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a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > h2{}.products_52_wrapper li p{}.mobiles_sidebar{}.foot_contact:before{}.index_sub_title a{}.other_184_right{}.HJZF_contact_inquiry{}.hj_navbar_nav > li > a > h2:before{}.nav_li.on>a h2{}.container-fluid{}.other_184_right{}.other_184_right>.index_sub_title{}#news-44_1891 > section > div > div > div > ul > li > div > div.index_text{}.other_184_right>.con{}.other_184_pagination{}.banner_27_zyzfw{}#aboutus-23_1891 > section > div > div > div > ul > li:nth-child(4){}.main_page{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(2) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(3) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(2):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(4).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(4):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(5).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(5):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(6).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(6):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(7).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(7):hover a{}.HJZF_Z__inner_product_categroy5 ul 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img{}.runlin_banner{}.runlin_banner_left{}.runlin_banner_right{}.runliin_top_email{}.runlin_email.first{}.runlin_des + .more{}.runlin_left li{}.runlin_yiji > span h3{}.submit_runlin_search{}.nav_drop{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > div.runlin_des > b{}.hjzf2_z_products_list_left a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{flex:0 0 100%}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > 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section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, 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风团、红肿、瘙痒、哭闹……孩子得荨麻疹怎么办?
  2024/11/05| 阅读次数:319

孩子的脸上、四肢上突然出现大片红色“风疙瘩”,像蚊子叮咬,看着很是触目惊心。还痒得不行,孩子不停哭闹、抓挠,这样的难题很多新手爸妈都遇到过。


为什么儿童荨麻疹频发?


荨麻疹是一种很常见的皮肤疾病,是由于皮肤、黏膜小血管扩张及渗透性增加出现的一种局限性水肿反应。临床上表现为大小不等的风团伴瘙痒,约20%的患者伴有血管性水肿。


荨麻疹分为急性和慢性,急性荨麻疹起病迅速、消失得也快,而如果风团每天发作或间歇发作,持续时间>6周,就要小心是慢性荨麻疹了。


由于孩子自身免疫功能未完全发育,较成人更易受到病毒感染或者免疫紊乱,导致荨麻疹增多。近年来的报道显示,约有0.44%-1.08%的儿童一年内被诊断为慢性荨麻疹,与过去相比有逐年上升趋势。


更让爸妈头疼的是,荨麻疹病因复杂,尤其是慢性荨麻疹,很难找到原因。儿童荨麻疹多是过敏反应所致,常见的可疑病因首先是食物,其次是感染。


因年龄不同、饮食种类不同,引起荨麻疹的原因也不一样,如婴儿以母乳、牛奶、奶制品喂养为主,可引发荨麻疹的原因多与牛奶及奶制品添加剂有关。


除此以外,孩子抵抗力偏低,容易患各种感染,因此化脓性扁桃腺炎、咽炎、肠炎、上呼吸道感染等疾病,一年四季均可成为荨麻疹的诱发因素。


鉴别方法


荨麻疹病因分型很多,但是大部分的荨麻疹十字划痕症都是阳性的。在身上完好的皮肤处,稍微用力划一个十字,3分钟后,如果出现了突出的痕迹,那说明有可能已经患有荨麻疹。


得了慢性荨麻疹,瘙痒感反复持续,病情迁延不愈,会让孩子不停抓挠、哭闹,夜晚难以安眠,形成恶性循环,显著影响孩子生活质量。病程长的患儿甚至可能出现精神和生长发育异常。




孩子得了荨麻疹怎么办?


01

药物治疗


抗组胺药物是治疗孩子荨麻疹的一线用药。赛庚啶是第1代抗组胺药物,对有瘙痒症状的慢性荨麻疹有非常明显的改善作用,但此药不适合长期口服,容易产生嗜睡、头晕、肠道不适等多种不良反应。比起口服赛庚啶片,更推荐外用赛庚啶乳膏。


  • 赛庚啶乳膏治疗荨麻疹,止痒效果立竿见影,有效缓解孩子瘙痒;

  • 外用乳膏全身吸收量少,不用担心口服嗜睡的副作用,减轻肝肾负担;

  • 不含激素、防腐剂,可以放心使用;

  • 不用吞咽药片,孩子接受程度高,治疗舒适便捷;

  • 质地清爽,温和0刺激,不伤孩子皮肤;



02

饮食调理

组胺是介导荨麻疹的核心成分,也存在各种食物中,高组胺食物会加重病情,也可以理解为常见的“发物”。


常见高组胺饮食
分类
食物
水果
鳄梨、草莓、木瓜、菠萝
蔬菜
菠菜、茄子、蘑菇、西红柿、蔬菜罐头
坚果
干果
鱼/肉类
鱼虾蟹贝(尤其是不新鲜的)、加工肉
发酵食品
酸菜、萝卜、豆瓣酱、红辣椒酱、蛋黄酱、酸奶、奶酪、番茄酱
饮品
葡萄酒、啤酒
其他
剩菜


各种精加工食品和发酵食品是高组胺重灾区。除此以外,多摄入绿色果蔬、碳水化合物、优质蛋白质,遵循易消化、清淡的饮食原则。


03

生活起居


室内环境保持良好的通风条件,严控湿度、温度,做好防蚊虫叮咬措施,勤晒、勤洗被褥床单。建议给孩子穿着宽松衣服,少佩戴手环或项链等、避免冲泡高温热水澡,以免皮肤遭受额外刺激。



严重的荨麻疹会诱发腹痛、腹泻,甚至出现喉头水肿、过敏性休克,危及生命。如果发现孩子出现类似症状,请立即就诊!


参考文献:
[1]谢红,蔡梅,周晓鸿.赛庚啶递减疗法联合咪唑斯汀治疗慢性荨麻疹45例的疗效及预后分析[J].实用临床医药杂志,2017,21(13):187-188.
[2]黄越.儿童慢性自发性荨麻疹相关因素分析[D].南昌大学,2023.DOI:10.27232/d.cnki.gnchu.2023.000879.
[3]邢培业,孔瑶瑶,槐鹏程,等.1990-2019年全球荨麻疹疾病负担分析[J].中国麻风皮肤病杂志,2024,40(09):618-623.
[4]段红艳.婴幼儿荨麻诊94例临床治疗分析[J].中国医药指南,2011,9(08):119-120.DOI:10.15912/j.cnki.gocm.2011.08.286.


【声明】文章内容不作为临床诊疗依据,仅供交流、学习。


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