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">2、症状轻重：</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">① 一般来说，肺炎症状较重，宝宝常有咳嗽剧烈、发烧、精神萎靡，食欲不振，烦躁不安，呼吸增快或表浅表现。重症的肺炎患儿还可能出呼吸困难、鼻翼扇动、三凹征、口唇及指甲发绀等症状；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">② 肺炎容易出现并发症如心功能衰竭、脓胸、肺脓肿、心肌炎及中毒性脑病等，大人切不可等闲视之，应及时去医院治疗。</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">二、如何预防肺炎？</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">1、预防小儿肺炎，增强体质、提高身体抵抗能力是关键 ；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">2、避免环境影响 ：</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">① 最好不要带幼儿到公共场所、人员拥挤的地方活动 ；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">② 房间应经常通风、保持空气清新、干爽；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">③ 父母感冒时应尽可能少接触年幼子女，接触时应带口罩。</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">3、加强营养、积极预防佝偻病、营养不良等：</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">① 提倡户外活动，多晒太阳；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">② 培养良好的饮食及卫生习惯 。</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">4、加强家庭护理：</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">① 小儿衣着不过厚或过薄，以不出汗为度；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">② 婴幼儿不要包裹过紧；</span><br/><br/><span style=\"color: rgb(88, 88, 88); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; text-indent: 28px; background-color: rgb(255, 255, 255);\">③ 加强早产儿及体弱儿（有基础性疾病）的保护和护理。</span></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","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":3},{"id":"3991","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿肺炎的家庭护理措施","content":"<p>　　</p>\n<p style=\"text-align: center;\"><img title=\"1486280496559.png\" src=\"http://01luntan.com/ly_img/uimgs/1486280496559.png\" alt=\"mp55033303_1453087672956_2_th.png\" /><span lang=\"EN-US\" style=\"font-size: 12pt; line-height: 200%;\">&nbsp;&nbsp; </span></p>\n<p style=\"text-align: left;\"><span style=\"font-size: 12pt; line-height: 200%; font-family: 宋体;\">&nbsp; &nbsp;小儿肺炎分很多种，婴幼儿常见的肺炎是支气管肺炎，是儿科最常见的疾病之一。起病可急可缓，患儿以发热、咳喘为主要症状，甚至有时会出现喘憋。除上医院积极治疗外，家庭护理十分重要。家庭要做的主要是一般护理。</span></p>\n<p>&nbsp;</p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">1</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、环境要安静、整洁、舒适，室内要经常通风换气，室温保持在</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">20</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">℃左右，要有一定湿度。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">2</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、饮食：患肺炎时，因胃肠道筏氧，细菌病毒的毒素刺激等因素，使患儿消化功能减弱，出现食欲不振、腹胀，此时稍有不慎即可出现腹泻。所以医学教育</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">|</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">网搜集整理婴儿应以流食为主，三岁左右以半流食为主。既要保证充足的营养，又要防止消化不良发生。