Pediatric pneumonia, caution hormone

Adrenal cortex hormones can reduce the inflammatory exudate, lift the bronchial spasm, improve blood vessel wall permeability, reduce intracranial pressure, microcirculation. Although there are a lot of role, but should prevent abuse of such drugs, because drugs enable the body’s immune system after the reaction decreased, easy to conceal the nature of the primary disease. Pneumonia generally does not require the use of hormone therapy for severe bacterial pneumonia, if the bacteria sensitive to antibiotics, in the following circumstances may be added with the hormones.

(1) severe symptoms of poisoning, such as shock, toxic encephalopathy, high fever (body temperature above 40 ℃ in the persistent), etc..

(2) the capillary spasm of bronchial secretions obvious or more.

(3) Early pleural effusion, in order to prevent pleural adhesions can also be partially applied.

Hydrocortisone 5 ~ 8mg/kg · times, or dexamethasone 0. 15 ~ 0. 25mg/kg · times, by adding glucose in the intravenous drip.

Note that children with pneumonia, the use of steroids no more than 3 days, of course, the full application of effective antibiotic therapy, the use of the premise. On viral pneumonia, usually hanged. Spread of the virus due to hormones can make illness worse, but the case of critical illness or bronchiolitis Asthmatic heavier, they can short-term use.