A child coughing and breathing with a zipping sound indicates the occurrence of an upper respiratory tract infection, which may also be accompanied by symptoms of acute bronchitis and bronchial asthma, which are usually more serious and should be actively treated by a respiratory or pediatrician. Most coughing and breathing sounds in children are caused by phlegm in the trachea and throat. Since phlegm is sticky and cannot be easily discharged, or the child will not discharge the phlegm by himself, it can easily cause this symptom, which is mostly seen in upper respiratory tract infections, acute bronchitis, bronchial asthma and other diseases. The child should be treated in a timely manner by taking medications such as amoxicillin and amoxicillin hydrochloride as prescribed by the doctor, and if necessary, nebulization treatment can be given to dilute the sputum and relieve the condition. The child should pay attention to strengthening physical fitness, physical exercise, drinking more water, promoting metabolism, avoiding spicy and stimulating food, and ensuring sleep to enhance the body’s ability to resist disease.