</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">&nbsp;</span></p>\n<p class=\"MsoNormal\" style=\"line-height: 200%;\"><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">　　</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">3</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">、肺炎在治疗</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">2</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">～</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">4</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">天后，患儿由单纯的咳喘转为咳嗽咳，因此要做到此时如护理不当易发生气道堵塞。因此要做好以下几点：（</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">1</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">）注意呼吸道保持呼吸道通畅，经常用棉签清理鼻腔分泌物并及时清理看口腔中的痰液。（</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">2</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">）经常给患儿变换体位（卧位或半卧位），但不能平卧，防止痰液堵塞窒息。另外，平卧亦不利于痰液咳出。（</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">3</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">）经常为患儿轻拍背部，促进痰液排除。（</span><span lang=\"EN-US\" style=\"font-size: 12.0pt; line-height: 200%;\">4</span><span style=\"font-size: 12.0pt; line-height: 200%; font-family: 宋体; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: 宋体; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;\">）按时服止咳化痰药物。</span></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","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":6},{"id":"9596","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"呼吸衰竭 小儿肺炎的六大并发症","content":"<p style=\"margin: 4px 0px; text-indent: 32px; line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1513751649131.jpeg\" title=\"呼吸衰竭 小儿肺炎的六大并发症\" alt=\"呼吸衰竭 小儿肺炎的六大并发症\" width=\"600\" height=\"372\"/></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">小儿肺炎是一种严重的疾病，如果不疾病治疗会造成心力衰竭，呼吸衰竭甚至是休克等并非症的发生。下面就去看看小儿肺炎的并发症还有哪些？</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">小儿肺炎的并发症有哪些呢？小儿肺炎患者如果出现烦躁不安，呼吸困难，又或者是头痛血压下降的症状时一定要当心肺炎的并发症。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">小儿肺炎的常见并发症有</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1.心力衰竭：发病时小儿躁动不安。呼吸困难和发绀。心率加快。180次/分。呼吸急促。》60次/分。肝脏增大。下肢浮肿等。应立即采取措施。控制其发展。利用强心剂。利尿剂等治疗。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2.呼吸衰竭：小儿烦躁不安。呼吸困难和紫绀。呼吸早期加快。重时减慢。有呻吟呼吸和呼吸节律改变。重危时心率加快或减慢。并可出现昏迷和抽搐。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3.脓气胸：金黄色葡萄球菌肺炎时。易发生脓气胸。此时。高热持续不退或体温下降后又再度上升。咳嗽频繁。呼吸急促。不能干卧。一侧胸廓饱满。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">4.缺氧性脑病：肺炎呼吸困难缺氧重时。小儿呕吐。头痛。嗜睡或烦躁不安。继之昏迷惊厥。脑病发病较急。来势凶猛。病情险恶。往往与多种并发症交错出现。相互影响。使病情变得更为复杂。病死率高。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">5.中毒性休克：体温骤升达40～41℃或骤降。寒战。面色灰白。烦躁或昏迷。多汗。皮肤呈大理石花样改变。血压下降或测不出。同时出现多脏器功能改变。症状凶险。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">6.中毒性肠麻痹：表现为高度腹胀。呕吐。便秘和肛管不排气（不放屁）。腹胀压迫心脏和肺脏。使呼吸困难更严重。此时。面包苍白发灰。腹部叩诊呈鼓音。肠鸣音消失。呕吐物可呈咖啡色或粪便样物。x线检查发现肠管扩张。