高热惊厥214例临床分析

Clinical Analysis of 214 Cases with Febrile Convulsions

本文分析了214例高热惊厥,结果为:检出率4.35％;男女之比为1.61:1;好发年龄为6个月～6岁(93.5％);首发年龄为6个月～4岁(89.9％);惊厥发作时体温多在39℃以上(74.6％);惊厥发作多在发热后12h内(72.4％);每次热病中惊厥发作1～3次(99.5％);惊厥持续时间多在15min内(91.0％);致惊厥发作的热性疾病以上呼吸道感染为最多;214例中63例复发,其中2例转癫痫,61例尚未发现智力低下或其他异常。从2例转癫痫的临床及脑电图看,提示惊厥发作愈重,持续时间愈长,转癫痫的可能性愈大。

Two hundred fourteen cases of febrile convulsions were analysed, showing an detectable rate of 4.35% in our department. The sex ratio is 1.61 male to l female. The age period of occurence is 6 months to 6 years(93.5%). The age of first onset is 6 months to 4 years (89.9%) Most convulsive attacks(72.4%) were within 12 hours of the onset of fever, usually over 39℃(74.6%). During each attack of fever there would be 1-3 seizures(99.5%). Upper respiratory infections were found to be the main cause of febrile convulsion. Of the 214 cases 63 patients were recurrent cases, of which 2 patients turned to be epilepsy. The rest 61 were found no mental retardation or other obnormals. Gudging from clinical menifestations and EEG of our 2 patients, it indicates the more severe convulsions and lasting longer the more posibility epilepsy could be.