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新生儿惊厥病因分析(附104例报告)

An analysis on convulsive causes of newborns 104 cases reported
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摘要 目的探讨新生儿惊厥病因的临床特征及其防治途径。方法对104例新生儿惊厥进行临床病因分析,研究其发病的特点。结果通过临床诊断、实验室检查及CT检查,新生儿惊厥主要表现以单一型惊厥为主,占81.7%,其中以微小型、多灶型惊厥为多,分别占28%与26%。7天以内应考虑颅内出血、低钙惊厥,7天以后发病多为感染。有90例(86.5%)母亲有异常妊娠与异常分娩造成早产引起颅内出血、感染。104例新生儿惊厥中,母亲为农民者有72例(69.2%)。结论新生儿惊厥多为异常妊娠与异常分娩。因此认真做好围产期保健,产前严密监护,正确复苏,早期诊断,及时处理。 bjectives To investigate the causes,specific features,treatment and prevention of newborn convulsions.Methods The convulsive causes and clinical features were analysed with the proof of laboratory test and CT examination.Results Single type convulsion occupied 81.7% among that minute type and multifocal type convulsions occupied 28% and 26% respectively.The causes of convulsions were considered as intracranial hemorrhage or hypoocalcemicl, if the chronax of the first attack was shorter than 7 days after delivery,and considered as infections if longer than 7 days.Out of 104 cases,aone wborn mother (86.5%) experienced the process of abnormal prognancy and delivery, and their newborns suffered from intracranial hemorrhage or infections.Conclusion Newborn covulsious usually result from abnormal pregnancy and delivery.Perinatal hygiene,strict survellarnce,early correct diagnosis and freatment are essenhal to reduce the incidence of newborn convulsions
出处 《宁夏医学杂志》 CAS 1998年第4期240-242,共3页 Ningxia Medical Journal
关键词 惊厥 新生儿 病因 Convulsions neonate
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