儿童热性惊厥诊治中的临床决策

Clinical decision-making in diagnosis and treatment of febrile seizure in children

热性惊厥是儿童常见急症,反复惊厥发生可导致脑损伤、癫痫及行为异常.热性惊厥的诊治已受到国内外学者的关注.在临床诊治中,儿科医师要认识到预防热性惊厥复发的社会意义和经济效益,还要注重对具有高危复发因素热性惊厥患者的筛选和管理.在热性惊厥诊治环节中,儿科医师应重视对患儿及时做出正确的临床诊断和对家长细致专业的健康教育.临床实践证实对预防热性惊厥反复发作措施的探讨不仅十分必要,而且具有较高的可行性.在儿科医师积极为患儿选择科学合理的预防方案时,其家长应共同参与.儿科医师应重视临床决策的作用并使之成为热性惊厥诊治的重要组成部分.

Febrile seizure is a very common emergency in children. Frequent febrile seizure could result in brain damage, epilepsy and behavioral disorder. Researchers in domestic and abroad have paid more attention to diagnosis and treatment of febrile seizure in children. In clinical practice, the pediatrician should not only consider social significance and economic benefits of preventing repeated febrile seizure, but also screen and manage those children with risk factors of recurrence of febrile seizure. Furthermore, pediatricians should timely and correctly diagnose febrile seizures of the children and give the parents detailed and professional health education. It is believed that the measures to prevent recurrence of febrile seizures are not only necessary, but reliable in clinical practices. The paediatricians should take part in choice of scientific and reasonable preventive measures of febrile seizure together with the parents. They should pay close attention to effect of clinical decision-making and make it become an important part of diagnosis and treatment of febrile seizure in children.