保健 - 第84期 - page 43

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疾病防治
εϋԸdϼοቁᔼ͛ٙഅ٫d࿁ ڢ ࠠस٬ ف ઃՅѩ
મ͜ژ ൢ ط ᐕdഗʚҤ͛९ɹ؂dৣΥᵵຈ˟ۗe
༆ᆠഃ࿁स ط ᐕdɰఱ݊Ⴍdᜫ࢕ ڗ ৣəᖹ੭Ϋ࢕
ഗ܀ɿ؂͜dΝࣛʔྏՉ๨ήʹ˾٬ ف ઃՅ࢕ࢬᚐ
ଣ ࠅ ჯd˸ʿഗᖹ˙ج fɽεᅰઃՅί1 մʘlz ط
ᓹdא सًᜑഹಯჀdषઋ׼ᜑҷഛd ۃ Ըూൢࣛ
̙ΎЪᜟծd˸ቩոᐕࣖf
ν ؈ Ϟ̀ࠅ dৎष̙ࣛ˸ί ژ ൢ፩૰܃᎑এဈ ء Ҥ
͛९ 2~4˂d ڱसًҷഛܝ ҷ މৣᖹ੭Ϋ࢕؂͜dɰ
ఱ݊Ⴍdఊॱમ͜ɹ؂ ط ᐕfவᅵਂdˢИ৫ ط ᐕ
൬͜ࠅ ޲੻εdଉաष࢕ᛇ ڎ d݅ಯჀष࢕ٙ຾᏶
ࠋ ዄձၚग़Ꮐɢdᒔಯˇ࿁ᔼ৫षג䉺ЗٙᏀɢf
世組織發佈的公告
ʕ਷ᔼኪሞእజ ‘2008ϋ 1 ˜17
˚ A5و ̊༱ʃՅ٬ف ࢕ʕ ط ᐕ
τΌϞࣖ‘ɓ˖dႭ݊˰ޢ 㠛͛ଡ଼
ᔌ೯бٙʮѓ၈dɓධ͟WHOձ
ߕ਷਷ყක೯໇༟пٙ޼Ӻڌ׼d
ί࢕㛪ط ᐕʃՅᘌࠠ٬فٙᐕࣖd
ၾИ৫ط ᐕ޴Νdவධ޼Ӻ݊͟
ت ɻ཭ɽኪʮ΍㠛͛ኪ৫޼Ӻ٫
ίˋਿ౶վҁϓٙf޼Ӻ٫ਗ਼
2037Էᘌࠠ٬ف ઃՅᎇዚʱϓՇ
ଡ଼jɓଡ଼ίᔼ৫ء ࢛Ҥ͛९d̤ɓଡ଼ί࢕㛪ɹ؂Ҥ͛
ط९ᐕd࿁ˢИ৫ ط ᐕձί࢕㛪 ط ᐕ٬ف ઃՅٙᔷ
ᓥdഐ ؈ ᜑͪdί࢕㛪؂ᖹ ط ᐕτΌϞࣖfϤධ޼
Ӻഐ؈ d̙ঐҷᜊ೯࢝ʕ਷࢕طᐕʃՅ٬ف ٙ˙όd
ಯჀ㠛͛௅ ژٙᏀɢf
٫̙ഗʚःंіɝfᒔ ࠅ ഗઃՅ
ාᔕԒd˸ ڮ ආ٬௅А૰ృᐑd
Ϟл׵ ف सऊ౳f࿁ۗྔεຈ٫
ৰഗʚᵵຈ˟ۗᖹ̮d̙˸Ⴠ ש
ઃՅ ߠ ௅d ڮ Դຈ૰ၾं၍ኣʱ
ᕎd˸лર̈d੽Ͼ ڭ ܵխі༸
ஷ࿫f೯ᆠeं ܢ ึᄣ̋᜗lz˥
ʱऊঃd֝εභ˥dΝࣛഗʚబ
ўᐄቮe࢙׸ऊʷٙ࠮ي d˸ڮආઃՅੰూf
門診配藥帶回家治療
ف٬ઃՅஷ੬ϗИ৫d຾ཀ7~10 ˂ط ᐕၾၚːᚐଣd
ɓছც ൬ڀ̬ʞɷʩɗЇһεٙ፺d࿁׵ೌᔼᐕ ڭ
ᎈԮաٙ࢕ࢬԸႭdɰ஢ʔఘࠠࠋ f
Managing Paediatric Pneumonia at Home.
Childhood pneumonia may arise from common upper respiratory infections spreading to the lungs, or, as a complication of measles
or pertussis. Children with weak physique, especially those with rickets are also prone. Symptoms are fever, cough and shortness of
breath and even cyanosis and in-sucking of chest wall muscles. If in doubt, take the child to a hospital. Mild cases may be managed
at home but oxygen may be required; gentle patting of the back to loosen the phlegm; turn the child periodically; give enough water
and easily digested nutrients. The Center for International Health and Development, Boston University School of Public Health, Boston,
USA collaborated with the WHO to undertake a randomized study of 2037 children with severe pneumonia by treating half of them with
injected antibiotics and the other half, oral antibiotics at home. The results, published in 2008, showed no different between the two
groups of children. This would be of great significance for future recommendations on the management of childhood severe pneumonia
especially in developing countries where facilities are very limited.