婴幼儿腹泻合并惊厥的临床分析

Clinical analysis of infantile diarrhea with convulsions

目的探讨婴幼儿腹泻合并惊厥的可能原因。方法回顾分析我院2012年1～12月接收并诊治的42例腹泻合并惊厥患儿的临床资料：对患儿的大便常规、白细胞、血生化以及腰穿脑脊液常规生化等进行实验检查；患儿在住院后给予补液纠酸、纠正脱水和电解质紊乱，抗病毒、抗感染，止惊、降温及微生态制剂等综合对症治疗，有脑炎者加用甘露醇降颅压等治疗。结果热性惊厥16例，电解质紊乱10例，轻度胃肠炎伴婴幼儿良性惊厥6例，病毒性脑炎5例，中毒性脑病3例，低血糖2例。结论腹泻合并惊厥原因较多，但主要与发热、电解质紊乱、轻度胃肠炎伴婴幼儿良性惊厥有关。

Objective To investigate possible causes of diarrhea in infants and young children with convulsion. Methods A retrospective analysis of our hospital from January to December 2012 received and the diagnosis and treatment of 42 cases of diarrhea and convulsion, for the children＇s stool, white blood cells, blood and cerebrospinal fluid routine biochemical experiment examination; were given rehydration correcting acidosis, correction dehydration and electrolyte disorder in hospital, anti-virus, anti-infection, check fright, cooling and probiotics. Comprehensive treatment including, encephalitis with treatment with mannitol to lower intracranial pressure. Results Sixteen cases of febrile convulsion, 10 cases of electrolyte disturbances, benign infantile convulsions associated with mild gastroenteritis in 6 cases, 5 cases of viral encephalitis, 3 cases of encephalopathy poisoning, 2 cases of hypoglycemia. Conclusion More diarrhea an convulsion of reasons, but mainly with fever, electrolyte disturbances, benign infantile convulsions associated with mild gastroenteritis associated.