摘要
目的探讨轻度胃肠炎伴婴幼儿惊厥的临床特点及预后,提高临床医师对该病的认识。方法选取2016年7月~2018年6月我院收治的46例轻度胃肠炎伴婴幼儿惊厥患儿的临床资料进行回顾分析。结果65.22%病例为1~2岁儿童,秋冬季节高发,患病后惊厥发作可出现多次,以1~2次较常见,52.17%患儿惊厥首次发作发生在病程第2天,表现为全面发作,但无惊厥持续状态,意识正常,伴有发热与轻度脱水等症状。轮状病毒感染常见,占60.87%。随访6个月后,1例出现复发,占2.17%,但未见脑电图异常,所有患儿精神运动发育正常。结论轻度胃肠炎伴婴幼儿惊厥常见于1~2岁儿童,秋冬季节高发,与轮状病毒感染密切相关。BICE大部分预后良好,暂无需长期抗癫痫治疗,但仍需加强长期随访。
Objective To explore clinical characteristics and prognosis of mild gastroenteritis with infant benign convulsion to improve clinicians’understanding of the disease.Methods Clinical data of 46 children with mild gastroenteritis with infant benign convulsion who were admitted and treated in our hospital from July 2016 to June 2018 were selected and retrospectively analyzed.Results 65.22%of the cases were children aged 1-2 years,with high incidence in autumn and winter.Convulsion occurred multiple times after attack,more common for 1 to 2 times.The first attack of convulsion in 52.17%of children occurred on the 2nd day of the disease,showing a full-scale attack,but no convulsions persisted,normal consciousness,accompanied by fever and mild dehydration.Rotavirus infection was common,accounting for 60.87%.After 6 months of follow-up,1 patient had recurrence,accounting for 2.17%,but no EEG abnormalities were found.All children had normal psychomotor development.Conclusion Mild gastroenteritis with infant convulsions is common in children aged 1-2 years,with high incidence in autumn and winter and is closely related to rotavirus infection.Most of BICE has a good prognosis,and long-term anti-epileptic treatment is not needed,but long-term follow-up is still needed.
作者
何俊君
何海燕
张明真
HE Junjun;HE Haiyan;ZHANG Mingzhen(Department of Pediatric Intensive Care Unit,Zhaoqing First People’s Hospital,Guangdong,Zhaoqing 526060,China)
出处
《中国医药科学》
2020年第2期87-89,共3页
China Medicine And Pharmacy
关键词
胃肠炎
婴幼儿
惊厥
轮状病毒
Gastroenteritis
Infant
Convulsion
Rotavirus