壁变薄膈肌上升。肠腔内出现气液平面。</span></p><p><br/></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","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":3},{"id":"3295","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿肺炎但青霉素过敏，能吃头孢地尼分散片吗","content":"<p>小儿肺炎但青霉素过敏，能吃头孢地尼分散片吗</p>","barId":"1169","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","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":3},{"id":"8647","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"怎么判别宝宝感冒还是肺炎","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1512355705314.jpg\" title=\"怎么判别宝宝感冒还是肺炎\" alt=\"怎么判别宝宝感冒还是肺炎\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">由于宝宝的免疫力低所以很容易引起感冒发烧。那么宝宝是感冒还是肺炎了？可是对于感冒和肺炎很多家长并不知道他们的区别在哪儿。下面具体说说。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　肺炎与感冒的区别</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　肺炎的症状和感冒很像，咳嗽、发烧、精神不振、手脚发凉，这些症状常让肺炎隐藏在感冒的</span>“马甲”之下。广西依大母婴健康中心高级育婴师梁宝鸾说，从四个方面可判断孩子患的是感冒还是肺炎。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　肺部情况：可倾听孩子胸部、肺部有没有水泡音。没有水泡音则是感冒，有则是肺炎。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　发热情况：感冒时发热多在</span>38℃以下，并且发热时间短，服用退烧药后可明显改善;而如果是肺炎，发热常常是38.5℃以上，且持续不退，服下退烧药后也没有明显改善。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　咳嗽情况：婴儿感冒时咳嗽不会很剧烈，痰较少且容易咳出</span>;肺炎时咳嗽常是剧烈、频繁的，痰多且咳不出，甚至带有气喘、气促。新生儿则表现为不吃不喝，口吐白沫，但不一定有咳嗽症状。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　精神状况：患了感冒的孩子就算精神不太好，退烧以后也会很快恢复</span>;而患了肺炎的孩子则精神萎靡、烦躁、哭闹，就算退烧也不愿意活动，有时候还脸色发青，食量下降。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　总之，做为父母要认真观察孩子的细微变化，做好疾病的预防及防治工作。</span></p><p><br/></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","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":14},{"id":"11157","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿肺炎在早期会出现什么表现呢  看专家讲解","content":"<p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><br/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1516089771837.jpg\" title=\"小儿肺炎在早期会出现什么表现呢  看专家讲解\" alt=\"小儿肺炎在早期会出现什么表现呢  看专家讲解\" width=\"600\" height=\"372\"/></p><p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; line-height: 200%;\"><br/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">我们大家都知道，发热是小儿肺炎这种疾病的主要症状表现之一，但是，临床上有很多患有小儿肺炎的孩子却并没有出现发热的症状，这些患病的孩子大多数身体比较虚弱。下面就为大家介绍一下</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿肺炎在早期会出现什么样的症状表现</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">，让找良医网为我们一起来讲解一下吧</span>!</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">发病初期多先有发热、咳嗽、流涕等上呼吸道感染症状，随后出现咳嗽加重、烦躁不安、高热寒战等症状。患儿体温在</span>38摄氏度至39摄氏度之间，有时可高达40摄氏度，且持续时间较长。