The convulsion caused by fever usually refers to what we call febrile convulsion, which is characterized by
The convulsion caused by fever usually refers to what we call febrile convulsion, which is characterized by limb convulsion and temporary loss of consciousness, which makes parents very scared.
Febrile convulsion is a sudden increase or decrease in body temperature, which leads to abnormal discharge activity in the brain, thus causing spasmodic attacks of muscles all over the body.
There is no temperature limit for febrile convulsions, but it is related to the sudden rise or drop of body temperature. Some children twitch when their body temperature rises rapidly, and some children twitch when their body temperature drops rapidly. Frankly speaking, improper cooling measures can also lead to febrile convulsions!
Fortunately, febrile convulsions are usually benign and will not cause damage to the brain, and not all children will have febrile convulsions. Febrile convulsions are very familial, and less than 4% of children respond to the sudden increase or decrease of body temperature.
Parents must keep calm if their children have febrile convulsions at home. Specific treatment of febrile convulsion:
First of all, let the child lie flat on the floor or bed, away from hard and sharp objects to prevent accidental injury.
Then, turn the child's head to one side to prevent the vomit from being inhaled by mistake.
Then, loosen the child's collar and any clothes that may affect the smooth breathing.
At the same time, record the time and situation of the child's convulsion, so as to communicate with the doctor when seeking medical treatment and facilitate the doctor's diagnosis.
Remember what not to do: don't shake the child, don't force or bind his body, don't pinch people, don't put towels or anything else in his mouth.
The convulsion usually lasts for several seconds to several minutes and then ends. If the child has only one convulsion within 24 hours after the onset of fever, and the whole body convulsion ends within 5 minutes, and everything returns to normal after the convulsion, parents need not worry too much.
However, if there is more than one convulsion during the fever, and the time is long, or the convulsion only involves a part of the body, or it does not fully return to normal after the convulsion, then you should go to the hospital for further examination.
Parents' Hall will answer for you: febrile convulsions usually occur in children from 6 months to 5 years old, and children will have high fever (body temperature generally exceeds 39). Because high fever will lead to increased excitability of the central nervous system, febrile convulsions will occur. Children with febrile convulsions should go to the hospital for medical treatment in time every time, so as not to delay the real cause of the child.
Usually ensure that children have a reasonable daily diet, get enough sleep, improve their resistance, pay attention to personal hygiene, go to densely populated places less, and reduce virus infection. When the weather is hot, the air conditioner can be properly turned on to cool down, but the room temperature should be controlled at 24~26, so as to avoid the contraction of the children's subcutaneous blood vessels caused by the low room temperature, which is not conducive to the baby's heat dissipation.
When children have febrile convulsions, parents can do the following five things. 1. Stay calm.
If a child has febrile convulsions, parents should first keep calm and don't panic. Secondly, let the child lie flat (avoid lying on sharp or hard objects), unbutton the child's clothes and take physical cooling at the same time.
2. Never press the middle part of a person.
Pressing the middle part of the person may block the airway, but it can't stop the convulsion. Remember not to do so.
3. Don't put the tongue depressor in the child's mouth.
Many parents are afraid that their children's tongues will be bitten, and they will enlarge people's fingers or tongue depressors into their children's mouths. In fact, children will not bite their tongues, and even if they are bitten, they will recover quickly. If the tongue depressor is used, not only the respiratory tract may be blocked, but also the teeth or gums may be damaged due to seizure of the tongue depressor.
Step 4 don't feed
When children are convulsed, they should not feed water or eat, so as to avoid suffocation and pneumonia by mistake.
5. Seek medical attention in time
Generally, febrile convulsion does not last for a long time. If the convulsion lasts for more than 15 minutes, parents should take the baby to the doctor immediately.
