Measles is a disease that generally only children suffer from, but many adults also suffer from this disease, so it cannot be ignored. In daily life, we must find ways to reduce the incidence of measles, so as to prevent the occurrence of this disease. If it occurs, we must prescribe the right medicine, and we can choose the appropriate treatment method according to the condition of the disease. The focus of simple measles treatment is on nursing, symptomatic treatment and prevention of complications. (I) [It is recommended to add some relevant content on diet and care] General treatment: isolation, rest, and intensive care. During the rash period, the child must be guaranteed a certain amount of nutrition (easily digestible food rich in protein and vitamins), and the eyes and mouth must be kept clean. Attention should be paid to indoor air exchange, but the child should not be exposed to direct wind. (ii) For symptomatic treatment of high fever, small doses of antipyretics may be used as appropriate. Rapid fever reduction that may lead to collapse should be avoided. For cough, cough suppressants should be used; for irritability, sedatives should be used. Weak children can use immunoglobulin early. (III) Treatment with traditional Chinese medicine: Clear the rash and relieve the symptoms, add or subtract Pueraria lobata and Cimicifuga decoction, and take Coriander decoction orally. During the rash period, use Yinqiao Powder with modifications. 4. Treatment of complications 1. The main antibiotic treatment for bronchopneumonia is penicillin, and the antibiotics are selected based on the sputum bacterial sensitivity. For patients with severe symptoms of hyperthermia poisoning, hydrocortisone 5-10 mg/kg per day can be used for a short period of time through intravenous drip, and the drug should be discontinued after improvement after 2-3 days. 2. Patients with myocarditis and heart failure should receive cardiotonic treatment as soon as possible. Patients with circulatory failure should be treated as in shock. Pay attention to the total amount of infusion and electrolyte balance. 3. Encephalitis refers to the treatment of epidemic Japanese encephalitis 3. For acute laryngitis, keep the child as quiet as possible, use steam inhalation to dilute sputum, select antibiotics, and use corticosteroids to relieve laryngeal edema in severe cases. Patients with laryngeal obstruction should undergo tracheotomy or endotracheal intubation as soon as possible. Isolation and observation: Closely observe ① body temperature, pulse, respiration and mental state; ② changes in the rash. If the rash process is not smooth, it indicates the possibility of complications and needs to be reported to the doctor for timely treatment; ③ observe for dehydration; ④ manifestations of complications: high body temperature or temperature that rises after a drop, difficulty breathing, cough, cyanosis, restlessness, etc., all indicate possible complications. Rest: Absolute bed rest. The air in the ward should be kept fresh and ventilated. The room temperature should not be too high, preferably 18~20oC, and the relative humidity should be 50~60%. The indoor light should not be too strong and can be covered with colored curtains to prevent strong light from irritating the patient's eyes. |
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