learned:
What should I do if my child is "positive"? How to deal with fever convulsion attacks in children? Will infants and young children have fever burn their brains?
Recently, Xu Xiwei, director of the pediatrics department of Tsinghua Chang Gung Hospital affiliated to Tsinghua University, answered questions and answered parents about the new crown epidemic. She said that there is currently no evidence that fever can cause nervous system damage. The saying "fever burns the brain" is to reverse the cart and it is because of suffering from encephalitis , meningitis, polio and other diseases that leave behind neurological sequelae, not caused by fever itself.
After children are infected with the new coronavirus, they are mainly fever in the early stage, most of which are high fever, accompanied by symptoms of upper respiratory tract infection such as dry cough, nasal congestion, runny nose, etc., and symptoms such as fatigue, nausea, vomiting, diarrhea, etc. A few children may have secondary pneumonia .
"It should be noted that infants and young children may cause fever convulsions due to rapid body temperature rise." Xu Xiwei said that fever convulsions in for more than 15 minutes can easily cause brain damage to , so children need to actively cool down their fever.
She recommends children over 2 months of age, whose axillary temperature is greater than or equal to 38.2℃ or with obvious discomfort, and use antipyretic drugs such as acetaminophen or ibuprofen . But be careful not to use in combination or alternately to avoid causing overdose or poisoning of the drug.
In addition, can also use physical cooling method. During the period of rising body temperature, children may have cold hands and feet, accompanied by chills and chills. It is not advisable to physically cool down at this time. Appropriately add clothes, rub them, or soak them in warm water. During the period of body temperature, children's hands and feet are warm and their bodies are hot. At this time, they can undergo physical cooling. Reduce clothes at a suitable room temperature. Wipe the skin on both sides of the neck, armpits, elbows, groin, bath, and drink more water. does not recommend ethanol wiping and sweating. ethanol is prone to alcohol poisoning, it is difficult to dissipate heat when covered with sweat. children nervous system is immature, and it is prone to high fever or even life-threatening.
"Children's fever convulsion attacks usually stop on their own. What parents need to do is to prevent accidental damage caused by attacks." Xu Xiwei said that children can be placed in a flat and not easily injured place, untie the collar, keep their head tilted to one side, clean up secretions in the mouth and nose, and avoid accidentally aspirating saliva and vomit. fever convulsions usually last for 3 to 5 minutes and can be relieved by themselves. If the attack lasts for more than 5 minutes, you need to seek medical treatment in time or call 120 for help. "When an attack occurs, parents should not hold it hard, shake it, and hug the child tightly, as it is prone to hypoxia. Do not feed water and medicine to avoid inhalation into the respiratory tract by mistake."
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