Fever in children of families the choice of treatment and antipyretics
Metabolism in children than adults because of strong, each person's body temperature fluctuates within a day, morning is relatively low, slightly higher than the afternoon, but not a difference of 1 ℃. As the temperature is also the child's hyperactivity, excessive clothing, ambient temperature is too high, and because eating crying can also cause a temporary increase in body temperature, when the body of a child in good condition, there is no subjective symptoms. However, younger children, the central nervous system function of temperature regulation worse, plus my son's body surface area is relatively large, healthy skin and sweat glands are not developed, so the child's temperature is easy to fluctuations. If the children underarm temperature reached 37.5 ℃, then the emergence of some symptoms, signs, a child can be diagnosed pathological fever. General 37.5 --- 38 ℃ for the low-heat ,38.1 - 39 ℃ for moderately hot ,39.1 - 40 .4 ℃ high fever, <40.5 ℃ ultra-high heat.
Although fever is the body defenses against diseases, and adaptation to internal and external environment as a compensatory response to abnormal, but if you heat too long, so that in vivo regulatory function of disorders, then the child's health threat. Hence the need for timely processing.
In the heat of the reasons is not clear or can not immediately go to the hospital, you can do at home following treatment:
◆ If it is low-heat can give the child water, moderate heat may be given oral antipyretics, high fever and high fever must immediately go to the hospital to take injections fever, or other methods.
◆ physical cooling method: You can wash with warm water bath, washed in time to lead a bath towel and wipe away the body dressed. You can also use cold wet towel bath body, especially the large blood vessels Traveling location, such as: armpit, groin and other parts to rub until the skin redness. Also can give their children wash with warm water bath, washed promptly with a towel wrap, you can also head ice bag, cold bags, bags with cold water or ice bag placed in the armpit, neck, sides, groin and forehead, and some children may be due to Use ice packs will have severe chills, especially small babies, so it is best to use cold water bags. World Health Organization is currently prohibit the use of alcohol (including wine) to the infant and young child bath brush, because alcohol can be absorbed through the skin on the child's health, but negative.
◆ ensure that the child into the volume of liquids, especially water intake, because high heat will cause the child to speed up the metabolism, sweating, or no significant increase in water loss, and drink plenty of water help speed up the excretion of toxins.
◆ fever children need bed rest, eat easily digestible diet. If the food is added for Ruqi stage, to suspend the new food intake until the disease cured and then re-add.
◆ If a child causes fever is unclear, as soon as possible to the hospital for treatment, a clear diagnosis for the corresponding processing, as well as adversely affected by illness.
If the child's temperature at 38.5 ° or more, accompanied by the spirit of good, it is recommended to the hospital.
How to choose antipyretics
The past many doctors like to use "A benzene film." It is a composite of aspirin and phenobarbital preparations, antipyretic effect is good, but also to calm, especially for children of febrile seizures is more likely to be welcomed. However, because aspirin can cause bruising of neonatal disease, also liable to cause bleeding in infants (umbilical bleeding, vomiting blood, blood in the stool), and foreign countries have been reported as taking aspirin to children Reye's syndrome (acute encephalopathy Hepatic steatosis as a serious illness), so now many countries abroad, the provisions of disabled infants and young children. Although there is no clearly defined in China, but need to be used with caution.
"Analgin" Because infants and young children can cause neutropenia, resulting in kidney damage, easily lead to allergic reactions, injection and oral administration has been seldom used, has limited domestic use, but some of the hospital also uses analgin intranasal use on a child under the age of two, but it needs caution. Because intranasal can also cause more damage.
Compound Aminopyrine called Antongding, which contains aminopyrine blood leukocytes can be reduced, if repeated use, can lead to reduction in granule cells levy or acute hemolytic anemia, so infants and young children is disabled.
World Health Organization does not recommend children under 2 months the use of antipyretic drugs, can use physical cooling.
For infants and young children recommends the use of antipyretics is as follows:
◆ Paracetamol: This drug rarely cause gastrointestinal side effects, does not affect platelets, does not cause kidney damage, rapid onset, the role of strong and secure, but also large doses can cause liver damage. Therefore, to correctly grasp the dosage and use. No more than 4 times a day. Interval of 6 hours or so, the general use of no more than 3 days. Children already on the market 100-ning syrup, pediatric Merrill Lynch syrup, Tylenol, Antya heat, a-ching, Chang Andy belong to this category of medicine.
◆ ibuprofen: also known as Fenbid, ibuprofen. Drug fever quickly, fever lasted up to 8 hours, gastrointestinal irritation, easily tolerated, is safe and reliable antipyretics. Ibuprofen for children over 6 months, the dose for a 5 - 10 mg / kg body weight / time, every 6 - 8 hours a time. Thorn oral drugs that fall into this category.
◆ bolt fever in children: Its composition is mainly paracetamol, if the compound preparation also contains artificial bezoar, South Banlangen extract powder. Is mainly used to plug the anus, from intestinal absorption, the effect quickly and refused to take medicine for the children of fever is very convenient, but the amount of large or multiple use or a sudden drop in temperature likely to cause the child diarrhea.
In fact, parents can also choose a number of proprietary Chinese medicines for children fever, but it should be noted indications.
◆ Children Bezoar Powder: mainly from the Uncaria, silkworm, Tianma, Scorpion, berberine, rhubarb, gall Southern Star, Zhejiang Fritillaria, Tianzhu Huang, Pinellia, orange, talc, artificial bezoar, cinnabar, musk, borneol, etc. composition. Shi Zhi heat applied to children with fever caused by coughing, vomiting phlegm, irritability from acute sleep lying anxiety, convulsion convulsions, delirium, dry stool guitar. For some who Jifu spleen Deficiency. Each 0.9g, on the 1st two times, warm water delivery service; years of age in children less than reduce it.
◆ Zixue Powder: It is one of the three treasures of Chinese medicine. Mainly by gypsum, antelope horn, rhino horn, musk, green wood, cloves and other preparation made, commonly used in acute fever caused by persistent high fever, constipation, irritability and confusion, said that if Hu and other symptoms, especially for children acute infantile convulsions with high efficiency, quick features. Taking when one year old or less, each o.3 g, for each additional one-year-old will increase 0.3 grams, 1 day 1. Should pay attention to the drug on the role of fever patients have fever. However, some children are not high heat, or unexplained fever should not blindly use Zixue scattered to cover up the illness, resulting in misdiagnosis.
◆ Powder Monkey date: date from the monkey, antelope horn, Tianzhu Huang, Sichuan Fritillaria, Agar wood, green Frontiers stones, musk, on stone composition, commonly used in the treatment of children with phlegm-heat convulsion, convulsion in children with acute, limb convulsion, sputum more shortness of breath, fever, irritability embolism has a good effect.
But the bitter cold of the above contain the ingredients of Chinese medicine, easy to hurt the child's stomach can not be long-term use. Same time, because these drugs are for real disease caused by fever, is a taboo for Xu Zheng, so parents need to make the right choice.
Need to remind parents to pay attention to are: fever is a symptom of the disease, the use of antipyretic drugs are a means of treating the symptoms, and antipyretics after use in order to achieve a stable, fully anti-fever is to take some time for the purpose, and only control the rise incidence of pathogens, the child may be completely faded into the background only. Therefore, parents must not quick-tempered, while the frequent use of antipyretics or repeatedly go to hospital.
Monday, March 08, 2010
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