小儿热性惊厥85例脑电图分析

Analysis on EEG in 85 Patients with Pediatric Febrile Convulsion

目的:探讨小儿热性惊厥的临床特点及脑电图检查在其诊断中的应用价值。方法:回顾性分析85例热性惊厥患儿的临床资料。结果:85例热性惊厥患儿中,脑电图正常者58例(68.24%),异常者27例(31.76%),其中24例(88.89%)表现为分布于各导联的阵发性高幅慢波明显增多,以枕部明显,有时两侧可以不对称。2例(7.41%)表现为局限性棘波,1例表现为广泛阵发性高幅慢波夹杂棘波。结论:小儿热性惊厥同儿童的年龄、发热程度、发作次数及家族史密切相关,加强对热性惊厥患儿的脑电图监测具有十分重要的意义。

Objective：Study of febrile convulsion in children with characteristic clinical and EEG examination in the diagnosis of.Methods：A retrospective analysis of 85 cases of clinical data in children with febrile convulsion.Results：In 85 cases of children with febrile convulsion,EEG in normal in 58 cases（68.24%）,abnormal in 27 cases（31.76%）,24 cases（88.89%） is distributed in the lead of the paroxysmal high amplitude of slow wave increased significantly,with occipital obvious,sometimes on both sides can be asymmetric.In 2 cases（7.41%） showed limited spike wave,1 cases showed extensive paroxysmal high amplitude of slow wave with spikes.Conclusion：Febrile convulsion in children with children＇s age,degree of fever,seizure frequency and family history are closely related,to strengthen the EEG monitoring in children with febrile convulsion has very important significance.