小儿烧伤惊厥的预防和处理

PREVENTION AND TREATMENT OF THE CONVUSION AFTER BURN INJURY IN CHILDREN

惊厥是小儿烧伤后常见的并发症之一，其发病的主要原因是高热惊厥；低钠血症；脑缺氧和中毒性脑病。本文总结了我科8年来650例小儿烧伤，并发惊厥11例，占1．7％，较国内9．9％低。作者认为与我院烧伤救治有关，其经验为：1．高渗盐抗体化、使血钠浓度维持在135mmol／L－140mmol／L之间，有效地预防了低钠血症的发生。2．休克稳定后再行清创，减少清创的刺激。3．休克期予以持续吸氧，预防脑缺氧致惊厥。4．迅速控制感染，减少中毒性脑病的发生。5．急救处理：及时解痉、对症处理，保持呼吸道通畅，防止意外事故发生。及时有效处理惊厥，避免造成严重后果。

It is usual complication that convusion after burn injure in children, The causes were hyperpyretic convusion; hyponatremia convusion; toxic cerebral disease and cerebral hypoxia. Prevention and treatment of convusion were resuscitation using hypertonic saline (natrium 230 mmol/L ) ; control infection;decrease injure of debridment and transfusion oxygen. We suggest that convusion post -burn can be prevention in children.