Clinical manifestations ntawm febrile convulsion
Raws li cov ntaub ntawv kho mob network, febrile convulsion feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog 6 hli txog 5 xyoos. Nws yog convulsion nres nyob rau hauv lub tshav kub stroke (lub cev kub ≥ 38 ℃). Central paj hlwb kab mob thiab lwm yam ua rau convulsion raug tshem tawm. Tsis muaj keeb kwm ntawm febrile convulsion yav dhau los. Nws yog tus kab mob convulsive tshaj plaws nyob rau hauv cov me nyuam mos thiab cov me nyuam yaus, uas muaj ntau tshaj li 3% - 5%. Nws feem ntau tshwm sim nyob rau theem ntawm qhov kub siab ntawm lub cev thiab tshwm sim hauv 24 teev ua npaws.
Cov tsos mob ntawm convulsions yog tam sim ntawd tsis nco qab, qhov muag tig los yog ntsia, kaw cov hniav, foaming ntawm lub qhov ncauj, cyanosis nyob ib ncig ntawm lub qhov ncauj, cov leeg tonic clonus, incontinence ntawm cov zis thiab zis, thiab lwm yam. tom qab kev tawm tsam, lawv muaj kev nyuaj siab thiab tsaug zog.
Nws yuav tsum tau muab sau tseg tias feem ntau cov me nyuam yog yooj yim febrile convulsions. Feem ntau, tsuas muaj ib qho kev tawm tsam ntawm kev kub taub hau, thiab lub sijhawm ntev yog tsawg dua 15 feeb, feem ntau yog nyob rau hauv 5 feeb; Complex febrile convulsions, feem ntau< 6="" lub="" hlis="" los="" yog=""> 5 xyoos, nrog lub sijhawm ntev (> 15 feeb) lossis ≥ 2 ntu hauv ib chav kawm cua sov, tej zaum yuav nrog cov paj hlwb txawv txav. Convulsion duration yog hais txog lub sij hawm ntawm qaug dab peg ntev tshaj 30 feeb los yog rov qab qaug dab peg, thiab kev nco qab ntawm qaug dab peg tsis tau zoo dua li 30 feeb.
Yam uas ua rau febrile convulsion
Feem ntau ua rau febrile convulsion muaj xws li kab mob ua pa sab sauv, otitis media, mob ntsws, mob plab, mob plab, kab mob urinary thiab lwm yam.
Kev qaug dab peg muaj feem xyuam rau hnub nyoog. Feem ntau hais lus, nws yog vim menyuam yaus' txoj kev loj hlob ntawm lub paj hlwb tsis paub tab, tej zaum yuav muaj teeb meem hauv kev tiv thaiv kub taub hau, qaug dab peg tuaj yeem tshwm sim vim qhov txawv txav ntawm lub hlwb hlwb, thiab muaj qhov pom tseeb ntawm caj ces. . Yog li ntawd, cov menyuam yaus hnub nyoog qis dua 5 xyoos thiab cov txheeb ze thawj zaug uas muaj keeb kwm ntawm febrile qaug dab peg yuav muaj kev npaws thaum kub taub hau.
Cov txheej txheem no tsis pom zoo thaum lub sij hawm qaug dab peg
Cov ntaub ntawv xov xwm kho mob tau pom tias thaum menyuam yaus muaj convulsions, cov niam txiv feem ntau poob. Qhov tseeb, lawv tsis' tsis tas yuav rub lawv cov hniav nrog cov khoom tawv xws li rab diav thiab chopsticks (nws' yooj yim ua rau lawv cov hniav puas), thiab lawv tsis' tsis tas yuav muab cov phuam thiab ntiv tes tso rau hauv lawv cov menyuam' lub qhov ncauj (lawv tsis tshua tom lawv tus nplaig thaum lawv tawm tsam, tab sis nws' yooj yim los thaiv lawv txoj kev ua pa). Lawv tsis tau' tsis tas yuav nias, co lossis tuav lawv cov menyuam kom nruj (yuav ua rau hypoxia), xav tau' tsis txhob nplawm cov neeg uas muaj koob (xws li kis kab mob thib ob), thiab tsis muaj pov thawj tias nias tuaj yeem txo lub sijhawm tawm tsam hauv tib neeg.