Hello, parents, febrile convulsion, or febrile convulsion, is usually called "convulsion" or "convulsion" by parents. It is a general or partial convulsion of a child with a high fever, accompanied by disturbance of consciousness. 90% of febrile convulsions occur between 6 months and 3 years old, mainly because the symptoms of the child during convulsion are terrible, the eyeball is straight, squint or upturned, accompanied by loss of consciousness, and in severe cases, foaming at the mouth. The general symptoms will return to normal within 5 minutes. The emergency treatment at this time is very important. The most important thing is that there is no foreign body in the baby's throat to stop breathing during this time, which will be life-threatening. Convulsions occur in a short time, and the situation is urgent. Most cases cannot be sent to the hospital for treatment in time. Parents and friends should master simple emergency measures.
1) At this time, the baby will lie flat, lie on his side, and his face will be tilted to one side to prevent saliva and other foreign bodies in his mouth from flowing back and inhibiting his breathing. At this time, don't feed the baby with medicine or water, and don't put his hands and other things into his mouth to keep his breathing smooth;
2) Loosen the child's collar and buttons to ensure the child's breathing is smooth, don't give the child any constraints, and try to let the child enter a relaxed state;
3) Record the baby's symptoms and the ending time. If it is within 5 minutes, most of them may be benign. Parents can take their children to the hospital for further examination after the child is finished.
Children are a high-risk group of febrile convulsions, because before the age of 4, during the development of children's nervous system, the control ability of cerebral cortex is limited, and fever is easy to cause excitement. In addition, genetic factors are also one of the factors that cause febrile convulsions. In general, other members of the family have had convulsions, so children should pay attention to it, try not to keep their children from having a high fever, and don't quickly cool down the children with fever.
If we take preventive measures, we can avoid this situation by strengthening the child's physique and preventing the occurrence of fever. In case the baby has a fever, we need to record the child's temperature at any time. If the temperature continues to be high, or the problem suddenly rises, we need to cool the child. Physical cooling and drug cooling can be used alternately. Try to keep the child calm or happy and let the child rest more.
Physical cooling It is forbidden to scrub the child's body with a low-temperature towel or alcohol. You can give the child a warm bath and wash his feet with warm water. If the child's hands and feet are cold, it may indicate that the child will have a temperature increase.
Treatment of acute febrile convulsion: When children have convulsions outside the hospital, parents should not panic. Most simple febrile convulsions are short-term single seizures, lasting for 1 3min, so there is no need to rush to treat them with anticonvulsant drugs. The child should be assisted to lie flat on the spot to prevent trauma caused by convulsions and falls. According to the situation, candy and food in the mouth should be removed, the collar should be loosened, the head should be tilted to one side, and the oral and nasal secretions of the child should be wiped to prevent the child from inhaling suffocation. Keep the environment quiet, do not feed water or things, keep the respiratory tract unobstructed to prevent falling or injury; Do not irritate children, and do not pinch people, pry open teeth, press or shake children to cause further injury; There are many secretions during convulsion, which can make the child's head lean to one side or lie on the side, clean up the secretions of mouth and nose, and avoid suffocation; At the same time, monitor vital signs, ensure normal cardiopulmonary function, take oxygen when necessary, and establish venous access.
If the seizure lasts for 5 minutes, you need to use drugs to stop it. Intravenous diazepam 0.3 mg/kg( 10 mg/ time) is simple, rapid, safe and effective, and it is a first-line anticonvulsant. If it is difficult to establish venous access immediately, midazolam 0.3mg/kg( 10mg each time) intramuscular injection or 10% chloral hydrate solution 0.5 ml/kg enema can also satisfactorily play a deterrent effect. For cases with onset time of 30 min, it is necessary to take intravenous medication to actively stop convulsions, closely monitor the state after the attack, actively reduce fever, and find out the reasons for the fever and convulsions. See figure 1 for the treatment process of febrile convulsion in acute stage.
