The Selection Of Diagnose And Therapy For Capillary Bronchitis

Capillary bronchitises are common lower respiratory infections in infants,which are often caused by virus infections, about80%of them are caused byrespiratory syncytial viruses (RSV), about4%-7%are caused by humanmetapneumoviruses (hMPV),7%-10%are affected byparainfluenza viruses, andothers are caused by adenoviruses, influenza viruses, rhinoviruses, herpessimplex virusese and nteroviruses, ect.Capillary bronchitises appear mostly in infants under two years old,especially under six months. Major clinical manifestations are cough andshortness of breath,serious may present dyspneaandcardiac failure.Somechildren can develop into asthma which threatens the health of infants seriously.IThe diagnosis of capilary bronchitis relies mainly on the medical history andclinical manifestations of children, no specific clinical indicators and diagnostictests, and no special threapy. Unreasonable examination and treatment canincrease the patient’s hospitalization expenses and side effects significantly.ObjectiveIn this research, the difference of hospital stays had been compared fromvirus detection, chest X-ray, aerosolized drugs and the use of antibiotics, whichcan provide the basis for the diagnosis and treatment.MethodsOne hundred ninety nine infants (aged1month to24months) withcapillary bronchitis during December2012to February2013,were chosen andand recorded their information included gender, age, laboratoryreport(whiteblood ceLlcount and eosinophil count),chest X-ray,aerosolizeddrugs(salbutamol,albuterol+budesonide, isopropyl bromide ammonia), the useof antibiotics(cefoperazone,piperacillin, azithromycin)and length of stay.The199cases were classified into bronchitis group and pneumonia group according to chest check, into albuterol group, salbutamol+budesonide groupand isopropyl bromide group according to aerosolized drugs, into antibioticgroup and unused antibiotic group according to the use of antibiotics, Andobserve the time of hospital stay, shortness of breath and fade away of pulmonaryinfectious signs in each group.ResultsThe time of hospital stay, shortness of breath and fade away of pulmonaryinfectious signs were no obvious differences between bronchitis group andpneumonia group, among three groups of different aerosolized drugs, and alsono statistical significant. The hospital stay of antibiotic group was shorter thanunused antibiotic group with statistical significant.Conclusions:Chest check was no special meaning for the training of capillary bronchitises,for there was no obvious difference between bronchitis group and pneumoniagroup, and in consideration of risk of radioactiverays, chest check can’t be theroutine inspection. Because the indifference of use of hormone drugs and theside effect, so hormone drugs are not ideal drugs for the treatment of capillarybronchitises. For the babies who have high infectious indicators, the reasonableuse of antibiotics can decrease the hospital stay.