Will the peak come early? Will children with mycoplasma pneumonia develop "white lungs"? Latest reminder

Autumn and winter are the peak seasons for respiratory infectious diseases. Recently, respiratory infectious diseases such as mycoplasma pneumonia in children have increased. How to prevent and treat respiratory infectious diseases scientifically? Recently, the reporter interviewed Xu Baoping, director of the respiratory department of Beijing Children's Hospital affiliated to Capital Medical University, and Qi Wensheng, director of the emergency department of Guang'anmen Hospital of China Academy of Chinese Medical Sciences. Xu Baoping said that the peak of children's respiratory infectious diseases this year was earlier than in previous years. In addition to mycoplasma infection, the number of infections with influenza virus, adenovirus, rhinovirus, etc. has also increased. Among them, the number of mycoplasma-positive people accounts for about 20% of the fever and cough clinics. This is mainly related to the decline in individual immunity.

Will Mycoplasma pneumonia cause “white lung”?

Xu Baoping believes that some patients with mycoplasma pneumonia have a white patch on their lungs, which is mostly caused by infection in one lobe or segment, and is different from the medical term "white lung". Generally speaking, "white lung" refers to diffuse lesions in both lungs, which mainly occur in severe infections, and its symptoms and severity are different from mycoplasma pneumonia.

What are the symptoms of mycoplasma infection or pneumonia? What are the treatment drugs?

Xu Baoping said that there are two main symptoms of mycoplasma pneumonia: one is fever, and the other is cough. Among them, the cough starts with paroxysmal dry cough, and there will be sputum during the progress. Some people will experience chest pain, sore throat, headache and other symptoms, and a few people will experience cyanosis, dyspnea and other phenomena, and should go to the hospital for treatment in time. At present, the first-line treatment drugs are mainly macrolide antibiotics, and commonly used ones are azithromycin, erythromycin, clarithromycin, etc. Antibiotics are prescription drugs and need to be used under the guidance of a doctor. In clinical practice, some children have drug resistance and the treatment effect is not very good. Studies have shown that there is not much difference between drug-resistant and non-resistant patients in the treatment of mycoplasma infection or pneumonia. The main difference is that the fever of drug-resistant patients is delayed and the course of disease is longer, but the proportion of severe cases is not significantly different.

How to prevent respiratory infectious diseases?

Xu Baoping said that the main thing is to stay away from pathogens, try to avoid crowded closed places, and wear a mask when you must go. Pay attention to washing hands frequently, strengthening exercise, and strengthening physical fitness. In addition, school-age children should not go to school with illness after suffering from mycoplasma pneumonia, but should pay attention to rest and improve immunity. Qi Wensheng said that from the perspective of traditional Chinese medicine, the climate in autumn is dry, and pathogens are easy to invade the lung system, leading to respiratory diseases, mainly manifested as dry mouth, sore throat, cough and other symptoms, which are collectively referred to as autumn dryness in traditional Chinese medicine. Autumn dryness is mainly divided into two categories, namely warm dryness and cool dryness, which require syndrome differentiation and treatment. The treatment of warm dryness is mainly to clear heat and moisturize dryness; the treatment of cool dryness is mainly to warm and disperse dryness. What are the good prescriptions of traditional Chinese medicine for autumn respiratory diseases? Qi Wensheng said that if respiratory diseases occur and symptoms such as dry cough and fever occur, you should seek medical treatment in time and take some Chinese medicine. If the main symptom is itchy throat, you can use prescriptions such as Sangjuyin; if the main symptom is dry throat, you can use prescriptions such as Sangyetang; if there are external cold symptoms, you can use prescriptions such as Xingsusan.