营养不良的孩子、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">面黄肌瘦的孩子</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、抵抗力特别低下的孩子，也有不发热</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">得孩子有此症状</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患儿可出现精神</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">恍惚</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">、反应迟钝，食欲</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">减少</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">等症状。面部表现为潮红或苍白，口唇及指（趾）端发紫。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患儿咳嗽早期常为刺激性干咳，继之咳白色泡沫痰或脓血性痰液。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">患儿呼吸加快、呼吸困难明显、憋喘厉害，严重时可出现鼻翼翕动，吸气时可出现三凹特征（胸骨上窝、锁骨上窝、肋骨间隙及上腹部软组织处吸气时凹陷），呼、吸气时伴有呻吟声。</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">肺炎早期的炎症、发热或细菌毒素等还可能通过神经刺激或反射而引起患儿胃肠痉挛，特别是下叶肺炎，还可能直接刺激膈肌而导致腹痛。因此，原因不明的上腹痛、脐周痛的孩子，不管是否伴随上呼吸道感染症状，也有可能是肺炎。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">不发热的肺炎更凶险，人们都认为发热是小儿肺炎的一个主要症状。然而临床上有些孩子患肺炎时不发热。这些孩子多是体弱的幼儿，不发热的肺炎很容易被年轻父母忽视而延误最佳治疗时机。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">以上就是找良网专家为大家讲解的</span><strong><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">小儿肺炎的早期症状表现是怎样的</span></strong><span style=\";font-family:宋体;line-height:200%;font-size:16px\">，看过上</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">面</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">的相关介绍之后，我们了解到，患有小儿肺炎的孩子在早期会表现出精神</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">恍惚、</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">反应迟钝、食欲减</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">少</span><span style=\";font-family:宋体;line-height:200%;font-size:16px\">等一系列症状，除此之外，还经常会伴有咳嗽、呼吸加快等症状。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">如果您的孩子有此症状，就及时到正规医院就诊。以免误诊。</span></p><p><br/></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","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":3},{"id":"4422","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿非细菌性肺炎如何治疗？","content":"<p style=\"text-align:center\"><strong style=\"margin: 0px; padding: 0px;\"><img src=\"http://01luntan.com/ly_img/uimgs/1486276931004.jpg\" title=\"1486276931004.jpg\" alt=\"11523497_998309.jpg\"/></strong></p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">患者</strong>：孩子今天是77天大,混合喂养.5天前在您那诊断为非细菌性<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>,可能为病毒性<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>.到今天为止,孩子口吐泡泡大概两周了,偶咳时间更长,出现<a href=\"http://www.haodf.com/jibing/ganmao.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">感冒</a>症状有近一个月(打喷嚏,鼻塞),发现低烧开始有一周多了,最高体温37.2度,呕吐两次.<a href=\"http://www.haodf.com/jibing/fuxie.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">腹泻</a>时间有10天,每天1-2次,最初为近水样,现在稀便,黄色,很稀,食欲减退很多有痢疾史,(临床诊断为痢疾,未做大便培养.便常规白细胞45,红细胞5个,脓细胞2个),头孢曲松输液6天,输液前后共服用可利迈仙11天. 先天性喉喘鸣 化验、 X光片显示&quot;右肺可见片状阴影,左肺内带较致密,肺门著明,心影不大,双隔(-) 血常规结果:白细胞4.8 中性粒细胞百分比32.3% 淋巴细胞百分比63.4% 听诊器听不出肺部罗音,只有重呼吸音未做<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>血液鉴定 第一天为其他大夫看的,给开头孢孟多输液一天,第二天在您那就诊,让口服希刻劳3-5天,预防继发细菌感染.