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目的探讨3个月内幼婴和发热相关的惊厥的临床特点。方法对10例患儿的临床资料进行临床总结,结合文献对症状本质初步讨论。结果 10例患儿临床特点一致。3例失访,随访时半岁内3例,8个月2例,10个月1例,1岁10个月1例。年龄最大的1例1岁后频繁热惊厥发生,表现为部分性发作或伴全身泛化,智力运动发育正常。结论幼婴(3个月内)和发热相关的惊厥应为一疾病实体,和热惊厥有相似之处,存在很高的低钠血症发生率,二者关系有待进一步明确。
Objective To investigate the clinical features of febrile seizures in 3-month old infants. Methods The clinical data of 10 children were clinically summarized. Based on the literature, the nature of the symptoms was discussed. Results 10 cases of children with the same clinical features. Three patients were lost to follow-up. There were 3 cases within 6 months of follow-up, 2 cases of 8 months, 1 case of 10 months and 1 case of 1 year and 10 months. One of the oldest cases of 1-year-old after frequent febrile seizures, manifested as partial seizures or with generalized generalized, normal intellectual motor development. Conclusions Infants with fever (within 3 months) and febrile seizures should be the entity of a disease. They have similarities with febrile seizures and have a high incidence of hyponatremia. The relationship between the two needs to be further clarified.