Patient's question:
Doctor, your child had a fever and convulsions in all four limbs a few days ago. I would like to ask if high fever convulsions can develop into epilepsy?Doctor's answer:
Treatment Principles:1. Control convulsions.
2. Reduce fever.
3. Treat the underlying cause.
4. Prevent recurrence of convulsions.
Medication Principles:
1.，。、，。
-diazepam for intravenous administration; after controlling convulsions, phenobarbital or other medications should be used to consolidate and maintain the effect. Diazepam has side effects such as respiratory depression, cardiac arrest, and hypotension, so cardiopulmonary resuscitation measures should be prepared.
2.，，，，，，。
- Sodium amobarbital or thiopental should only be used when the above anticonvulsant medications are ineffective. Thiopental can cause laryngeal spasm; do not move the head during use to prevent laryngeal spasm. If laryngeal spasm occurs, immediately tilt the head back, support the jaw, prevent the tongue root from falling backward, and administer atropine intramuscularly to relax the spasm.
3.，２０％、。
- When convulsions are in a persistent state and intracranial hypertension occurs, measures such as 20% mannitol and furosemide should be used to reduce intracranial pressure.
4.／。
- For high fever, physical cooling or/and drug-induced cooling is commonly used.
5.。
- Corresponding etiological treatment should be given for convulsions of different causes.