Generally, febrile convulsion is that when a child has a fever of more than 39, the whole body or local muscle groups twitch, eyes stare, squint, straight hair or upturn, accompanied by loss of consciousness. You can stop breathing for 1-2 minutes, and in severe cases, your mouth and lips are blue, sometimes accompanied by incontinence. Which is commonly known as smoking in the past.
It usually lasts for several seconds to several minutes. It is easy to happen from 6 months to 3 years old.
Let's talk about the important thing first, what to do when convulsions occur 1. Immediately remove the baby's pillow, lay it flat, and make his head sideways to prevent obstruction of the respiratory tract;
2. Press the baby's Hegu, Neiguan and Renzhong points for two or three minutes;
Speaking of which, it suddenly occurred to me that I was smoked by gas once when I was a child, and I was unconscious. My neighbor's grandmother pinched me directly, and it is said that I suddenly became conscious. Therefore, Chinese medicine sometimes needs to learn some preparations.
3. Put cool towels on the baby's forehead, palms and thigh roots for cooling emergency;
4. Don't be busy giving medicine to your child, which may cause aspiration pneumonia.
5. Looking at the time of children's convulsions usually ends within 2 minutes. If it exceeds 5 minutes, you should go to the hospital in time; Even if it doesn't take more than 5 minutes, you can go to the hospital afterwards to check the cause and prevent future troubles.
How to prevent febrile convulsion 1. Pay attention to heat dissipation.
Many parents, especially the older generation, have a method called covering their sweat. Children also like to cover their sweat when they have a high fever. Just say covering their sweat. It's actually wrong. Children's nervous system is immature, and the antipyretic mechanism is not like that of adults. Try to use physical methods to reduce fever after fever, such as warm water bath.
Step 2 drink light salt water
Children need to replenish water in time when they have a high fever. It is best to supplement light salt water to prevent dehydration.
3. When a child has a fever, he can use ginger dipped in white wine, wipe his back or apply Huoxiang Zhengqi water to his belly button. I have used both methods, which are quite useful.
In addition, not all fevers will cause convulsions, and some say that fevers will burn the brain, which is actually caused by other diseases such as meningitis. Simple fever and febrile convulsions will not burn the brain.
Bao moms don't have to worry too much.
Hello, baby, this situation is febrile convulsion, which is convulsion caused by abnormal brain discharge caused by hyperthermia. The diagnosis of febrile convulsions should exclude other diseases that cause convulsions, and the child's fever should be greater than 38 degrees Celsius. If the child has meningitis, or convulsions appear at a temperature of 37 degrees Celsius, it does not belong to this disease. The appearance of this disease is still quite scary, but it is generally a simple attack. The attack process will not damage the child's brain, will not cause the child to suffocate, will not bite the child's tongue, and will be fine after the attack, and will not affect the child's future intellectual development. Therefore, it is not necessary to be too one-way. Here, in order to let parents be more calm and deal with this situation when their children appear, let's talk about how parents deal with it in the first place today. 1. Let the child lie in a safe and slightly soft place (such as a quilt) to avoid secondary injury caused by touching the seat, legs of the bed and rubbing the body on the floor during convulsion. 2. Let the child lie on his side and loosen the child's collar, so that if the child has vomit, it is easy to spit it out and let the adults clean it up, instead of being inhaled into the lungs by mistake. When the above two points are done, just look at the child and wait for his own reply. Don't do anything else, especially the following behaviors: 1. Don't press the child's body hard to stop the child's convulsions, let alone tie the child's arms and legs and let the child recover by himself. Because when the child twitches, it is the muscles that twitch, and you control the whole trunk. Even after holding it down, the muscles are still twitching and cannot be stopped. In addition, pressing hard may cause injuries to children's limbs. 2. Don't put spoons, tongue depressors, etc. into your child's mouth. Because although the child's teeth are clenched, it won't bite the tongue. If you bite off what is stuffed into your mouth, it may damage your mouth and get stuck in the trachea seriously, causing the child to suffocate. 3. Don't pinch people, tiger's mouth, these don't make children awake, they can only damage the skin. It is enough for parents to do the above points well. If parents are strong inside, recording a video of the child's convulsion can make doctors better judge the type of child's convulsion, so much the better.
