小儿高热惊厥与血清钠浓度关系的临床观察(附60例报告)

ASSOCIATION OF HYPERPYRETIC CONVULSION AND CONCENTRATION OF SERUMAL SODIUM (60 Cases Reported)

目的：了解小儿高热惊厥与血清钠浓度的关系。方法：对高热惊厥（观察组）、无抽搐的上呼吸道感染（对照组Ａ）和无热惊厥（对照组Ｂ）三类患儿，检测血清钠、ＣＲＰ、脑电图及脑ＣＴ，并对比分析。结果：观察组血清钠值低于对照组Ａ、Ｂ，有极显著性差异（Ｐ＜００１）；惊厥次数≥２次者中低血钠检出率高于惊厥１次者（Ｐ＜００１）。结论：高热惊厥患儿血清钠易降低，且下降越低，惊厥再发概率越高。对高热惊厥患儿监测血钠，入院后适当补充钠盐可能是预防惊厥反复发作的有益措施之一。

OBJECTIVE: To determine association of hyperpyretic convulsion and concentration of serumal sodium in child. METHOD: Three group patients received serumal sodium detection, CRP, encephalogram and encephalic CT examination: Hyperpyretic convulsion (experimental group), upper respiratory infection without convulsion (control group A) and convulsion without fever (control group B). RESULTS: The average concentration of serumal sodium in experimental group was significantly lower than control groups (P<001)。 Patient, who had more than two episodes of convulsion had much higher rate of hyponatremia than those who had one episode of convulsion (P<001)。 CONCLUSION: Patients with hyperpyretic convulsion tends to be hyponatremia and the lower the serumal sodium is, the more episode of convulsion the patient has. It is suggested that it’s necessary to monitor serumal sodium for hyperpyretic convulsion patient and proper sodium therapy may be a efficient way to prevent convulsion