In addition to controlling the febrile convulsions, a timely antipyretic, actively looking for causes fever, be appropriate. Due to the high rate of recurrence of febrile convulsion, therefore preventing recurrence is very important.
Prevention of recurrence is to prone age (4~6sui ago) completely avoid attacks, prevents status convulsion, reduce the incidence of epilepsy, avoid mental development disorders. Currently used by intermittent medication, that is, after the initial attack, when fever medication immediately, which easily accepted by the parents. But if the choice of phenobarbital, actual does not achieve the purpose of preventing recurrence. Because phenobarbital law to take at least 7 days to reach stable therapeutic concentration in the blood, once after oral phenobarbital or take 4-6 hours to reach peak serum concentration, so this method cannot play a protective role in the sudden rise in body temperature. Therefore try diazepam suppositories, 5mg at a time, during the fever every 8 hours, there is a certain effect.
To prevent recurrence, long-term drug use have been raised, namely whether or not any fever, adhering to medication every day. However, febrile morbidity was higher, and only a small number of serious sequela, most patients unnecessary burden on long-term medication, and phenobarbital can also cause drowsiness, excited about side effects such as restlessness, hyperactivity. Therefore proposed the following indication of long-term medication.
(1) complexity thermal property convulsion.
(2) cases of risk factors, and after the second attack.
Long-term medication may be selection of phenobarbital, Primidone, effect of sodium estate gushu community, or carbamazepine.
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