并服用远志杏仁合剂.现在抗生素已吃够5天了,孩子还在吐泡泡,鼻塞,口水有增多,呛奶比以前频繁了.呼吸为32-36次/分钟.体温为37.2度.稀便,黄色,每天1-2次 请问下一步我们该怎么办,抗生素已吃够5天,还继续吃吗?远志杏仁合剂是单纯化痰止咳,还是有抗病毒的作用?病毒性<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>是否象病毒性<a href=\"http://www.haodf.com/jibing/ganmao.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">感冒</a>一样,挺过去就会自愈?</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">北京儿童医院感染内科陈贤楠</strong>：先天性喉鸣是由于喉软骨先天发育不全，影响吃奶时的吞咽动作协调性所以容易呛奶。随之容易继发感染。一定要改善喂奶方法，少量多次几次，不能吃急了。反复呛奶是其病情不能顺利控制的原因。远志杏仁合剂是祛痰的，没有抗病毒作用，如反复病情不缓解需拍X胸片，注意先天性心脏病或其他呼吸道发育畸形以及小儿胸腺。</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">患者</strong>：从诊断为<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>到现在已经一个多月了,按您的叮嘱,权衡是否吃阿奇.因他食欲一直不好,所以没有吃,一直在吃中药.现在孩子已经3个半月大了,体温一天中最高为37度,仍然口吐泡泡,口水很多.不知道3个多月的孩子这种状况是否还是属于<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>症状.睡眠比以前多了,精神状态也不错,但吃的还是不多,而且,近期开始吐奶了,不知道是<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>严重了还是因为开始竖着抱他他不适应,他最近打嗝特别频繁,听诊器倾听呼吸音还是比较重;还咳嗽,大部分是因为口水等原因呛咳.没有鼻塞,但吃奶时有时听好像嗓子里还有痰,平时没有痰声.还有,从出生开始他的血小板就很高,参考值为100-300,他的为556,不知道是否正常.除了拍胸片,有其他的办法判断他的<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>是否好了吗?我们还要再拍胸片吗?(他满月的时候因<a href=\"http://www.haodf.com/jibing/fuxie.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">腹泻</a>大夫怕合并呼吸道感染拍过一次胸片,这次<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>又拍了一次)</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">北京儿童医院感染内科陈贤楠</strong>：556万血小板仍然是高的，如感染已控制血小板应恢复正常，所以需要复查。呼吸音重和吐奶呛奶可能与先天性喉鸣或称先天性喉软骨软化有关，咽喉部吞咽肌肉协调性差有关。注意喂奶方法。</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">患者</strong>：您好,陈教授,又打扰您了.今天查血常规只关注血小板了,回家后发现淋巴细胞百分比仍然很高,为0.774.,发现他很长时间以前就已经超出正常值范围了,具体数据如下:(3月26日出生) 4月14日 白细胞9.9 淋巴细胞百分比0.497 血小板计数576 C-反应蛋白4(检查目的为确定黄疸性质) 4月28日 白细胞8.8 淋巴细胞百分比0.758 血小板计数511 (当时<a href=\"http://www.haodf.com/jibing/fuxie.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">腹泻</a>) 5月19日 白细胞6.3 淋巴细胞百分比0.788 血小板计数544 C-反应蛋白9(<a href=\"http://www.haodf.com/jibing/fuxie.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">腹泻</a>刚好) 6月7日 白细胞4.8 淋巴细胞百分比0.634 血小板计数556 (当日胸片诊断<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>) 今天 白细胞6.6 淋巴细胞百分比0.774 血小板计数674 C-反应蛋白&lt;8 淋巴细胞从第一次的稍高,到后来的持续高度不降,是否正常,与<a href=\"http://www.haodf.com/jibing/fuxie.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">腹泻</a>或<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>有关还是可能有其他原因?能因此判断<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>还没好吗</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">北京儿童医院感染内科陈贤楠</strong>：我仔细看了上述资料，并查阅孩子6月8日和昨日的就诊记录。丰瑞的病情较复杂，病程有些些迁延。一个月前<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>，又曾“痢疾”或肠道感染，同时有喉软骨软化，目前血小板和白细胞分类中淋巴细胞增加。仍有咳嗽和呛奶。