Some of the convulsions can be self-healing, such as the vast majority of febrile convulsions are benign and self-healing, while complex febrile convulsions or convulsions caused by toxic encephalopathy are difficult to self-heal.
Infants and young children’s neurological development is not perfect, the nerve fibers outside the parcel layer “myelin” part has not been fully formed, insulation and protection effect is poor, after the stimulus, the excitement impulse is easy to generalize, at the same time infants and young children’s immune function is low, easy to infected induced convulsions. When infants and young children age, the development of the nervous system is perfect, often no longer appear the symptoms of convulsions.
Complex febrile convulsions or toxic encephalopathy and other causes of convulsions are difficult to self-cure, need to clarify the cause of the treatment, including general treatment, anticonvulsant treatment, etiological treatment and symptomatic treatment.
1. General treatment: observe closely, record the specific performance of the seizure, keep the airway open, and give oxygen when necessary.
2. Anti-convulsive treatment: preferred benzodiazepines such as diazepam, midazolam; can also choose sodium phenobarbital, slow absorption is generally not used in emergency; still can not control the symptoms of the available chloral hydrate enema, convulsions continue to be drip phenytoin sodium.
3. Etiological treatment: if the infection is caused by antibiotics such as penicillin should be taken in a timely manner in accordance with medical advice, if it is caused by poisoning should be in a timely manner in order to choose the appropriate antidote for the poison in accordance with medical advice.
4. Symptomatic treatment: high fever can use physical methods to lower the temperature, such as alcohol bath, or take drugs such as ibuprofen. At the same time to correct water, electrolyte disorders.
It is recommended to go to the hospital in a timely manner to identify the cause of targeted treatment to prevent delays in the condition of the serious consequences.