小儿惊厥85例临床相关因素探讨

The study on clinical relating factors of 85 cases infantile convulsions

目的：对小儿惊厥８５例进行临床分析。方法：对生后１天￣１４天惊厥小儿，按病因归类，总结临床惊厥发作形式与辅助检查的改变。结果：小儿惊厥病因复杂，发病广泛。发病率最高为癫痫，其中为中枢神经系统感染及高热惊厥，三者发病率占７５．３％。新生儿组全部为缺氧缺血性脑病。多数婴儿脑ＣＴ有较重器质性改变。结论：小儿惊厥临床发病急重，病死率高（２．３５％）迅速止惊，积极病因治疗，防止并发症及后遗症十分重要。

Objective: To analysis for 85 cases of infantile convulsions. Methods: newborn to fourteen years old children suffering from convulsions were elassified according to the causes. The condition of scizures and the supplemental cxamination were summed up. Results:: The causes of convulsion were complex and the morbidity was high. The highest incidence of the diseases was epilepsy, next central nervous system infection and febril eonvulsions, all of which account for 75. 3%. Hypoxic ischemic encephalopathy was the primary factor of convulsion for newborn. Infants were susceptible to virus encephalitis. Couclusion: infantile con- vulsions are dangerous and the death rate is high (2.35%). It is important to discontinue the seizures, protect from complication and sequclae.