The disease is mainly treated symptomatically.
1. Promote the excretion of phlegm
It is extremely important to increase the humidity in the air, and indoor humidifiers can be used in general. In severe cases, nebulization therapy can be applied reasonably to help the child, and the jet nebulizer can be used in combination with oxygen administration; ultrasonic nebulization is only applied when there is phlegm blockage in the whistle.
2. Correction of hypoxia
The first thing to do is to elevate the head and chest to reduce the difficulty of whistling; in case of obvious hypoxia, oxygen can be given by nasal tube with the tip of the catheter placed in the nasal vestibule. In severe cases, continuous positive pressure ventilation (CPAP) can be used.
3. Stop wheezing
Bronchodilator nebulizer inhalation can be applied during wheezing attack.
4. Water and electrolyte balance
Strive to take oral fluids several times to replenish the water lost during rapid inspiration, and intravenous rehydration drip can be used when it is insufficient. In case of metabolic acidosis, intravenous sodium bicarbonate can be infused.
5. Keep the whistle tract open
For whistling acidosis it is advisable to use nebulized aspiration and other methods to keep the whistling tract open. CPAP ventilation is required in some cases, and mechanical ventilation with tracheal intubation can be performed in individual cases of very severe whistling failure.
6. Correction of heart failure
Complicated heart failure should be timely application of digitalis drugs, the suspected heart failure cases, but also early trial.
7. Adrenaline
For children with suspected asthma, small doses of epinephrine can be tried and not repeated if ineffective.
8. Interferon nebulizer therapy
Recent clinical studies have confirmed its efficacy in this disease.
9. Chinese medicine treatment
For children who can take tonics, TCM treatment is more effective. Generally, it can be added or subtracted by Siao Gan Ma Huang Tang, Ding Qi Tang or Xiao Qing Long Tang.
10. Antibiotic treatment (control of secondary bacterial infection)
This disease is mostly caused by viruses, so antibiotics are generally not required. However, if the isolation conditions are poor, penicillin can be used to control secondary bacterial infections. If secondary infections such as Staphylococcus or H. influenzae are found, antibacterial treatment should be actively carried out.