综上分析喉软骨软化呛奶和<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>互成因果、淋巴细胞和血小板仍高，所以目前的婴儿<a href=\"http://www.haodf.com/jibing/feiyan.htm\" target=\"_blank\" style=\"margin: 0px; padding: 0px; text-decoration: none; color: rgb(51, 51, 51); outline: none;\">肺炎</a>综合征(详见我的科普，注意我有空还将再写有关文章)尚未完全控制。我建议： 1、阿奇霉素50mg 1次/天。奶后吃，实在不好喂，也可与奶一起吃。吃三天停4天，再来就诊，必要时再吃3停4（上述治疗考虑可能有衣原体或支原体感染） 2、玉屏风颗粒 每次1/5包 一天2次（此药可以外购）。（上述治疗考虑病程较长，脾胃虚生痰） 3、注意喂养，尽量避免呛奶 4、停其他药物 5、必要时需做心脏B超和免疫功能请保持联系，我一般会隔天上网，有特殊情况，先手机短信联系后可通话</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">患者</strong>：谢谢您的回复. 心脏B超昨天去复查了,没大问题.检查结果他不是动脉血管未闭合,是卵园孔未闭,直径小于2mm,大夫说不用做手术,算正常. 现在在给孩子吃阿奇霉素.您开的阿奇味道不错,孩子吃的很痛快.他体重现在长到16斤了,是否还按50mg 1次/天? 他已快4个月大了,淋巴细胞百分比现在的高度是否是这个时期的生理现象? 体温以前我们监测过一段时间,记录如下: 7月1日: 下午37 晚上36.9 7月2日: 早晨36.6 下午36.5 晚上37 7月3日: 下午36.8 晚上36.6 7月4日: 晚上37 7月5日: 晚上36.8 7月6日: 早晨36.9 下午37 晚上36.9 7月7日: 早晨36.9 下午37 7月8日: 晚上36.8 7月9日: 早晨36.6 下午37</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">北京儿童医院感染内科陈贤楠</strong>：阿奇霉素可按10mg/公斤体重，每天一次。你说得对，此月龄阶段淋巴细胞分类属正常</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">患者</strong>：今天去复查了血小板,仍然很高,检查结果如下: 血小板644 白细胞7.5 淋巴细胞百分比74% 上周六至本周二服用的阿奇.每天50mg,因为体重涨到16斤了,所以服用量可能有点少.,现在奶量有所减少,不知是否服用阿奇的原因.睡眠较多.体温仍如上,一天中最高为37度,最低36.6度.呼吸音仍很重,无罗音等杂音. 看了血液门诊,认为血小板高是感染所致,建议服用新博林一周,转看内科.因属于内科范筹,且该药副作用较大,所以征询您的意见,是继续服用阿奇还是新博林?(同时开的药还有潘生丁,抗血小板凝集).另外,小施尔康和钙剂是否可继续服用?孩子已经4个月大了,目前这种情况可以添加辅食吗?</p><p style=\"margin-top: 15px; margin-bottom: 0px; padding: 0px; color: rgb(51, 51, 51); font-family: Arial, simsun; font-size: 14px; line-height: 26.6667px; white-space: normal; background-color: rgb(255, 255, 255);\"><strong style=\"margin: 0px; padding: 0px;\">北京儿童医院感染内科陈贤楠</strong>：阿奇霉素吃3天停4天，一共2周后，配合中药清热解毒合剂7～10天，到时再复查血象。如有先天性喉软骨发育不全，反复呛咳也可能血象偏高，当然要排除血液系统疾病</p><p><br/></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","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":6},{"id":"9593","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"小儿肺炎的发病原因","content":"<p style=\"margin: 4px 0px; text-indent: 32px; line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1513750589513.jpg\" title=\"小儿肺炎的发病原因\" alt=\"小儿肺炎的发病原因\" width=\"600\" height=\"372\"/></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">小儿肺炎是感染性疾病中最常见的疾病，那么小儿得肺炎是由什么引起的呢？下面跟小编一起来学习一下。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">大多数新生儿肺炎是生后感染引起的，称晚发型肺炎，主要是家庭中与新生儿密切接触的成员感冒或呼吸道感染后通过飞沫传播给新生儿的</span>;少数是在宫内或分娩过程中感染的。如果不及时治疗会引起呼吸窘迫、甚至窒息，严重者会因为缺氧引起大脑损伤，留下永久的后遗症(如癫痫)。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(一)发病原因</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">1.吸入性肺炎 多因吸入胎粪、羊水、乳汁等引起，也可因吞咽反射不成熟、吞咽动作不协调、食管反流或腭裂等因素引起乳汁或分泌物吸入而引起。早产儿及颅脑及患病儿因吞咽功能不协调，反射差或缺如，易发生呕吐物、乳汁吸入性肺炎。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">2.感染性肺炎 感染性肺炎分为宫内、产时感染和生后感染。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(1)产前、产时感染性肺炎：如为胎儿在宫内感染，多为母亲有感染，通过血行传播所致。产时感染性肺炎多与产科因素有关。