摘要
目的 探讨新生儿惊厥的病因、临床表现的特点和急救措施.方法 对我院80例新生儿惊厥的临床资料和急救措施的有效性进行分析总结.结果 新生儿惊厥的病因顺位依次是新生儿缺氧缺血性脑病37例、颅内出血16例、新生儿化脓性脑膜炎13例,此3种病因占全部病例的82.5%.惊厥发作类型以轻微型为主,占61%.结论 减少新生儿惊厥的关键是做好围产期保健,积极防止新生儿缺氧缺血性脑病的发生:新生儿轻微型惊厥在临床上不易被发现,需密切观察,及时诊治;止痉药首选苯巴比妥钠静脉推注,无效者改用苯妥英钠治疗.
Objective Discussing the causes of newborn convulsion,clinical manifestation and emergency treatment.Method Analyzing and summarizing the clinical data of 80 examples of the newborn suffering from convulsions and the effectiveness of the emergency treatment.Results The sequence of the newborn convulsion causes is following:the newborn anoxic ischemic encephalopathy is 37 examples;the intracranial hemorrhage is 16 examples;the newborn purulent meningitis is 13 examples.The three above causes count for 82.5 percent of the total examples.The type of convulsion attack remains minimal-oriented,counting for 61 percent.Conclusions The key point to reducing the condition is serving a good perinatal care,try to prevent the attack of the newborn anoxic ischemic encephalopathy.It is difficult to find the newborn minimal convulsion,which needs the close observation and timely diagnose and treatment.The first choice for this condition is the Phenobarbital sodium.The non-responder can use dilantin sodium instead.
出处
《中国中医药现代远程教育》
2009年第6期129-130,共2页
Chinese Medicine Modern Distance Education of China
关键词
新生儿
惊厥
临床分析
Newborn
Convulsion
Clinical analysis