Cov niam txiv yuav tsum tsis txhob tso tseg febrile convulsion artificially, vim convulsion feem ntau nres ntawm nws tus kheej. Qhov tseem ceeb tshaj plaws yog tiv thaiv kev raug mob los ntawm kev tawm tsam. Muab tus menyuam tso rau ntawm lub tiaj tiaj thiab tsis raug mob hauv av lossis txaj, khi nws lub dab tshos, ua kom nws lub taub hau tig mus rau ib sab, ntxuav lub qhov ncauj thiab qhov ntswg, tsis txhob nqhis qaub ncaug thiab ntuav, thiab sim sau lub sijhawm. Feem ntau, nws tuaj yeem txo tau ntawm nws tus kheej hauv 3-5 feeb, tom qab kev ntxhov siab, coj tus menyuam mus rau tsev kho mob kom paub qhov ua rau kub taub hau. Yog tias qhov kev tawm tsam ntev dua 5 feeb, koj yuav tsum mus ntsib kws kho mob nyob ze lossis hu rau 120 kom pab.
Febrile convulsion nres, nws puas yuav rov tshwm sim yav tom ntej?
Qhov rov tshwm sim muaj feem xyuam rau hnub nyoog. Tus nqi rov qab yog 50% thaum thawj hnub nyoog qis dua 1 xyoos, thiab 30% thaum thawj hnub nyoog yog 1 xyoos lossis tshaj. Cov yam tseem ceeb rau kev rov tshwm sim muaj xws li: ① hnub nyoog pib qis; ② lub sij hawm ua npaws luv (< 1h);="" ③="" tsev="" neeg="" keeb="" kwm="" ntawm="" febrile="" convulsion;="" ④="" lub="" cev="">< 38="">
febrile convulsion puas tuaj yeem ua rau lub hlwb puas?
Cov niam txiv feem coob xav tias" Cov me nyuam ntshai tsam plab thaum lawv kub taub hau, thiab lawv ntshai lub hlwb puas thaum lawv convulse" Qhov tseeb, txawm hais tias qhov kev tawm tsam ntawm convulsion zoo li txaus ntshai, ntau dua 90% ntawm qhov qaug dab peg tuaj yeem txo qis hauv 5 feeb. Feem ntau, nws yuav tsis ua kev puas tsuaj rau tus menyuam' lub hlwb thiab cuam tshuam rau nws txoj kev txawj ntse thiab kev loj hlob. Qhov txaus ntshai tiag tiag yog kev raug mob tshwm sim los ntawm kev tawm tsam, xws li ntog thaum lub sij hawm convulsion, ntuav, cov hniav ntog thaum nws lub qhov ncauj, cov khoom tawv tsoo tsoo rau hauv nws lub qhov ncauj, thiab tom nws cov ntiv tes Asphyxia tshwm sim los ntawm kev nqus ntawm cov ntshav mus rau hauv lub ntsws. daim ntawv.
Yuav ua li cas tiv thaiv febrile convulsion?
Rau qhov yooj yim febrile convulsion, tsis pom zoo siv tshuaj tiv thaiv. Txoj kev tiv thaiv zoo tshaj plaws yog ua kom muaj kev noj qab haus huv ntxiv thiab tsis txhob ua npaws ntau zaus. Thaum tus me nyuam loj hlob thiab lub paj hlwb loj hlob tuaj, nws yuav zoo dua. Feem ntau, febrile convulsion tsis tshua muaj tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 7 xyoo. Thaum kub taub hau yog qhov tsim nyog, kev siv tshuaj tua kab mob yuav txo tau tus menyuam' qhov tsis xis nyob, tab sis cov tshuaj tua kab mob tsis tuaj yeem cuam tshuam lub cev' txoj kev noj qab haus huv Thaum tshav kub kub txheej txheem, yog li noj tshuaj tua kab mob ua ntej thaum kub taub hau tsis tuaj yeem tiv thaiv qhov kub ntawm lub cev thiab tiv thaiv kev qaug dab peg.
Cov menyuam yaus uas muaj keeb kwm ntawm convulsions nyuaj thiab cov xwm txheej epilepticus yuav tsum tau noj tshuaj antiepileptic raws li kev taw qhia ntawm pediatric neurophysicians.
