新生儿惊厥131例临床分析

A Study on the Causes of Neonatal Convulsions

目的 :探讨新生儿惊厥复杂的病因和其临床表现特点。方法 :对我院新生儿病区 131例惊厥患儿的临床资料进行总结分析。结果 :新生儿惊厥的病因最多的是新生儿缺氧缺血性脑病 (HIE) 91例 (6 9 47% ) ,其次是低钙惊厥 14例(10 6 9% ) ,颅内出血 (ICH) 10例 (7 6 3% ) ,感染性疾病 10例 (7 6 3 % ) ,不明原因惊厥 3例 ,中毒 2例 ,低镁惊厥 1例。惊厥发作类型以轻微型为主。结论 :减少新生儿惊厥的关键是做好围产期保健 ,积极防止HIE的发生。新生儿轻微型惊厥在临床上不易被发现 ,需密切观察及时诊治。

Objective:To discuss the causes and clinical manifestations of neonatal convulsions.Methods:One hundred thirty one cases of neonates with convulsions in neonatal department of our hospital were analysed.Results:Among all the cases,91 were caused by hypoxic ischemic encephalopathy(HIE),which was the main reason,accounting for 69.47%;14(10.69%) by hypocalcemia;10(7.63%) by intracranial hemorrhage(ICH);10(7.63%) by inflammatory diseases;2 by poison;1 by hypomagnesemia and causes of the other 3 cases were not found.Most of the episode was mild.Conclusion Good health protection during perinatal period and prevention of HIE are the key to the reduction of neonatal convulsions.Mild episode is easy to be ignored and deserves close observation and prompt treatment.