小儿热性惊厥180例临床分析

Clinical study on febrile seizures in 180 children

目的探讨小儿热性惊厥(FS)的诊断及治疗方法。方法对180例小儿FS(单纯性FS 139例,复杂性FS 41例)的临床表现、辅助检查及治疗方法和治疗效果进行回顾性分析。结果单纯性FS综合性治疗可控制症状,脑电图(EEG)检查均未见异常;复杂性FS综合性治疗基础上应用抗癫痫药物可控制症状或减少惊厥次数,EEG检查有一部分异常。结论单纯性FS综合性治疗即可,不需做EEG检查;复杂性FS需加抗癫痫药物治疗,需做EEG检查。

Objective To study the diagnosis and treatment of infantile febrile seizures （FS）. Methods The clinical manifestations ,auxiliary examination ,treatment and therapeutic effect in 180 cases of children with infantile febrile seizures （simple FS 139 cases ,complex FS 41 cases）were retrospectively analyzed. Results Symptoms of simple FS could be controlled by comprehensive treatment ,electroencephalogram（EEG）examination showed no abnormality.Based on comprehensive treatment ,antiepileptic drugs could control the symptoms of complex FS or reduce the times of seizures ,some of children’s EEG showed abnormal.Conclusion Simple FS can be controlled by comprehensive treatment ,need not to make EEG examination.Complex FS need to add antiepileptic drug ,and need EEG examination.