Children's febrile convulsions are usually manifested as loss of consciousness, upturned eyes, clenched teeth, foaming at the mouth and limb convulsions, which generally occur in the stage of sharp rise or sudden drop of body temperature. This is febrile convulsions.
Febrile convulsion occurs, which looks scary, but in fact it does little harm to children. Therefore, it is more necessary to know what you can't do than what you can do in first aid.
1. Don't pinch people. Seizures cannot be shortened and terminated by pinching people. On the contrary, it sometimes makes the airway more unusual. And the child was pinched through the upper lip.
Don't put anything in your mouth. Seizure, clenching teeth and prying open the mouth often cause tooth and soft tissue damage. In some cases, the child was punctured by oral mucosa bleeding and almost suffocated to death. In fact, convulsions are not so easy to bite the tongue, but at most the tip of the tongue and the angle of the lip are damaged. Stuffing your fingers is a bit stupid.
All you can do is let him smoke safely and quietly for a while. Pay attention to protect them from injury when they twitch, such as removing sharp objects around them to avoid touching them.
Most febrile convulsions and convulsions will end within 5 minutes, and there will be no sequelae and no death.
You may not agree, but that's the truth. Don't doubt the professionalism of the emergency nighthawk.
Answer: emergency nighthawk, millions of fans first aid science from the media author.
How to deal with high temperature convulsion?
Lead: My baby is 9 months old. Last week, she had a febrile convulsion in the hospital. The doctor treated her as soon as possible. What should parents and friends do if this happens at home? Hyperthermic convulsion is a convulsion complicated with fever, which usually occurs within 24 hours after fever, especially in the first few hours of fever. There is a certain concealment. Some children may suddenly have convulsions while playing, and they are sent to the hospital only to find that they have launched a high fever.
So, how to deal with high-temperature convulsions at home? 1, comfortable environment. Hold the baby in your arms or put him on a bed or other soft surface, so that he is not bound, lie down on his side and keep his head slightly lower than his body.
2. Empty your mouth. Don't try to feed, or put other things in your baby's mouth. If there is something in your mouth, take it out immediately.
3. Adopt physical cooling. You can use wet towels to wipe your body, use antipyretic stickers, bathe your child and other methods to help your child lower his body temperature. 4. Use drugs to cool down. For a baby with a fever over 38, take an appropriate amount of acetaminophen or ibuprofen in time to reduce the body temperature and prevent the occurrence of high-temperature convulsions.
5, pay attention to the duration of high temperature convulsions. Under normal circumstances, high-temperature convulsions will cause the baby to lose consciousness, but it will soon recover. If it lasts more than 5 minutes, you should be sent to hospital immediately.
6, pay attention to the number of high temperature convulsions. If the baby has a history of febrile convulsions, it is very likely that febrile convulsions will occur again when the baby has a fever. Parents should attach great importance to it and seek medical attention immediately if convulsions occur.
Today's discussion: The child had a febrile convulsion, but he recovered quickly. Do you still need to go to the hospital?
Parents' questions are actually "children's febrile convulsions" often involved in pediatrics. For specialists, how to deal with them is easy. However, for parents, there is nothing they can do.
Generally speaking, febrile convulsions are less likely to recur in a short time (24 hours) (1/3). Moreover, children's febrile convulsion belongs to a kind of "benign convulsion", which means that the prognosis is very good, and there will be no sequelae to the child's brain. It is normal brain waves through EEG monitoring, so parents don't have to be too nervous.
If the child has convulsions many times in a short time, I am afraid it is not a simple febrile convulsion, but perhaps a more complicated condition. Let's learn about children's febrile convulsions.
