Zhongyuan Economic Network One recent noon, just after lunch, the Pediatric Department of Zhengzhou Ninth People's Hospital received a 3-year-old child with febrile convulsions. When the doctor received the examination, he found that the child was in poor mental condition and slightly cyanotic around the mouth. The most obvious thing was that the skin of the child's philtrum was obviously pinched.

Many parents, including some grassroots doctors, will think that their children have convulsions, and we need to pinch the child to wake him up. So, is it necessary to press the tongue and pinch the child?

Let’s first Let’s take a look at the characteristics of febrile convulsions:

The incidence of febrile convulsions in children under 5 years old is 2% to 5%, and the peak incidence is between 12 and 18 months of age.

The currently internationally recognized standards for febrile convulsions include: 1. Convulsions with a body temperature above 38; 2. The patient is older than 6 months but less than 5 years old; 3. There is no central nervous system infection or inflammation; 4. .No acute systemic metabolic abnormalities that may cause convulsions; 5. No afebrile convulsions have occurred before.

Febrile convulsions can be divided into simple febrile convulsions and complex febrile convulsions. Most febrile seizures are simple febrile seizures.

Simple febrile seizures are characterized by a generalized seizure that lasts less than 15 minutes and does not recur within 24 hours.

Complex febrile seizures are characterized by partial seizures (for example, just the swing of a single limb or body) that last longer than 15 minutes or recur within 24 hours. If sedation is given immediately after the seizure, the duration of the convulsive seizure will not be assessed.

About 1/3 of children who have febrile seizures will relapse in early childhood, but they are relatively benign and only slightly increase the risk of future epilepsy.

When a child has a febrile seizure, parents should:

1. Put the child in a safe place.

2. Let the child lie down with his head to one side or side so that saliva or vomit can flow out.

3. Try to record the duration of the convulsion.

4. Take your child to the hospital as soon as possible.

Even if your child stops having seizures quickly, see a doctor.

Note

Do not pinch, pry open teeth, press or shake your child to avoid further injury.

Do not put anything into your mouth.

Do not try to stop your child from having tics.

Through the above introduction, everyone should understand that there is no need to press the tongue or pinch the person's philtrum during febrile convulsions.

Now that we know how to deal with the emergency, I believe many people still have a question: Can taking antipyretic drugs prevent febrile convulsions? In fact, active use of antipyretics cannot prevent the occurrence of febrile convulsions. , so do not use antipyretics to prevent febrile seizures. When fever causes discomfort, you can use antipyretics to improve comfort.

(Bi Jinxia)