Patient's question:
At 20 days old, the child experienced two episodes of severe apnea, during which the limbs became weak and the complexion turned red and then purple. A chest X-ray at the hospital revealed mild pneumonia and slightly elevated white blood cell count. The child had a fever of 38.5°C once at the hospital, which was later cured there. There was no history of hypoxia after birth. However, the doctor suspected seizures.Doctor's answer:
Hello. Seizures are common pediatric emergencies and the most frequent pediatric neurological symptoms, representing a common acute and severe condition in children. Seizures can lead to respiratory distress, increase oxygen and energy consumption, and affect cell proliferation and brain growth and development. In premature infants and asphyxiated infants, they can cause intracranial hemorrhage, so anticonvulsants should be administered promptly. Phenobarbital is the first-line treatment for neonatal seizures due to its sedative and neuroprotective effects. Intravenous administration offers advantages such as rapid onset of action, long duration of effect, and minimal side effects.