Children's febrile convulsion refers to children whose first attack age is 6 months to 5 years old. When 75% of children's febrile convulsions have a body temperature above 38, the children's nervous system is immature and the thermoregulatory center is not perfect, so they suddenly have convulsions.
Of course, convulsions caused by intracranial infection, metabolic diseases and other organic diseases should be ruled out. Moreover, there was no history of febrile convulsion in the past.
Most children are in the early stage of acute upper respiratory tract infection, and the specific manifestations are: sudden limb convulsions, disturbance of consciousness, cyanosis and upturned eyes, which last for 3-5 minutes, not exceeding 15 minutes, and most of them only relieve themselves in 1-3 minutes.
Febrile convulsion in children has some characteristics, so we should pay attention to distinguish it from other convulsions:
1, age characteristics: 6 months to 5 years old, especially 12 months-18 months old, and rarely have febrile convulsions at 5 years old.
2, no previous history: related to fever, but no previous history of febrile seizures. If convulsions are repeated many times, they are not febrile convulsions.
3, the number of attacks in 24 hours: if you only twitch once in 24 hours, it is generally a simple febrile convulsion; On the contrary, the convulsion exceeds 1 time, and the convulsion is accompanied by limb paralysis, which may be a complex febrile convulsion.
3. Duration: Generally, it lasts only 3-5 minutes (mostly only 1-3 minutes), but 15 minutes, and it can be relieved by itself.
4, no brain damage and sequelae: After febrile convulsion, the child's mental and conscious state is good, the pathological signs are negative, and the brain electrical activity maps are normal brain waves without abnormal discharge.
As we have already learned, febrile convulsion in children is a benign convulsion, which has no damage to cranial nerves. Therefore, after parents judge that their children are febrile convulsions, they should first calm down and not panic, so as to avoid wrong treatment and injury to their children.
1, first of all, put the child in the lateral position on the table or bed, with his head tilted to one side, to keep the respiratory tract unobstructed, in order to avoid suffocation caused by regurgitation of oral vomit.
2, pay attention to safety, prevent accidental injury, parents should take good care of their children, do not fall or fall off the bed, bruised.
3, record the duration of convulsions, in order to improve accurate information for doctors.
4, continuous physical cooling, as the name implies, the body temperature drops, the body temperature does not reach the threshold of convulsions, naturally there will be no convulsions, therefore, parents should patiently implement physical cooling, such as warm towel bath and wet compress.
5, repeated convulsions and timely medical treatment: If the child has repeated convulsions for 24 hours, parents should not be hard, because, after all, you are not a doctor, you should go to the hospital to find out the causes of convulsions and fever, and treat it because of illness, so as not to delay the illness.
It's not so easy for a child to suddenly twitch and say calm. It's understandable to be flustered, anxious and anxious. However, haste makes waste, and parents can't do these things no matter how anxious they are:
1, can't try to stop the convulsion: When the child is convulsing, the consciousness is disturbed. Don't try to hold down the child's body or restrict the child's convulsion, shout and shake, and put a handkerchief in the child's mouth.
These practices are a bad stimulus to children, and shaking is not good for the development of the baby's brain, and even damages the brain.
When a child twitches, he is unconscious. Generally speaking, the suffix of the tongue will not bite the tongue. Therefore, it is unnecessary to put handkerchiefs and fingers in the mouth, which may bite the parents' fingers.
2, do not pinch people: I am afraid that doctors were also pinching people in the past, but after years of clinical evidence, there is no evidence to stop the child's convulsions or shorten the time of convulsions. On the contrary, due to our hasty improper operation, the mandible is oppressed and the respiratory tract is obstructed, leading to the risk of suffocation.
3. Don't perform cardiopulmonary resuscitation: When a child twitches, it is a problem of nervous system regulation, which has little to do with cardiopulmonary function, so it is not necessary to perform cardiopulmonary resuscitation, which is counterproductive.
4. Don't feed the child with water: After the child stops twitching and gradually wakes up, don't rush to feed water or medicine to avoid suffocation.