Common people commonly known as [burning and smoking] in medicine used to be called [febrile convulsion], now called [febrile convulsion]. This is a common complication when children have fever, which often occurs in children aged 6 months to 5 years old. About 2%-4% of children of this age group experience overheated convulsion. Especially children aged 12 months to 18 months have a high incidence, and there are not many attacks after 3 years old.
Parents who have experienced their children’s febrile convulsions often use words such as “fear”, “terror” and “horror” to describe the situation at that time. Indeed, When the attack occurs, the child’s performance is often loss of consciousness, convulsions, rolling eyes, and limbs twitching on both sides of the body, Anyone who sees such a scene will feel panic. The reason why people panic, Another important reason is to subconsciously regard this symptom as a sign of serious diseases, fear of losing children, fear of burning children’s brains, fear of affecting children’s future learning ability and intelligence, etc. Does this seemingly terrible symptom really have serious consequences that parents are worried about?
In fact, the vast majority of febrile convulsions occur within a minute or two, Sometimes even for a few seconds, this short seizure is a benign and harmless seizure, which will not burn the child’s brain. A large number of foreign studies have shown that the intelligence and learning ability of children with overheated convulsions are no worse than before, and 95%-98% of children with overheated convulsions will not progress to epilepsy.
Only a few children who have the following conditions are likely to develop epilepsy: first, a single seizure lasts for more than one hour; Second, only one side of the body twitches during the seizure. Third, several febrile convulsions occur within 24 hours. Fourth, seizures occur without fever. The diagnosis of epilepsy needs to be based on the results of electroencephalogram in addition to clinical symptoms.
After understanding that febrile convulsion is not so terrible, parents still need to know what febrile convulsion is. Should the scientific and correct response be what? Is there any means to reduce the recurrence of febrile convulsion? With rational understanding and scientific countermeasures, children can calmly deal with febrile convulsions.
What is febrile convulsion like?
Why are young children prone to febrile convulsions? At present, it is believed that there are two main reasons: First, it is related to the immature development of nervous system in children of this age group. As children grow up, When the nervous system matures, febrile convulsions will not occur again. Second, Hereditary causes. Children whose immediate family members (such as parents, brothers and sisters) have a history of febrile convulsions are more likely to develop febrile convulsions. At present, it is believed to be related to family genes, International research in this field is still in progress. The inducing factor of febrile convulsion is fever, Fever is a symptom of many infectious or non-infectious diseases. It may be bacterial infection, side effects of vaccination (such as hemp, wind and gill vaccines), or viral infection. The virus infection that most often causes febrile convulsion is human herpes virus 6. The disease induced by this virus is what we often call infant rash (also known as infant rose rash).
Should the scientific and correct response be what?
Remember one principle: Coping with febrile convulsions is not to stop convulsions artificially, Because convulsions often stop on their own, What parents should do is to keep their children’s respiratory tract unobstructed, At the same time, the manifestations and duration of the attack were recorded. If it is possible to record it by video, This information is more valuable for subsequent doctors’ diagnosis. Correct coping measures include: Stay calm, Untie the child’s clothes, Avoid clothes wrapped too tightly and children’s hands and feet twitching. At the same time, don’t hold the child in your arms to restrict the twitch of his hands and feet. You should lie on your side in a flat place. To prevent secretions from the mouth from aspirating into the trachea by mistake. Remove surrounding obstacles and sharp dangerous articles, In order to prevent the child from hurting himself during twitching. If the child has vomit or mucus flowing out of his mouth, It should be cleaned in time. Don’t put anything in children’s mouths, Many parents will subconsciously put their fingers into their children’s mouths, He was bitten a circle of blood and suffered himself. He didn’t say anything about it. But it is not helpful to the children. Remember, Children with convulsions do not bite their tongues, On the contrary, artificial fingers, cotton swabs, chopsticks, tongue depressors and other things in the mouth are easy to cause dyspnea or oral damage. Don’t rush to the hospital to pick up the child during the whole attack (unless the attack lasts for more than 5 minutes). Normally the attack does not take more than a minute or two, If it’s the first attack, Go to the hospital to make a definite diagnosis after the attack stops. If the child shows stiff neck, A lot of vomiting, Doctors may recommend lumbar puncture to eliminate serious diseases such as epidemic meningitis. If you have severe diarrhea, Doctors may need to rule out whether dehydration causes convulsion caused by electrolyte disturbance. If the previous definite diagnosis of overheated convulsion is clear, If the duration of the second attack does not exceed 5 minutes, you can observe it at home. If the duration exceeds 5 minutes, you should also go to the nearest hospital for treatment in time. Doctors usually use prescription drug diazepam (also called diazepam) to relieve convulsion through anus. The dosage used should be calculated according to the child’s weight.
Is there any means to reduce the recurrence of febrile convulsion?
Parents whose children suffer from overheated convulsions often feel remorse, I think it was my own fever and untimely cooling of the baby that caused the baby’s convulsion. In fact, Although febrile convulsions are associated with fever, Although it is generally advocated clinically that children should be given antipyretic and other measures to reduce their body temperature when their body temperature exceeds 38.5, However, relevant clinical studies have no evidence to support that these antipyretic measures will reduce the recurrence of febrile convulsions. The intention of using antipyretic drugs is more to relieve children’s uncomfortable feelings by lowering body temperature. It can also slow down the metabolism of children by lowering their body temperature, So as to avoid convulsions caused by dehydration. For most children with overheated convulsions, At present, it is not recommended to take anticonvulsant Lumina (also called phenobarbital) daily for long-term or short-term prevention, because the side effects of Lumina may change children’s temperament and make them irritable and irritable, and the harm brought by these side effects is far greater than the curative effect.
One third of the children with overheated convulsion will have recurrence, and the following children have a relatively high risk of recurrence of febrile convulsion: 1. The body temperature is not very high at the time of the first attack, and convulsions may occur before reaching 38; 2. Convulsion occurs at the beginning of fever. In other words, the shorter the time interval between fever symptoms and convulsion, the easier it is to relapse. 3. The age at the time of the first attack is less than 15 months; 4. The immediate family members have a history of febrile convulsion.
Children with high risk of recurrence have a slightly higher risk of progressing to epilepsy than ordinary children. Therefore, when a few of these children have a fever again, they can use prescription drug diazepam for individualized prevention and treatment of febrile convulsion under the guidance of neurologists.