冬季宝宝发烧不能一味盖被子或加衣服.doc

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冬季宝宝发烧不能一味盖被子或加衣服

　一岁多的男宝宝手心热，有发烧的迹象，家人喂了开水后，盖上两层大棉被“捂汗”，宝宝的体温没降下来，体温蹿到了39.8℃，孩子的家人用五层 衣物裹得严严实实抱到南京市妇幼保健医院就诊。在到达医院时候，宝宝突然翻白眼，口唇发绀，呼叫也没一点反应，在急诊吸氧、散热等处理，体温才逐步降了下 来。

　　南京市妇幼保健院儿科邱玉芳主任说，在很多人，特别是老年人的观念里，总认为感冒后捂着出一身汗就好了。一些年轻的父母也用这种方法给感冒 发烧的小孩捂汗。实际上，这种给孩子治感冒的方法很可能是好心办坏事。在冬季的儿科门诊是很常见的，孩子裹得严严实实地过来有的已经烧得脱水了，遇到不 严重的情况，医生马上给他们脱掉一两件衣服散热，再配合一定的治疗，很快就退热了；有的捂得严重的，送来时已经酿成悲剧。

　　邱主任告诉记者，她曾接诊过一个八个月的婴儿，被家长用三层被子捂得严严实实。家属称为了让孩子退烧，连着捂了6个小时，可惜的是宝宝送到医院时已经去世。

　　在冬季，大多数时候宝宝一发烧，家长就给宝宝穿得里三层外三层，或是干脆喝碗姜汤盖上大棉被。有的老人说，孩子发烧了很怕冷，手脚摸着冰 凉，千万别再受寒；有的家长则表示，穿得厚点是为了捂汗，孩子一出汗就退烧了。“发烧捂汗，往往越捂越热，容易造成捂热综合征，还容易诱发高热惊厥。”邱 主任说，孩子发高热往往肢体循环会变差，确实可能出现头部滚烫、手脚冰凉情况，但这时不能盲目给儿童加衣服。因为儿童的汗腺不发达，通过“捂汗”，不易达 到“发汗”的目的。对儿童来说，往往越捂体温越高，容易造成“捂热综合征”，即因捂盖过严使得孩子出现高热、面色苍白、反应低下、呼吸困难等一系列症状， 还容易诱发高热惊厥等疾病，严重的甚至导致死亡。

冬季宝宝发烧不能一味盖被子或加衣服，正确做法应该是把孩子的衣服略微解开，让其充分散热，而手脚部位则要适当保暖。邱主任提醒，家长如果 发现孩子有点发热，最初应该通过一定的物理方法给他们降温，如适当给孩子减少衣被，用温水给孩子擦身。如果不能有效降温的话，就要立刻去医院在医生的配 合下，进行有针对性的治疗。

More than a year old male baby hand hot, and there are signs of fever, family feed after boiling water, cover with two layers of large quilt "wu" khan, the baby's temperature is not down, temperature is up to 39.8 ℃, the families of the children with five layers of clothing wrapped to nanjing maternity and child health care hospital. When arrived at the hospital, the baby suddenly their oral cyanosis, call didn't also a reaction, in emergency oxygen, heat treatment, such as body temperature will gradually drop down to.
Nanjing maternity and child care, director of pediatric Qiu Yufang said, in a lot of people, especially the elderly, always think cold after holding out a sweat. Some of the young parents also use this method to a cold fever child wu khan. In fact, this give the child a cure to the common cold is likely to be good do a bad thing. Pediatric outpatient service is very common in winter, children wrapped to come over, some already to dehydration, in case of not serious doctor immediately gave them off one or two pieces of clothing heat dissipation, coupled with a certain treatment, quickly antifebrile; Some covered serious, arrive have a tragedy.
Qiu director, told reporters that she had exploded a eight months baby, by parents use three layer of the quilt cover. Family members called let children fever, attached to wu for six hours, unfortunately died when the baby to the hospital.
In the winter, most of the time the baby fever, parents will give baby dressed in three layers, or simply drink ginger soup bowl cover the quilt. Some old man said, the child had a fever is very afraid of the cold, hands and feet touch the ice cool, don't cold; Some parents say, wear thick point is for the sake of wu han, children a sweat is cooled down. "Fever wu khan, often more cover more heat, easy to cause the wu heat syndrome, also easy to induce febrile convulsion." Qiu director, said the children high fever often limb circulation will become worse, really hot head, hands and feet cold may happen, but now can not blindly give children clothes. Because children do not sweat glands developed, through the "wu han", not to "sweat" achieved. For children, tend to cover their body temperature higher and higher, easy to cause "wu heat syndrome", that is because of wu yan makes children high fever, pale, low reaction, breathing difficulties and other symptoms, also easy to cause the disease such as febrile convulsion, serious and even cause death.
Winter baby has a fever can't cover with quilt son, or to add clothes, the correct approach should be the child's clothes slightly loose, let its full heat, the parts would be appropriate to keep warm. Qiu director to remind parents, if discover the child is a little fever, originally should be through a certain physical methods they cool down as appropriate to reduce the peripheral to the child, give the child brush with warm water. If not effective cooling, immediately to the hospital, under which combined with the doctor, targeted therapy.

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