Fever is arguably the most common sign in babies. According to statistics, children who go to the hospital with fever generally account for 10-15% of all outpatient visits, and many of them are admitted to the hospital in an emergency because of fever convulsions. There are many reasons for children’s convulsions, including febrile convulsions, epilepsy, electrolyte disorders, etc. Among them, febrile convulsions are the most common cause of children’s convulsions. What are febrile convulsions? Febrile convulsions, also known as “convulsions,” are not simply “convulsions” (seizures) that occur with a “fever. A febrile convulsion is a condition that occurs during infancy (often between the ages of 3 months and 6 years) when a sudden rise in body temperature causes abnormal firing activity in the brain, resulting in a generalized muscle spasm. Moreover, febrile convulsions can only be diagnosed after intracranial infection or other definite causes have been excluded. Previously, febrile convulsions cannot be diagnosed if they have occurred without fever. Are febrile convulsions related to epilepsy? Many parents are frightened and distressed when they see their child convulsing so much: how does this look so much like epilepsy? Although the symptoms of febrile convulsions and epilepsy are relatively similar, they are not the same disease. Febrile convulsions can be divided into simple and complex types. Simple febrile convulsions are most often seen in children 6 months to 3 years of age and tend to occur within 24 hours of the onset of fever. The duration of the convulsion is usually less than 5 minutes and does not recur within 24 hours. After a convulsion, the child has a normal EEG and normal physical and mental development. Most children who have febrile convulsions are simple and generally have a good prognosis with few sequelae. The chance of seizures decreases with age. Convulsions can really turn into epilepsy, but the probability is low. Complex febrile convulsions can occur in children younger than 6 months or older than 6 years of age, can occur with a low fever (<38°C), can last more than 15 minutes, have 2 or more seizures within 24 hours, and have more than 5 recurrences. Complex febrile convulsions may partially turn into epilepsy and may require long-term treatment. Febrile convulsions that are repeated or last too long may cause damage to the brain and leave sequelae. However, parents do not need to be overly stressed because the chance of febrile convulsions turning into epilepsy is low. Studies have found that only 2-10% of children with febrile convulsions evolve into epilepsy. With careful parental care and regular treatment by doctors, most babies do not have sequelae after febrile convulsions. These babies are prone to febrile convulsions. Seeing this, moms and dads may have questions again: Do all babies have febrile convulsions? Of course not. Studies have shown that about 2-8% of the population will have one or more febrile convulsions during infancy and childhood. So which babies are prone to febrile convulsions? At present, there are mainly the following situations: genetic factors: about 33, 7% of affected children have a family history, and research has also confirmed the genetic location of inheritance, in other words, the mother and father who had febrile convulsions as a child, the child is often likely to have febrile convulsions; delayed development of the nervous system: the child's brain is immature and overly sensitive to high fever, which can easily cause spasmodic seizures; low immune system function The study found that children with febrile convulsions have low immunoglobulin. The first aid knowledge that mom and dad should have: What should I do if my baby accidentally has a febrile convulsion? Mom and dad should not panic too much, try to stay calm and follow the following steps: lay the baby flat on the bed or a flat place to prevent falling or bruising; turn his head to the side to promote the discharge of saliva or vomit; do not put anything into his mouth, as tongue bite rarely occurs; do not pinch or force a straight bent limb, as this will not end the seizure and will only increase the damage; promptly Go to the hospital. Most children have short seizures, usually not more than 10-15 minutes, if the seizure continues, you should go to the hospital promptly. To prevent recurrence, be sure to know these first occurrence of febrile convulsions after the occurrence of 30%-40% of babies are likely to have another seizure, 75% of babies have another seizure within 1 year and 90% appear within 2 years. Therefore do a good job of prevention and treatment to prevent another seizure is what parents have to do. 1, strengthen nutrition, do more outdoor activities cold is the most common cause of fever in babies, so you need to strengthen nutrition, regular outdoor activities to enhance physical fitness, improve resistance, in addition to avoid getting cold, less crowded areas, etc.. 2.When the body temperature reaches 38℃, you should actively reduce the fever. The methods of reducing fever include physical fever and medication. Mom and Dad do not wait until the temperature reaches 39 ℃ or has been convulsed before remembering to reduce fever. 3, there are two febrile convulsions, or a convulsion lasts more than 15 minutes, hurry to use drugs there are two febrile convulsions, or a single convulsion lasts > 15 minutes of the child can take a short course of intermittent medication, that is, the use of anticonvulsant drugs when the body temperature exceeds 37, 5 ℃, the body temperature is normal after the discontinuation of drugs. 4, long-term use of anticonvulsant drugs, more than 2 years after the cessation of convulsive seizures and then slowly reduce the amount of drug discontinuation This method is mainly suitable for babies in the following cases: the use of short intermittent medication is ineffective; ≥ 4 febrile convulsions history; ≥ 2 hypothermic convulsions history (< 38 ℃); no history of febrile convulsions; single convulsion duration > 15 minutes or persistent status; epilepsy risk factors, such as a family history of epilepsy, intracranial infection, etc.