During the epidemic, what symptoms will occur if a child is infected with the new coronavirus? The reporter interviewed Zhang Yi, a member of the Beijing Children's New Coronavirus Consultation Expert Group and deputy director of the pediatrics department of Beijing Tongren Hospi

What symptoms will a child develop if he is infected with the new coronavirus during the epidemic? How should he treat it symptomatically?

reporter interviewed Zhang Yi, a member of the Beijing Children's New Coronavirus Consultation Expert Group and deputy director of the Department of Pediatrics at the Beijing Tongren Hospital Affiliated to Capital Medical University.

College infection occurs within 24 hours

Beware of high fever convulsions

Recently, Zhang Yi, a member of the Beijing Children's New Coronavirus Consultation Expert Group, has received many positive cases of new coronavirus in children. From a clinical point of view, there are obvious differences in the symptoms and course of the disease after infection in children and adults. Overall, the disease occurs quickly, and there are few pneumonia . The following characteristics are presented:

. Children infected with almost no incubation period, and infection begins. Adult infection usually occurs within 3 days, and children usually develop within 1 day.

. The initial symptoms of children with fever are mainly fever, and the fever is uncertain, but most infants and young children have high fever symptoms. Unlike adults who have dry throat and sore throat in the early stage of infection, children may experience convulsions and after infection, especially infants and young children due to rapid rise in body temperature.

. Children with new coronary mainly invade the upper respiratory tract, and high fever is not the same as severe illness. Children's immune system is not well developed and is often highly popular, but it is more common in upper respiratory tract infection in clinical practice, and lung invasion is rarely seen, so it is called "new coronavirus infection" rather than " new coronavirus pneumonia ".

4. Children with fever reduction are accompanied by digestive tract symptoms. After infection in adults, symptoms are mainly concentrated in the respiratory tract. In addition to respiratory symptoms, children may be accompanied by gastrointestinal symptoms such as vomiting and diarrhea.

Children's COVID-19 outbreak 7 days map

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In addition, it is worth noting that high-risk symptoms - fever convulsions may occur during the rising temperature, peak period, and fever-reducing period. They are generally divided into simple fever convulsions and complex fever convulsions.

Simple febrile convulsions are more common between June and 3 years old. They usually only convulse once during the course of the disease, and last for less than 10 minutes.

Complex febrile convulsions usually have a family tendency, and the convulsions last longer. They can occur in a single attack or recurrence during one course of the disease. Therefore, for children with a family history, during the epidemic period, parents should pay more attention to the rise in their children's temperature. It is generally recommended to take antipyretic drugs at around 38°C. Two antipyretic drugs can be taken alternately with ibuprofen and acetaminophen , with a minimum interval of 3 hours.

When encountering high fever convulsions, four steps should be done

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Children with fever convulsions can take the following measures at home:

. Keep a flat position: untie the collar and keep the house ventilated (be careful not to let the cold wind blow directly on the child in winter), try to keep the respiratory tract unobstructed, so that the child is in a relaxed state and will not experience hypoxia;

. Turn your head to one side: Avoid secretions entering the respiratory tract accidentally causing suffocation, and foaming at the mouth during convulsions. Parents should clean the secretions in time;

. Physical cooling: Use a warm water towel to wipe your forehead, neck, palms, soles of your feet, etc., and the symptoms can be controlled as your body temperature drops;

4. Seek medical treatment in time: After doing a simple treatment at home, be sure to call 120 in time or send it to the hospital for further treatment.

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Source: Beijing News Broadcast, Beijing Daily

Editor: Yang Shufang