A 9-year-old child with cough and asthma was hospitalized for 11 days in a local hospital due to cough and asthma. During hospitalization, he was treated with intravenous aminophylline and aerosol inhalation for improvement of cough and asthma. One month later, the child developed wheezing again. He was diagnosed as' bronchial asthma 'by inhalation of ￥ 50 / 250ug twice a day, reduced to once a day after four months, reduced to 50 / 100ug twice a day after three months, and then reduced to once every three months. At present, he inhaled once every two days. When the reduction to once a day, the child began to have an increase in the number of colds, and later developed a long-term cough and wheezing Attack. Due to the continuous attack of asthma, the child went to the Department of Pediatrics of the hospital for treatment. The lung function was normal and the serum allergen dust mite was mildly allergic.
What is the reason why asthma is not controlled in children?
First, the role of lung function is not clear. In the morning, the children were reexamined with FEV1 100.2% and pef106.3%. Although the lung function was normal, the children had symptoms indicating that asthma was not controlled, such as cold, cough, and even wheezing. At least maintain the treatment or increase the dose.
Second, inhaled drugs reduce too fast, and they are eager to reduce when asthma is not complete. Obviously, it is not enough time for a child to use * 50 / 100ug a day. When the dosage is reduced again, the number of colds and coughing will increase, which is the signal that asthma has not been controlled. However, the doctor easily makes the decision to reduce the dosage again only based on the normal lung function.
Third, allergic rhinitis is not treated at the same time. Children usually have sneezing and itching. In the past two years of asthma treatment, the total use of nasal spray ICs is about 2 months. Obviously, the treatment time is relatively short.