What did he experience?, A 3-year-old boy suddenly has convulsions in his limbs and a purple complexion. He returned to normal 10 minutes ago, lady | child | boy

Eyes rolled up, limbs twitched, complexion turned purple, teeth clenched... If your child suddenly did this, would you be scared out of control?

Ms. Zhang, the mother of Bao, had this heart wrenching experience. Here is her self description: 3-year-old Xiao Bao was right in front of me with his teeth tightly closed, his eyes turning white, his whole body weak, and he lost consciousness. My first reaction was to pick him up and rush towards the hospital, and all the way, I relentlessly gouged his throat to make him vomit. He bit through all four fingers, causing them to bleed and swell, and there was no sensation at all. I shouted his name all the way, as if I was about to lose him the next second

What exactly happened? Ms. Zhang's child, Xiaoyu, is 3 years old this year. Last night, while eating at her grandmother's house, her appetite was not good, and she began to feel a bit mentally weak on the way home by car. Because Xiaoyu was able to communicate normally and did not experience any fever symptoms at the time, Ms. Zhang did not pay much attention. After getting off the car, Ms. Zhang felt that Xiaoyu's body temperature was a bit high, and upon arriving home, it was measured at 37.3 ° C.

Xiaoyu said he wanted to sleep, so he lay down on the sofa to rest first. Ten minutes later, Ms. Zhang was preparing to take Xiaoyu's temperature again and found that Xiaoyu had turned red from his neck to his face, with symptoms of turning white in his eyes, clenching his teeth, and convulsions all over his body... Ms. Zhang immediately thought Xiaoyu was choking and quickly dug his throat, hoping to make him spit it out.

Later, the whole family urgently sent Xiaoyu to the emergency room of Zhejiang University Children's Hospital. At this moment, Xiaoyu had already woken up. The doctor took his temperature and it was close to 40 ° C. The doctor currently determines that Xiaoyu's condition is a high fever convulsion. Ms. Zhang's initial judgment was wrong, and subsequent emergency measures were also wrong.

What is febrile convulsion? Dr. Gao, Director of Neurology at Zhejiang University Children's Hospital, stated that febrile seizures refer to seizures that occur during a fever without central nervous system infection or other causes of seizures. Fever induced seizures usually occur within 24 hours of fever. The incidence of febrile seizures is 3% to 5%, mostly occurring between 6 months and 5 years old, with the first onset occurring between 6 months and 3 years old.

Why does febrile seizures occur? Director Gao explained that when the body temperature is too high, the nervous system is easily in an excited state, and the child's nervous system development is often incomplete, with weak ability to suppress excitement, leading to transient brain nerve dysfunction. Fever convulsions come and go quickly, with 80% of the duration lasting within 5 minutes. Generally, seizures will automatically stop within 2-3 minutes.

Director Gao stated that if a child's symptoms persist for more than 5 minutes, the attack often cannot be stopped on its own, and sometimes even lasts for 30 minutes or more, then shock arrest treatment is needed to avoid damage to brain nerve cells. Further hospitalization may be necessary for further intervention in the future.

Many parents also have misunderstandings about what convulsions are. Is it a convulsion when the child is trembling? Generally speaking, typical symptoms of febrile convulsions include binocular gaze, cyanosis, closed teeth, limb stiffness and shaking, unresponsive calls, and some may even experience urinary and fecal incontinence. Many parents mistakenly mistake the trembling of their child's limbs during a chill for a convulsion and rush into the consultation room. If parents have these simple discernment knowledge and evaluate whether their child's consciousness is clear, it is easy to distinguish.

If a child experiences sudden high fever convulsions, many parents will definitely be at a loss. What should they do at this time? There are many mothers like Ms. Zhang. "Many parents try to pick their children's mouths when they first encounter a high fever convulsion, and when they bring it over, their fingers are bitten red and swollen." Director Gao suggests that when a high fever convulsion occurs, do not pinch or shake the child. You should immediately make the child lie flat, loosen his clothes, turn his head to one side, and keep the respiratory tract unobstructed. If convulsions occur for the first time, it is necessary to send the patient to the hospital for a comprehensive examination to rule out other diseases such as encephalitis.

There are reports that once a seizure occurs, it may occur twice or three times, especially under the age of 6. Is this statement true? Director Gao stated that over 90% of cases of febrile seizures have a good prognosis. Children with the first episode of febrile seizures have a 30% chance of reappearing with the next fever, but generally do not experience it again after the age of 5.

Many parents also worry that if their child experiences febrile seizures, they may also experience seizures when they don't have a fever afterwards? "Some children themselves have potential causes of epilepsy, especially genetic factors. However, the early symptoms are febrile seizures, and gradually the epilepsy will show its" horse feet ". Director Gao said that if the seizures occur repeatedly for a long time, a small number of" transient "febrile seizures may also evolve into epilepsy, and have a certain impact on cognitive function and growth and development.". But parents don't have to worry, the probability of secondary epilepsy after febrile seizures is very low, unless the child has a history of hereditary epilepsy.

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