According to the reception of the pediatric fever clinic of Sun Yat-sen University Sun Yixian Memorial Hospital, after children were infected with , the first day of the onset of , most of them had repeated fever or even continuous high fever, and some children even had high risk symptoms -
fever convulsion .
What should I do if my child has a fever and can’t buy ibuprofen and acetaminophen ?
Please click → The child has a fever and cannot buy ibuprofen or acetaminophen. What alternative medicines are there?
In the face of the sudden fever and convulsions of the child, what can parents do and what can’t they do?
Will fever and convulsions burn your brain?
Sun Yixian Memorial Hospital of Sun Yat-sen University
Children's Medical Center Pediatric Neuroendocrine Specialty
He Zhanwen Associate Chief Physician
Give parents a super comprehensive guide
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Q:
Why do children twitch when they have fever?
A:
The symptoms of convulsions occur when the body temperature is elevated in children, that is, febrile convulsions. Twitching often occurs during the rapid rise in body temperature, mainly manifested as unclear consciousness, gaze of eyes, tight teeth, stiffness or twitching of the body and limbs. Febrile convulsions mainly occur in children between 6 months and 5 years old, with a prevalence of 3%-5%. The pathogenesis of febrile convulsions is not very clear, and is mainly related to factors such as immature brain development, imperfect myelin formation, genetic susceptibility and fever in children. Common causes of febrile convulsions include various infectious diseases such as . Acute upper respiratory tract infection , acute gastroenteritis, ejaculation diseases or side effects of vaccination, among which viral infections such as the novel coronavirus are the main causes.
Q:
Does fever appear when a fever occurs? What age is prone to fever and twitching?
A:
Female convulsions usually occur during the rising and peak period of body temperature on the first day. Doctors will divide female convulsions into two types according to the attack time and the child's reaction after the attack. Therefore, parents are advised to carefully observe the child's attack performance. If possible, videos can be recorded for reference for doctors when they are diagnosed and treated.
Simple febrile convulsions are more common between June and 5 years old. They usually only twitch once during the course of the disease, and systemic twitches last less than 10 minutes. Complex febrile convulsions usually mainly cause convulsions in a certain part of the body, and the convulsions last longer and occur repeatedly during the course of the disease.
Parents do not need to worry or fear too much. Most fever convulsions have a good prognosis and will not affect the child's intelligence and brain development; most of them will stop attacking after the age of 5 to 6 and will no longer repeat.
Q:
When a fever convulsion occurs, what should be done and what cannot be done?
A:
If the child has a fever convulsion at home, should do three things immediately:
First, keep calm, lie the child flat on the bed or floor, untire the collar, and keep the airway unobstructed ;
Second, tilt the child head to one side to avoid accidentally inhaling vomit or saliva;
Third, if the convulsions exceed 5 minutes, you should call 120 for help, or send it to the hospital for treatment by yourself.
Never do these three things:
Never pinch the child’s body, never hold the child’s body hard, and never stuff things into the child’s mouth. these practices are harmful or not.
Q:
How to prevent fever convulsions?
A:
Start with five aspects:
one, Children over 3 years old actively and proactively receive the new crown vaccine to reduce the occurrence of new coronavirus pneumonia;
2. Children should maintain a regular schedule, have a reasonable diet, have a balanced nutrition, have sufficient sleep and strengthen exercise;
3. The home should be clean and ventilated; children should wear masks when going out, wash their hands frequently with hand sanitizer, and toys should be regularly cleaned and disinfected wipes to avoid For cross infection;
4. During the fever process, use a hot towel to wipe the armpits, neck, palms, soles of the hands and feet to physically cool down. Drink more warm boiled water or oral rehydration salt . It is generally recommended to take antipyretic drugs at around 38°C;
5. For children with frequent and multiple convulsions, under the guidance of a doctor, you can start to treat fever such as diazepam to prevent treatment.
Editor | Xu Xiaojuan
Editor | Wu Meimei, Tian Xinjun
Source | Guangzhou Daily, Xinhuacheng, People's Daily
Submission Email | haizhujun@qq.com