马偕医理院等小儿科部李宏昌.pptVIP

馬偕醫院小兒科部 李宏昌 住院案例-1 5歲男童，診斷為464.4 Croup 病史：Fever with productive cough and hoarseness for 3 days. The cough sounds like barking. Progressive hoarseness and rhinorrhea was also noted 理學檢查：nose: some discharge; throat: injected; tonsil: Gr.II/IV. No exudates. Chest: symmetric expansion; breath sounds: bilateral rhonchi Chest X-Ray: bilateral perihilar infiltration with peribronchial cuffing 住院案例-1 核刪Pulmicort Nebulising suspension(IH) 核刪理由： 依所附文獻，IV form dexamethasone為首選，為何捨有效且便宜的療法 依據診斷/病況，無使用類固醇吸入劑治療之必要 申請理由：病童因Croup而入院，治療方法可用吸入性類固醇達到消腫、抗發炎的結果 Croup: Treatment Medication Author: Antonio Mu?i