febrile convulsionFever convulsion was a kind of illness that first had a fever and then convulsed. It was common in infants. It was mainly caused by viral infection that caused children to have a high fever of more than 39 ° C, also known as febrile convulsions. Infant nerve cell metabolism and oxygen consumption increased, nerve cell overexcitement caused by abnormal discharge, as well as infant nerve function development is not yet complete and other factors, making it easy to produce convulsions during high fever.
Its symptoms include facial and limb muscle spasms and convulsions, eyeballs turning up, foaming at the mouth, defecation and defecation, even coma, etc. The child will have clonic convulsions of the whole body or facial, hands and feet and other local muscles, involuntary twitching of the jaw and hands and feet, and there will also be a pair of eyes staring up, straight, the child's eyes suddenly dull, unstable, unresponsive to shouting, and may also have unconsciously drooling performance. Some children may have symptoms such as irritability, crying, short of breath, and stiff limbs before the convulsion.
In terms of first aid at home, there were the following right and wrong practices:
- Wrong method:
- Don't pinch the child's philtrum or use a needle to prick it.
- Do not force the fever medicine, even if the body temperature reaches 40° C, because the child's teeth are tightly closed during the convulsion, and it is difficult to open the mouth. Forcefully feeding the medicine may cause the medicine to flow back into the trachea, causing aspiration pneumonias and even suffocation.
- Don't forcefully press on the child's limbs. This won't stop the child from convulsing.
- Don't force open the child's mouth or put your hand in the child's mouth.
- The correct method:
- During convulsions, there are more secretions, and there may also be food reversal, so let the child lie flat, with his head to one side or directly in a side position.
- Check the secretions/food in your mouth and nose. If there is any, clean it up in time to avoid suffocation.
- When the child's clothes were tight, the buttons should be unbuttoned to keep the respiratory tract unobstructed.
Most febrile convulsions can be stopped within 5 minutes. If the child's convulsions are not relieved after the above procedures, they should go to the hospital in time.
Doctors diagnosed febrile convulsions mainly based on the specific age of onset and typical clinical manifestations. During diagnosis, they would mainly rule out other diseases that might cause febrile convulsions, such as central nervous system infection, infectious toxic cerebral disease, acute metabolism disorder, and other serious diseases.
If the armpit is more than 38.2° or there are symptoms of discomfort due to fever, parkinson can be used for children aged 2 months and above, while buffalo can be used for children aged 6 months and above. At the same time, drink plenty of water to supplement nutrients, especially vitamins. If the fever exceeds 24 hours or even rises, the child should be taken to the hospital in time to not delay the golden time of treatment. For children with a history of febrile convulsions in children, attention should be paid to the prevention of colds, pneumonias, enteritis, and other diseases that easily cause high fever. Once there are signs of fever, the body temperature should be controlled in time and the mental state of the child should be observed. The methods to control the body temperature are mainly to take antipyretic drugs and physical cooling, and to add less clothes. When the body temperature reaches 38 degrees Celsius, the antipyretic drugs should be taken in time. If the fever does not go down, it is recommended to use two different types of antipyretic drugs alternately, and at the same time, a continuous warm water bath can be carried out. In addition, some complicated febrile convulsions would develop into epilepsy later, but the probability was not very high. Children with a history of febrile convulsions in children need to have routine head MRI and eeg examinations to screen for abnormal brain structure development. However, as the child's age increased, his physical strength increased, and his brain structure developed more fully, the probability of having febrile convulsions in the future would gradually decrease.
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After cerebral hemorrhage appears convulsion how to do what medicine to take the most effectiveThe convulsion after the cerebral hemorrhage could be a secondary seizure. Anti-seizure drugs such as Diazepan, Valproate, and Carbamazepines can be used to control convulsions, but caution should be used. If there is a history of severe liver incompetence in the past, valproic acid should not be used; when taking carbamazepine, pay attention to whether there is allergic reaction, such as itching or rash all over the body. If there is allergic reaction, stop the drug and change to other types of anti-epilepsy drugs, and carry out anti-allergic treatment. At the same time, for the cerebral hemorrhage itself, nicardipine, captopril, and other drugs could be used to control blood pressure, while drugs such as mannite or glycitrin could be used to control the cerebral pressure. If necessary, surgery could be performed to remove the cerebral hemorrhage to prevent repeated episodes of epilepsy. It should be noted that these drugs should be taken under the guidance of a doctor to avoid adverse reactions caused by self-medication.
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