Children''s convulsions is a common emergency in pediatrics, which we call "convulsions" in medicine. There are many causes of convulsions. Common diseases include high fever convulsions, epilepsy, and encephalitis. What should parents do if the child has a sudden convulsion? The following is the most common high fever convulsion as an example to give parents some treatment methods.

　　What is ventilation?

　　The child suddenly loses consciousness when the ventilation is exhausted, and his eyes are turned up, staring or strabismus; facial muscles or limb muscles are stiff and hairy Hard, cramped, or twitching continuously, a seizure can range from seconds to minutes. Some children are accompanied by foaming in the mouth or incontinence. After the ventilation stops, the vast majority (except children with severe encephalitis) will regain consciousness, but they will feel tired and weak.

　　 Many diseases can cause convulsions in children, but in general they can be divided into two types: febrile and non-pyogenic convulsions.

The most common febrile convulsions in pediatrics are convulsions with high fever. After the child has a high fever (mostly above 39 degrees), a sudden convulsion occurs, which we call hyperthermia convulsion. Manifested as loss of consciousness, eyes turned up, closed teeth, twitching of limbs. It is more common in infants and children from 6 months to 5 years old. Seizures usually occur when the fever is high, and the duration is relatively short, about 2 to 3 minutes. After the seizures stop, the child will also wake up. Under normal circumstances, only once during the illness.

　　No fever convulsions, children with "epilepsy" are more common, the child may be usually good, no history of convulsions, head CT scan is normal, need to be confirmed by EEG.

　　What should I do when my child is convulsing?

　　1, don’t hurry up and pick up your child, you should put the child into a lateral position quickly to avoid vomiting There is a danger of suffocation.

　　2. If the child is found to have fever, the child''s clothes should be unfastened quickly so that the child can breathe smoothly and dissipate heat.

　　3. When ventilating, the child is unconscious, do not give antipyretic medicine by mouth, put a fever plug in the child’s anus, and wipe the child’s head, neck and limbs (without rubbing) with a warm towel Before and after) to help cool down.

　　4. When the child''s ventilation stops, send the child to the hospital immediately. If the ventilation has not stopped for more than 5 minutes, don''t wait, you can call 120 to escort the child to the nearest hospital.

　　Parent''s wrong approach when ventilating

　　Parents are often very frightened and overwhelmed when the child ventilates. This is unreasonable for some parents who pinch their children hard, because it often has no effect, and it will also break the young skin of the child.

　　After exhaustion, you should be hospitalized

　　After the child is exhausted, especially the child who is exhausted for the first time, be sure to check in detail, including head CT, brain Electrograms, blood routines, biochemical kits, etc., can''t distress children, refuse to check.

　　Don’t hide family history

　　Various children, especially children with high fever convulsions, have a family history, that is to say, the disease and heredity have It''s a big relationship. Many children have a history of shock when they were young. However, many people deny that they have this medical history. One of them has some scruples and deliberately concealed it. The other is that they do not know it, because the children''s parents had concealed the disease from the previous generation. In fact, from a certain point of view, children with a family history of hot shock are better than those without, because of the genetic tendency, diagnosis is easier. But there is no genetic tendency, suddenly convulsions, it may be encephalitis and other diseases. Therefore, after the child is shocked, the child''s parents must go home and ask their parents, whether they have a history of fever convulsions when they were children or other siblings.

　　High fever convulsions focuses on prevention

　　Among children with convulsions, the incidence of high fever convulsions is about 2% to 4%. Among children with high fever convulsions, 1/3 has a second seizure, 1/2 of which has a third convulsion. About 1/10 has 3 or more relapses. The recurrence of high fever convulsions occurred within 3 years of the first seizure. Although convulsions are different from epilepsy, most children have a good prognosis. However, each seizure has some impact on the child''s physical and mental health, and it is also a great psychological pressure on the child''s parents. How to prevent or reduce the recurrence of febrile convulsions is very critical.

　　High fever convulsions are almost caused by the sudden onset of high fever after a child''s respiratory infection. Therefore, such a child, as far as possible to reduce colds, colds less, the chance of convulsions is less, this is the key. In the clinic, I have observed that many children with high fever convulsions are also allergic, with allergic rhinitis, urticaria and other diseases. Therefore, such children should pay attention to the treatment of allergic diseases at the same time, not just anti-inflammatory treatment. . After the allergy is corrected, the child''s "recurrent cold" situation can be reduced, and the heat shock is reduced. Therefore, children with high fever convulsions, in addition to the neurologist, if they have allergies, they must check the allergens and correct them with the help of a pediatrician.

　　For other convulsed children, regular treatment is the key. For children diagnosed with "epilepsy", it is necessary to select the appropriate antiepileptic drug according to the EEG classification, take the medicine on time, and review it regularly. If it is a child with encephalitis, it must be hospitalized for regular treatment.

　　The following situation may not be a shock

　　If the following symptoms occur, you must be hospitalized to rule out diseases such as encephalitis or epilepsy.

　　 1. Convulsions occur when the heat is not high (below 38°C).

　　 2. The duration of convulsions is longer, generally more than 5 minutes.

　　 3. Convulsion accompanied by vomiting.

　　 4. After the convulsion stops, the consciousness is still not fully recovered or the movement of the limbs is not the same as usual. Such as: stiff limbs, tremors and paralysis.

　　 5, convulsions reappeared within 24 hours, and more than 2 times.

　　 6. Not a whole body twitch but a part of the body twitch.

　　Infants within 7 and 6 months and children over 6 years of age have seizures.

　　Vaccinated children, use vaccines with caution

　　For children with a history of convulsions, most of the vaccine injections need to be stopped or temporary for life, because the vaccines Will induce seizures. In the clinic, we will indicate to children who have a history of convulsions that the vaccine will be suspended (except for sugar pills and hepatitis B vaccine). When you can play, you need to dynamically monitor the child''s condition and EEG, and the doctor in charge will give advice.

　　About the prognosis

　　Human life is very tenacious, and the vast majority of convulsions do not endanger the lives of children (unless severe encephalitis). Most of the diseases that appear in the form of convulsions will be well controlled and treated as long as they are treated regularly and followed up regularly.

　　Fear is fantasy, only love exists

　　 faced with children’s sudden illness, many parents will be “attacked” by a lot of negative energy emotions . Anxiety, sadness, fear, anxiety, irritability came to mind. Many times, this negative energy will spread and spread among family members and even doctors and patients. Everyone hurts and accuses each other, and inadvertently expands the negative energy by multiples.

　　Smart parents should learn more about the body, mind, and spirit, because we and our children are very spiritual. When we are strong and when our heart is strong enough, facing all problems, our heart is calm, we can cooperate with the doctor to better support the child, and help the child recover soon.

　　 "Only love exists, fear is fantasy", when one day, you suddenly understand the meaning of this sentence, all problems do not exist...