(Fighting against New Coronary Pneumonia) Experts remind: Beware of acute laryngitis and febrile convulsions in children under the new crown epidemic

　　China News Service, Chongqing, December 26 (Reporter Liu Xianglin and Jia Nan) Some children will experience "acute laryngitis in children" and "febrile convulsions" after being infected with the new coronavirus. How should children deal with these two situations?

On the 26th, Fan Qiongli, a pediatrician at Xinqiao Hospital of the Army Military Medical University, said in an interview with reporters that these two situations are very dangerous.

Combining outpatient and clinical experience, she shared how to identify "acute laryngitis and febrile convulsions in children" during COVID-19 infection, and how parents should respond to corresponding situations.

　　Fan Qiongli said that acute laryngitis in children is a diffuse inflammation of the larynx. It often occurs after a cold. It is a viral infection first, and then a bacterial infection. Because acute laryngitis can cause laryngeal obstruction, if the treatment is not timely, the child may die. Appeared pale, cyanotic, unconscious, and finally died of respiratory and circulatory failure.

　　How should parents and mothers recognize acute laryngitis in children?

According to Fan Qiongli, the onset of most children is very rapid, with mild symptoms during the day and aggravated after falling asleep at night. They are suddenly awakened at night, restless, hoarse, and there is an obvious sound in the throat when inhaling, which is called "throat noise".

At this time, the cough sound is very special, paroxysmal continuous severe dry cough accompanied by high-pitched inspiratory echo, the sound is like the "empty" cough sound of a dog barking, which is called "barking cough".

In severe cases, due to hypoxia, the alae of the nose flutters, the complexion, lips and nails are bruised, and the supraclavicular fossa, suprasternal fossa, and upper abdomen are sunken when inhaling, which is called "three depressions"; the child's breathing changes from short to slow Fast and shallow.

　　Fan Qiongli said that once a child is found to have the above symptoms, he should seek medical attention immediately.

The key to the treatment of laryngitis is to relieve the inflammation of laryngeal edema and keep the baby's airway unobstructed. For mild cases, outpatient treatment is sufficient, and for severe cases, hospitalization is required.

During the treatment process, family members need to cooperate to comfort the child.

Parents should not talk about the discoloration of hormones and refuse to use them blindly. Hormone therapy plays an important role in the control of laryngitis and can quickly reduce local mucosal edema.

Short-term use of small doses of hormones is conducive to rapid control of the disease and will not cause adverse effects on the baby.

　　In addition, parents should not take cough medicines for their babies without authorization.

In children with laryngitis, the airway secretions will be more and viscous. If the central cough suppressants are used excessively to relieve cough, it may prevent the cough reflex and affect the discharge of secretions. Therefore, it is not recommended to add cough suppressants by themselves.

To keep the air in the baby's room moist, fresh and unobstructed, you can use a humidifier, keep the relative humidity at about 65%, and do not smoke around the baby.

　　Febrile convulsions are also a high-risk symptom during infection with the new coronavirus.

Fan Qiongli said that febrile convulsions may occur during the temperature rising period, peak period, and cooling period. Straight or upturned, with loss of consciousness.

　　Fan Qiongli said that febrile seizures are generally divided into simple febrile seizures and complex febrile seizures.

Simple febrile convulsions are more common between 6 months and 3 years old. Usually there is only one convulsion during the course of the disease, and the duration is less than 10 minutes.

Complex febrile seizures usually have a tendency of familial inheritance, and the convulsions last for a long time. They can occur singly or repeatedly in a course of disease.

Therefore, for children with a family history, parents should pay more attention to the rise in the child's body temperature during the epidemic period. It is generally recommended to take antipyretics when the temperature is around 38 degrees.

　　What should parents do when a child has a febrile convulsion?

Fan Qiongli suggested that the child should be kept in a supine position, the collar of the child should be untied, and the room should be kept ventilated (be careful not to let the cold wind blow directly on the child in winter), and try to keep the airway unobstructed so that the child is in a relaxed state and will not suffer from hypoxia.

Turn the head of the child to one side to prevent the secretions from entering the respiratory tract and causing suffocation. When foaming at the mouth occurs during convulsions, parents should clean up the secretions in time.

In addition, physical cooling is also applied, and the forehead, neck, palms, and soles of the feet of the child are wiped with a warm water towel, and the symptoms can be controlled as the body temperature drops.

Parents need to remain calm, and after simple treatment at home, they must be sent to the hospital for further treatment in time.

　　Fan Qiongli emphasized that when patients have febrile convulsions and lose consciousness, they should not force-feed water and drugs to avoid aspiration.

For patients diagnosed with complex febrile convulsions by the hospital, if they have been prescribed preventive medication, they must follow the doctor's advice to take the medication on time and in the right amount, and avoid stopping or missing doses on their own.

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