摘要
目的研究胃肠炎伴婴幼儿无热惊厥患儿惊厥的性质。方法对42例因胃肠炎伴无热惊厥的婴幼儿进行临床资料分析和随访。结果42例中出院诊断为轻度胃肠炎伴良性婴幼儿惊厥(BICE)32例,门诊随访1-3年后有3例因反复发作、脑电图异常诊断为癫痫;2例各复发1次,但脑电图正常,考虑为BICE复发,门诊随访中。42例中5例因脑电图检查可见痫样放电,而诊断为癫痫发作,2例诊断为病毒性脑膜脑炎,3例诊断为电解质、血糖紊乱引起。结论胃肠炎伴无热惊厥的婴幼儿病因复杂,如无阳性检查结果,既往无惊厥病史的病人大部分(29/42)是BICE患儿,但需神经门诊长期随访,部分病人随诊后诊断为癫痫,少部分病人可出现复发,且惊厥发作的出现有早于胃肠炎的病例。
Objective To investigate the features of benign infantile convulsions associated with gastroenteritis. Methods Forty - two cases suffered from gastroenteritis accompanied with benign infantile convulsions were clinically observed and followed up. Results Thirty - two of the 42 cases were diagnosed as benign infantile convulsions with mild gastroenteritis （BICE）, in which 3 cases were diagnosed as epilepsy because of the presentation of recurrent relapses and abnormalities in electroencephalogram（EEG）. Two of them relapsed one time respectively, but with no abnormalities in EEG, so they were diagnosed as relapse of BICE and being followed -up in the out patient. Five of the 42 cases diagnosed as epilepsy based on the epileptiform discharges in EEG, and two cases were diagnosed as viral meningoencephalitis, three cases were identified as being caused by electrolyte disturbance and blood glucose abnormality. Conclusions The causes of benign infantile convulsions associated with gastroenteritis were complex. Most of the cases（29/42） were BICE as there were no positive results and no history of convulsion which need to be followed up clinically, part of them diagnosed as epilepsy, a few of them relapsed. There were cases that the presentation of concision was earlier than the symptoms of gastroenteritis.
出处
《海南医学》
CAS
2009年第2期25-26,41,共3页
Hainan Medical Journal
关键词
婴儿
胃肠炎
惊厥
Infant
Gastroenteritis
Convulsions
