小儿惊厥206例病因分析

详细信息    查看官网全文

• 论文作者：帅培源
• 年：2016
• 作者机构：四川犍为县人民医院;
• 论文关键词：小儿 ; 惊厥 ; 病因分析
• 英文论文关键词：children ; Convulsion ; The cause analysis
• 会议召开时间：2016-11-25
• 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
• 语种：中文
• 分类号：R720.597
• 学会代码：HNZY
• 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
• 会议地点：中国广东珠海
• 主办单位：国际数字医学会、Digital Chinese Medicine
• 学会名称：湖南中医药大学期刊杂志社
• 页数：2
• 文件大小：1871k
• 原文格式：D
• 会议级别：全国

摘要

目的:探究小儿惊厥病因及治疗方法,为小儿惊厥的临床诊断及治疗提供理论依据。方法:选取2013年6月-2016年6月在本院接受诊断及治疗的206例小儿惊厥患者作为研究对象。对患儿行实验室检查,确定患儿惊厥病因,且采取针对性治疗措施。结果:腰穿患儿66例,其中2例找到皱缩红细胞,44例为脑膜炎改变。测血钙4例,其中3例低于同龄正常值。测血糖1例低于正常值。脑电图6例,其中5例为癫痫样波形,1例为脑炎波形。B超头1例发现占位病灶。1-3岁患儿惊厥率较高,与其他年龄患儿惊厥人数对比差异具有统计学意义(P<0.05)。在影响因素中,高热惊厥居首位,其次为脑膜脑炎。治愈172例,好转20例,共占93.2%。自动出院8例(3.9%)。死亡6例(2.9%)。结论:小儿惊厥的病因较多,以高热惊厥及脑膜脑炎较为常见,在对患儿的临床治疗中,行实验室检测,且采取针对性的措施具有较好的疗效,具有较高的临床应用价值。
objective: to explore the cause and treatment of infantile convulsions, for infantile convulsions provide theoretical basis for the clinical diagnosis and treatment. Methods: choose in June 2013- June 2016 in our hospital diagnosis and treatment of 206 patients with infantile convulsion as the research object. The role of laboratory examination, make sure childrenconvulsions cause, and corresponding treatment measures. Results: 66 cases of lumbar puncture, among them 2 cases found shrinkage of red blood cells, 44 cases of meningitis. Measuring bloodcalcium in 4 cases, of which 3 cases lower than their normal. 1 blood glucose below normal. Electroencephalogram(eeg) 6 cases, 5 cases of epileptic waveforms, 1 cases of encephalitis waveform. Ultrasound head 1 case found placeholder lesions. 1 to 3 years old children with convulsions rate is higher, compared with other age children convulsions number difference is statistically significant(P < 0.05). In the influence factors, high fever convulsion in the lead, followed by meningoencephalitis. Cure 172 cases, 20 cases got improvement, accounted for 93.2%. Automatic discharge 8 cases(3.9%). 6 cases died(2.9%). Conclusion: the causes of infantile convulsion is more, is common in febrile convulsion and meningoencephalitis, in the clinical treatment of children, laboratorytests, and adopt corresponding measures has good curative effect, has high clinical value.

引文

[1]吴雄.小儿急诊惊厥病因分析及疗效探讨[J].中外医疗,2016,05:67-68.
    [2]朱贞刚.小儿肺炎支原体感染合并惊厥的病因及热惊厥的治疗[J].实用心脑肺血管病杂志,2013,12:106-107.
    [3]彭建霞,王淑玲,武国霞,郝立成.小儿惊厥临床因素分析及预防措施[J].西部医学,2011,12:2377-2379.
    [4]Zhang L.M.,An Y.,Pan G.,Ding Y.F.,Zhou Y.F.,Yao Y.H.,Wu B.L.,Zhou S.Z..Reduced Penetrance of PRRT2 Mutation in a Chinese Family With Infantile Convulsion and Choreoathetosis Syndrome[J].Journal of Child Neurology,2015,3010-3011.
    [5]Demir Ercan,Turanii Güzide,Yalntzoglu Dilek,Topcu Meral.Benign familial infantile convulsions:phenotypic variability in a family.[J].Journal of Child Neurology,2015,206-208.
    [6]亢安娜,钟小兰,杨丽君.小儿惊厥130例病因分析[J].2005,48(9):527-528.