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">①产前感染：母孕期受病毒(如巨细胞病毒、单纯疱疹病毒、风疹病毒等)、细菌、原虫(如弓形体病)、衣原体和支原体等感染，病原体经血行通过胎盘和羊膜侵袭胎儿。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">②产时感染：胎膜早破超过6h，羊水可能被污染，若胎膜早破超过24h以上，发生感染的可能达30%，或羊膜绒毛膜炎时，产道内细菌如大肠埃希杆菌、克雷白杆菌、李斯特菌、B族链球菌等，上行导致感染，或胎儿在宫内吸入污染羊水而致病。另外，急产、滞产或产道未彻底消毒等情况，胎儿在分娩过程中吸入产道内污染的分泌物而发生肺炎。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(2)出生后感染性肺炎：</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">①呼吸道途径：接触新生儿者如患呼吸道感染，其病原体可经飞沫由婴儿上呼吸道向下传播至肺;也可因婴儿抵抗力下降时(如受凉等)，其上呼吸道感染下行引起肺炎。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">②血行传播感染：患脐炎、皮肤感染、败血症时，病原体经血行传播至肺而引起肺炎。病原体以B组溶血性链球菌、金黄色葡萄球菌、大肠埃希杆菌及巨细胞病毒、呼吸道合胞病毒等多见。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(3)医源性传播感染：医源性感染可由铜绿假单胞菌、厌氧菌及某些致病力低的细菌引起。由于医用器械如吸痰器、雾化器、供氧面罩、气管插管等消毒不严，暖箱湿度过高使水生菌易于繁殖，或使用呼吸机时间过长等引起肺炎;病房拥挤，消毒制度不严，医护人员洗手不勤，将患儿的致病菌带给其他新生儿;广谱抗生素使用过久容易发生真菌性肺炎等。晚发型肺炎最常见于新生儿监护室内，由于慢性肺部疾病需要长期气管插管的新生儿中。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">3.其他 护理不当，受凉等也是发生肺炎的诱因。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">(二)发病机制</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">吸入性肺炎主要因缺氧刺激，胎儿呼吸而使羊水、胎粪或阴道分泌物吸入，引起吸入性肺炎。其中以胎粪吸入性肺炎最为严重，参见胎粪吸入综合征。乳汁吸入常见于吞咽功能不全、吮乳后呕吐、食管闭锁和唇裂、腭裂等。</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin: 4px 0;text-indent: 32px;line-height: 200%\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">宫内、出生时感染性肺炎的病理改变广泛，肺泡渗出液中含多核细胞、单核细胞和少量红细胞。镜检可见到羊水沉渣，如角化上皮细胞、胎儿皮脂和病原体等。出生后感染性肺炎的病理改变以支气管肺炎和间质性肺炎为主，病变分散，影响一叶或数叶，有时融合成大片病灶，肺不张和肺气肿较易发生。镜检各病灶存在不同阶段的炎性反应。病原学不同，病理变化也不同。</span></p><p><br/></p>","barId":"1169","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","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":3}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"8644","isDel":0,"createAt":1512355168133,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"新生儿肺炎与什么有关呢","content":"<p style=\"margin-right: 0px; margin-left: 0px; text-indent: 32px; text-align: center; line-height: 200%;\"><img src=\"http://01luntan.com/ly_img/uimgs/1512355773589.jpg\" title=\"新生儿肺炎与什么有关呢\" alt=\"新生儿肺炎与什么有关呢\" width=\"600\" height=\"372\"/></p><p style=\"margin-right:0;margin-left:0;text-indent:32px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">有些妈妈认为剖腹产的宝宝更容易呛羊水，所以得肺炎的几率比顺产宝宝高。其实这种说法是错误的，新生儿肺炎与生产方式并无直接关系。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　新生儿肺炎与生产方式无关</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　新生儿肺炎分为吸入性肺炎和感染性肺炎两种。吸入性肺炎又包括羊水吸入性肺炎、胎粪吸入性肺炎和乳汁吸入性肺炎。新生儿肺炎的发生率高低与生产方式没有直接的关系。有人认为如果孕母产道内有病原体，那么新生儿在经过产道分娩的过程中就可能被病菌感染，也就是说顺产出生的孩子新生儿肺炎的发生几率较高。但专家表示，许多行剖宫产的产妇，是由于胎儿已经在宫内感染，有了异样的临床表现，具备行剖宫产的指征，这些孩子往往已经患上新生儿肺炎。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　李海浪主任医师说，乳汁吸入性肺炎尤其多见于早产儿和体弱儿。这些孩子口咽部、食道神经反射不成熟，肌肉运动不协调，常常发生呛奶或乳汁反流现象，导致乳汁被误吸入肺内。新生儿旁边一定要有大人照料，特别是喝奶后，要注意孩子是否有吐奶现象，及时将孩子的头偏向一侧。母亲在给孩子喂奶时要谨慎小心，如果用奶瓶喂奶，奶嘴的孔要大小合适，喂奶时孩子最好是半卧位，上半身稍垫高一点。