发热性惊厥与血清钠浓度关系的探讨──附59例报告

The exploratory investigation on the relationship between febrile convulsion and serum sodium

目的：探讨发热性惊厥与血清钠浓度的关系。方法：测定５９例发热性惊厥病儿（观察组）及５０例有发热但无惊厥性病儿（对照组）的血清钠浓度，并进行对比分析。结果：观察组的血清钠浓度明显低于对照组，两组有显著性差异（Ｐ＜０．０１）。观察组中有２１例（占３６％）病儿反复惊厥发作，其血清钠浓度低于首次发作者，两者比较具有显著性差异（Ｐ＜０．０１）。结论：发热性惊厥的发生和复发与血清钠浓度有密切的关系。

Objective: To explore the relationship between the change of serum sodium and febrile convulsion. Methods: Serum sodium was detected in 59 children with febrile convulsion and 50 children with fever but without convulsion. Results: The average level of serum sodium in children with febrile convulsion was lower than that without convulsion (P<0.01). Twenty-one of 59 chil- dren with febrile convulsion (35.6%) had repeated attacks with lower level of serum sodium than the first attack(P<0.01). Conclusion: The occurrence and recurrence of febrile convulsion is associated with the low level of serum sodium.