How to treat febrile seizures in children?

For children, some diseases are still very common, such as fever and colds, etc. This may be because children are still young and the various systems in their bodies are not yet perfect, so they are more easily invaded by bacteria and viruses. In fact, parents do not need to worry if their children suffer from this type of disease, after all, medical technology is quite advanced nowadays. In addition, febrile convulsions in children are also very common. How should this disease be treated?

Febrile seizure, also known as high fever seizure, is one of the most common seizures in children. Most of them have a good prognosis. The onset age is more common between 6 months and 3 years old. Generally, the seizures will be relieved after 6 years old due to the complete development of the brain. It usually occurs in the early stage of upper respiratory tract infection or other infectious diseases. Convulsions occur when the body temperature rises to more than 38°C. After excluding intracranial infection and other organic or metabolic abnormalities that cause convulsions, febrile seizures can be diagnosed.

treat

If a child has a high fever convulsion at home, parents should avoid panicking. Place the child in a flat side-lying position to prevent choking by inhalation of vomit. Wipe off secretions with a tissue or towel, pinch the Ren Zhong and Hegu acupoints (as shown in the picture), and wipe the body with a towel and warm water to cool down. Generally, convulsions will be relieved in 2 to 5 minutes. If the convulsion does not ease and persists (convulsion lasts for more than 5 minutes or even more than 30 minutes with unclear consciousness), rush to the nearest hospital for emergency treatment, including oxygen, intravenous use of diazepam to stop convulsions, and medication to reduce fever. After the condition stabilizes, electroencephalogram, cranial CT or MRI, blood biochemistry and other examinations are performed to exclude other diseases that cause convulsions.

prevention

There are two main aspects to preventing the recurrence of febrile convulsions. The most important one is that parents need to give their children proper exercise and adequate nutrition, and try to reduce or avoid acute febrile diseases in infants and young children. If the child has signs of fever, it is particularly important to identify it early and actively use antipyretics or physical cooling to prevent the body temperature from rising above 38°C. Second, parents should be aware of the condition and take anticonvulsant drugs intermittently or for a long time to prevent the recurrence of febrile convulsions. Intermittent short-term preventive treatment includes the timely use of diazepam (including oral or rectal administration) in the early stage of fever (when the body temperature is 37.5°C), as well as timely antipyretic and treatment of the primary disease. Stop using anticonvulsant drugs after the body temperature returns to normal. If a child has complex febrile seizures, frequent febrile seizures (more than 5 times a year), or persistent febrile seizures and intermittent short-term treatment is ineffective, long-term oral anti-epileptic drugs can be used to control seizures to prevent febrile seizures. Phenobarbital or sodium valproate can be selected. The general course of treatment lasts until the age of 3 to 5 years. At the same time, pay attention to adverse drug reactions.