Clinical diagnosis and differential diagnosis of pediatric bronchitis

Clinical diagnosis and differential diagnosis of pediatric bronchitis

Clinical diagnosis and differential diagnosis of pediatric bronchitis

Clinical manifestation
1. From the beginning, there are fever, aversion to cold, headache, and dry throat.

2. The main symptoms are cough and cough.

Main type
1. The initial stage of acute bronchitis is dry cough, and the amount of sputum gradually increases, gradually becoming mucopurulent purulent sputum.

2. Chronic bronchitis is mainly caused by persistent cough, which is unhealed for many months, and is aggravated in the morning and evening, especially at night. The amount of sputum is more or less, so that coughing is faster. Symptoms, the shape is lighter in summer, and it is prone to acute attacks in winter, which makes the condition worse. The author of the anti-recurrence, the body is thin and weak. Can be complicated by atelectasis, emphysema, bronchiectasis and so on.


Physical and chemical testing
1. The early breath sounds can be thick and the blisters can be heard on both sides.

2. X-ray examination: no special findings can be found in acute cases. Chronic people may have corresponding chronic inflammatory changes.

Differential diagnosis
1. Patients with milder conditions should be identified with upper respiratory tract infections.

2. Bronchial foreign body: When there is airway obstruction with infection, its respiratory symptoms are similar to acute bronchitis. It should be noted whether there is a history of inhalation of foreign body in the respiratory tract. After treatment, the curative effect is not good, the prolonged unhealed, repeated attacks. Chest X-ray showed obstruction such as atelectasis and emphysema.

3. Pulmonary bronchial lymph node tuberculosis: according to the history of tuberculosis exposure, tuberculin test and chest X-ray examination.

4. Bronchiolitis: more common in infants less than 6 months, with obvious acute episodes of asthma and difficulty breathing. The body temperature is not high, the lungs are not obvious when the asthma attacks, and the fine wet rales can be heard after the relief.