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目的分析婴幼儿轮状病毒性肠炎合并惊厥的临床特点。方法对22例轮状病毒性肠炎合并惊厥患儿的临床资料、实验室检查、治疗及预后进行回归性分析。结果 22例患儿多在腹泻3 d内发生无热或低热惊厥,全身强直-痉挛性发作21例,局灶性发作1例,每次持续时间短,每次持续约10 s~5 min,一次病程中惊厥平均发作1.5次,惊厥后无明显意识障碍,预后良好;血生化、脑CT、脑脊液和发作期间的脑电图均正常;经补液、抗病毒及对症治疗均在2周内痊愈出院;所有患儿1年内进行了随访,无明显后遗症,无癫痫症状发作。结论临床特点:年龄以6个月~2岁的婴幼儿多见,秋冬季发病;血生化、脑CT、脑脊液和发作期间的脑电图均正常;惊厥多以全身强直-痉挛性发作为主,在疾病的早期(3 d内),发作持续时间短,可反复发作,惊厥后无明显意识障碍,预后良好。
Objective To analyze the clinical features of infantile rotavirus enteritis complicated with seizures. Methods The clinical data, laboratory tests, treatment and prognosis of 22 children with rotavirus enteritis complicated with convulsion were analyzed retrospectively. Results Twenty-two children had no fever or febrile seizures within 3 days after diarrhea. Twenty-one patients had tonic-spastic seizures and one had focal seizures. The duration of each episode was short and continued for about 10 s to 5 min, A course of seizures average attack 1.5 times, no convulsions unconsciousness, prognosis is good; blood biochemistry, brain CT, cerebrospinal fluid and the EEG during the attack were normal; rehydration, anti-virus and symptomatic treatment were cured within 2 weeks Discharged; all children were followed up within 1 year, no obvious complications, no symptoms of epilepsy. Conclusions Clinical features: Infants and young children aged from 6 months to 2 years old were more common in autumn and winter; EEG in cerebral blood biochemistry, brain CT, cerebrospinal fluid and seizures were normal; seizures mostly occurred in patients with tonic-spastic seizures , Early in the disease (3 d), the duration of the attack is short and can be recurrent, convulsions without obvious disturbance of consciousness, the prognosis is good.