看到那么多無辜的孩子收抗生素濫用之苦，得了他們本不該得的疾病，真讓人感到憤怒。
主要是對做父母的教育。
－－－－－－－－－－－有感于我在美國第一次看醫(yī)生。當時
咳嗽，結(jié)果醫(yī)生告訴我去商店買一包糖，睡覺是含一塊，這樣能抑制一下，根本沒給任何藥。
Medical Encyclopedia: Cough
URL of this page: http://www。nlm.nih。gov/medlineplus/ency/article/003072.htm
Definition
Coughing is an important way to keep your throat and airways clear. However, excessive coughing may mean you have an underlying disease or disorder.
Some coughs are dry, while others are “productive.” A productive cough is one that brings up phlegm (also called sputum or mucus). Coughs can be either acute or chronic:
* Acute coughs usually begin suddenly. They are often due to a cold, flu, or sinus infection. Typically, they do not last longer than 2-3 weeks.
* Chronic coughs last longer than 2-3 weeks.
Common Causes
Besides cold and flu, other common causes of coughs include:
* Allergies and asthma
* Lung infections like pneumonia or acute bronchitis (may start suddenly but then linger on)
* Chronic obstructive pulmonary disease (emphysema or chronic bronchitis )
* Sinusitis leading to postnasal drip
* Smoking cigarettes, exposure to secondhand smoke and pollutants
* Gastroesophageal reflux disease (GERD)
If a child has a barking cough, see croup.
Home Care
* Cough lozenges or hard candy can help dry, tickling coughs. These should never be given to a child under 3 years old because of the risk of choking.
* A vaporizer or steamy shower may help a dry cough by increasing the humidity in the air.
* Drink extra fluids to help thin the secretions in your throat and make them easier to cough up.
Medications available without a prescription include:
* Guaifenesin (like Robitussin) can help you bring up phlegm. Drink lots of fluids if taking this medication.
* Cough suppressants like dextromethorphan (Vicks 44, Robitussin DM) may lessen your cough. Although coughing can be a troubling symptom, it is usually your body"s way of healing the underlying condition. Therefore, you may not want to supress a cough unless it is interfering with sleep or other factors important for healing.
* Decongestants, like pseudoephedrine and phenylephrine, can be used to clear a runny nose and postnasal drip. These should NOT be used if you have high blood pressure or for a child under 6 years old unless prescribed by your doctor.
Don"t expect a physician to prescribe antibiotics for viral infections like colds or flu. Antibiotics have no effect on viruses. Antibiotics also will not help coughs from allergies.
Call your health care provider if
Call 911 if you have:
* Shortness of breath or difficulty breathing
* Hives or swollen face or throat with difficulty swallowing
Call your doctor right away if you have:
* Violent cough that begins suddenly
* High-pitched sound (called stridor) when inhaling
* Cough that produces blood
* Fever (may indicate a bacterial infection requiring antibiotics)
* Thick, foul-smelling, yellowish-green phlegm (may indicate a bacterial infection)
* A history of heart disease, swelling in your legs, or a cough that worsens when you lie down (may indicate congestive heart failure)
* Exposure to someone with tuberculosis
* Unintentional weight loss or night sweats (may also indicate tuberculosis)
* Cough longer than 10-14 days
* Cough in an infant less than 3 months old
What to expect at your health care provider"s office
In emergency cases, the patient will be treated first to stabilize the condition. After the condition is stable, the doctor will ask questions about your cough, including:
* Are you coughing up blood? (How much, how often)
* Do you bring up any mucus/sputum when you cough? What does it look like? Is it thick and hard to cough up? How much sputum is produced per day?
* Is the cough severe? Is the cough dry?
* Does the cough sound like a seal barking?
* What is the pattern of the cough? Did it begin suddenly? Has it been increasing recently? Is the cough worse at night? When you first awaken?
* How long has the cough lasted?
* Is the cough worse when you are lying on one side?
* Are there sudden periodic attacks of coughing with gagging and vomiting?
* What other symptoms are present?
The physical examination will include emphasis on the ears, nose, throat and chest.
Diagnostic tests that may be performed include:
* Bronchoscopy
* Lung scan
* Pulmonary function tests
* Sputum analysis (if the cough produces sputum)
* X-ray of the chest
Prevention
* Don"t smoke and stay away from secondhand smoke.
* If you have seasonal allergies like hay fever, stay indoors during days when airborne allergens are high. If possible, keep the windows closed and use an air conditioner. Avoid fans that draw in air from outdoors. Shower and change your clothes after being outside.
* If you have allergies year round, cover your pillows and mattress with dust mite covers, use an air purifier, and avoid pets and other triggers.
References
Holmes RL. Evaluation of the patient with chronic cough. Am Fam Physician. 2004; 69(9): 2159-2166.
Update Date: 6/6/2005
Updated by: John G. Hay, M.D., Associate Professor of Medicine and Pathology, NYU School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.
－－－－－－－－－－－支持fengning。
倒不一定多贊同西醫(yī)，讓世人明白真像是最主要的。而且西醫(yī)一些處理方式對于不懂中醫(yī)的平常老百姓來講，則多數(shù)還是比較恰當?shù)摹?br >這個有賴于各位，特別是在國外的各位，對西方比較了解，將他們最權(quán)威的資料收集起來，我們可以集中翻譯一下。
為什么要最權(quán)威呢？這主要是給我國人看得，告訴他們，看吧，這就是最權(quán)威的西醫(yī)。這就是殺了你你還幫著他們點鈔票的西醫(yī)——更何況我們國內(nèi)大多數(shù)更為可恥的西醫(yī)！
這樣對比中西醫(yī)，更可以看出我們中醫(yī)的長處了。
譬如上次那個怎么處理發(fā)燒的文章，就體現(xiàn)了我們中醫(yī)的長處——西方人簡直是才剛剛起步而已，而我們早已經(jīng)走出老遠了。
不知道fengning上次說的MAYO CLINIC這方面的資料是否全？
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Last edited by 尋找中醫(yī) on 2006/1/3 at 08:59 ]
－－－－－－－－－－－美國好的醫(yī)院都有比較齊全的對常見病的處理措施。醫(yī)生實際上也是照著這個“guideline"處理病人。
