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目的:探讨轻度胃肠炎伴婴幼儿良性惊厥的临床特征。方法:回顾性分析2004年1月-2012年7月本科收治的轻度胃肠炎伴婴幼儿良性惊厥患儿30例的临床资料,分析患儿的惊厥发生情况、治疗结果和临床检查结果,观察随访1年内患儿疾病复发和后遗症发生情况。结果:30例患儿中,20例(66.7%)于冬季发病,1~2岁患儿占发病总人数的比例为80.0%(24/30),大便轮状病毒检测阳性27例(90.0%)。惊厥发生后静脉注射安定,或10%灌肠后患儿病情均缓解。所有患儿随访1年,未发现疾病复发和后遗症发生。结论:冬季是轻度胃肠炎伴婴幼儿良性惊厥发病的高发季节,1~2岁为患儿的高发年龄,轮状病毒感染是其主要病因之一。
Objective: To investigate the clinical features of mild gastroenteritis with benign seizures in infants. Methods: The clinical data of 30 patients with mild gastroenteritis and infantile benign convulsion admitted to our hospital from January 2004 to July 2012 were analyzed retrospectively. The incidence of seizures, treatment outcome and clinical examination results were analyzed. Observe the incidence of disease recurrence and sequelae in children within one year after follow-up. Results: Of the 30 children, 20 (66.7%) were affected in winter and 80% (24/30) in children aged 1-2 years and 27 (90.0%) were positive in stool rotavirus test. ). After seizures intravenous injection of stability, or 10% of the children after the enema were relieved. All children were followed up for 1 year, no recurrence of the disease and sequelae were found. Conclusion: Winter is the high incidence of mild gastroenteritis with infantile benign seizures. The age of onset is 1-2 years old. Rotavirus infection is one of the major causes.