| 摘要: |
| 目的：探讨急性胃肠炎伴婴幼儿良性惊厥的临床特点及远期预后。方法：选择2012年2月至2015年12月我院收治的98例急性胃肠炎伴良性惊厥患儿，总结、分析其临床及实验室检查资料，并进行远期随访观察。结果：98例急性胃肠炎伴良性惊厥患儿发病年龄集中在1~2岁，占全部患儿的78.6%；全年均有发病；惊厥在急性胃肠炎3 d内的发病率高，占86.7%；惊厥平均发作次数为1.8次，期间无癫痫持续状态，为全身强直-阵挛形式发作。血生化检测、血常规检查、脑脊液常规、生化及培养检查等均正常，大便轮状病毒检测阳性者12例。脑电图检测结果显示，4例背景活动慢化，3例额中央区或中央顶区尖-慢波发放或有尖波，其他患儿脑电图均正常。随访结果显示，4例患儿复发，其中1例为热性惊厥，1例为癫痫，其他无复发。结论：急性胃肠炎伴婴幼儿良性惊厥高发于1~2岁幼儿，惊厥发作早期易于控制，预后良好，不需进行长期抗惊厥治疗。 |
| 关键词: 急性胃肠炎 惊厥 婴幼儿 临床分析 远期随访 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2017.07.012 |
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| 基金项目: |
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| Clinical Analysis and Long Term Follow-up Observation of Acute Gastroenteritis Associated with Benign Convulsions in Infantile |
| Su Huixia |
| (Yulin Children's Hospital of Shaanxi Province, Shaanxi Yulin 719000, China) |
| Abstract: |
| Objective: To investigate the clinical characteristics and long-term prognosis of benign infantile convulsions with acute gastroenteritis. Methods: 98 children patients with benign infantile convulsions with acute gastroenteritis treated in our hospital from February 2012 to December 2015 were retrospectively analyzed and followed for at least 3 years. Results: The retrospective analysis showed that the onset age ranged from 12 to 24 months accounted for 78.6% in all patients; each annual incidence, convulsions with acute gastroenteritis in 3 days with a high incidence, accounting for 86.7%; the average number of episodes was 1.8 times, during no status epilepticus, the symptom was generalized tonic-clonic. Blood biochemical examination, blood tests, cerebrospinal fluid routine, biochemical and culture tests all were normal. There were 12 cases showed positive of rotavirus detection. EEG showed 4 cases of slow background activity, 3 cases showed the amount of the central region or the central parietal sharp-slow wave or sharp waves issued and other children with normal EEG. Follow-up results showed that 4 cases were of recurrence, 1 case of febrile seizures, and 1 case of epilepsy, other non-recurrence. Conclusion: Benign infantile convulsions with acute gastroenteritis showed a high incidence in children of 1 to 2 years, the seizure with a generalized tonic-clonic pattern, and prognosis can have a good effect on infant with benign infantile convulsions with acute gastroenteritis, so it is not necessary for the infant to receive long-term antiepileptic therapy. |
| Key words: acute gastroenteritis convulsions infant clinical analysis long-term follow-up |
