小儿发热惊厥846例临床分析

Clinical analysis of 846 cases of febrile convulsions in children

1977～ 1996年间共收治小儿发热惊厥 (FC) 846例 ,占同期住院患儿 (16 2 13)的 5 2 2 %。男 5 41例 ,女 30 5例 ,男女之比为 1 77∶1。发病季节以 7～ 9mon为高 ,其次为 1～ 3mon。惊厥前后体温以 38℃～ 40℃为多。引起FC的常见疾病为呼吸系统疾病。首次发作的最小年龄为 40d ,最大年龄为 7岁 10个月。发作类型主要为全身强直 -阵挛发作 ,其次为强直发作。惊厥持续时间最短几秒钟 ,最长 2h以上。以在治疗中 ,供给葡萄糖 ,纠正酸中毒 ,降低颅内压 ,改善脑缺氧及保护脑细胞是不可忽视的措施。应使用苯巴比妥及其它综合措施防止惊厥复发 ,积极使用退热药和物理方法降温。

We have treated the 846 cases of febrile convulsion in children from 1976～1996,make up 5.22 per cent of corresponding period the inpatients.The male is 541 cases,and female is 305 cases,the ratio is 1.77∶1.The highest fall ill season was 7～9 month,the next was 1～3 months.Before and after convulsions the body temperature was 38℃～40℃.General disease was respiratory system's disease that caused the FC.The smallest age of first seisure is 40 days,and the largest age is 7 years and 10 months.The marjor seisure type is generaltonic clonic seizures,and second is tonic seizures.The shortest time of convulsion continued was a few seconds,and the longest time of convulsion continued was two hours.In treatment,suppling glucose,correcting acidosis,intracranial perssure,improving cerebral anoxia and protected the brain cell which was a significant measure.That should be used phenobarbitone and other's synthetical measures prevent recurrence of the convulsion.It should use antipyretic or physical measure to drop body temperature in time.