喂奶后轻轻拍打孩子背部，排出其胃内的气体。新生儿抵抗力弱，专家建议，患有感冒、流行性腮腺炎、扁桃腺炎、肝炎、结膜炎、口腔疾病等病的人，即使病情不严重，也要避免接触宝宝，以免将病菌传给宝宝。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　预防该病要注重孕晚期保健</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　新生儿肺炎早期症状并不明显，往往不发热，也没有咳嗽、呼吸困难等症状，仅表现为无故哭闹或精神萎靡，面色苍白或青紫，哭声弱，并有拒奶、口吐白沫等症状。病情继续发展则出现呼吸短促、鼻翼扇动、皮肤青紫，甚至导致窒息，严重的可危及生命。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　家长要注意观察新生儿的一般状况。当孩子吃奶困难、惊厥、嗜睡、喘鸣、发热或体温上升时，均应立即意识到孩子患了较重的疾病，必须立即去医院明确诊断并及时治疗。判断新生儿是否患了肺炎最简单的办法是数呼吸和观察胸凹陷。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　母亲在怀孕期间定期做产前检查非常必要，尤其是在怀孕末期，可以及时发现胎儿宫内缺氧的问题，如发现有妊高症、胎位不正、脐带缠绕、受压、过期妊娠等可能引起胎儿宫内缺氧的因素，产科医生会采取相应的监护和治疗措施，以尽量减少吸入性肺炎的发生及减轻疾病的严重程度。对于感染引起的新生儿肺炎，从母亲怀孕期间就应该开始预防。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　家长不必过度担心拍胸片</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">　　孩子一旦出现呼吸道症状，胸部拍片很重要。这是因为医生检查时可能听不到肺部罗音，拍胸片可以明确诊断，从而了解是何种病原体引起的新生儿肺炎，以便制定治疗方案。目前，拍胸片的设备比较先进，而且时间很短，接受放射线的辐射很有限，基本对人体没有影响。一旦确诊为新生儿肺炎，家长要配合医生积极给予治疗。治疗后期要注意保持宝宝生活环境空气新鲜，室温最好维持在</span>18℃~22℃;有一定的湿度。注意穿衣盖被均不要影响孩子呼吸，须经常给宝宝翻身变换体位。宝宝鼻腔内如有干痂，用棉签蘸水取出，防止鼻腔阻塞而引起的呼吸不畅。母乳喂养的次数要频繁，但要少量。</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">&nbsp;</span></p><p style=\"margin-right:0;margin-left:0;text-indent:0;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\">　　在平时喂奶的时候一定要注意姿势，避免让宝宝呛奶，是有效的避免新生儿肺炎的方法。</span></p><p><br/></p>","barId":"1169","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1515,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1512355168138,"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":1512355168138,"metaSearch":null,"rn":null},"userAllInfo":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":null,"password":null,"level":0,"nickName":null,"realName":null,"signName":null,"head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":0,"userType":0,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":0,"provinceId":null,"cityId":null,"userLevel":0,"modifyNameCount":0,"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},"forumUserActiveInfo":{"id":"8acedcfeaf1511e7a3d800163e04584d","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":1611056061967,"updateBy":"8abb11d0af1511e7a3d800163e04584d","updateName":"良药苦口","userId":"8abb11d0af1511e7a3d800163e04584d","topicCount":8346,"replayCount":65,"favorteCount":0,"beFavorteCount":0,"creamCount":95,"focusCount":1,"fansCount":1,"integralCount":13965,"foodCouponCount":6624,"lastLoginTime":0,"lastLoginIp":null,"downloadCount":0,"uploadCount":0},"newPass":null,"focusBar":null,"counter":null,"forumUserIdentificateDto":null},"theme":{"id":"1032","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"topicTypeId":"2","topicTypeName":"治疗","themeName":"病友社区","barType":"102","schemaName":2,"reward":0},"page":1,"favorties":true,"isSelf":false,"order":"asc"}