小儿高热惊厥的临床观察与治疗

Clinical observation and treatment of febrile convulsions

目的 探讨小儿高热惊厥的临床特点及治疗方案.方法 随机选取洛阳市第六人民医院2010年8月至2013年10月收治的高热惊厥患儿60例,对患儿的病例资料进行回顾性分析,对患儿的临床表现、发病特点进行总结分析,并对治疗效果进行讨论.结果 高热惊厥多发于4个月～3岁幼儿,主要为上呼吸道感染所致高热引起的惊厥;本研究显效51例,有效6例,无效3例,总治疗有效率为95.0％.结论 高热惊厥多见于低龄幼儿,临床治疗的关键在于及时降温、止惊,积极治疗原发病,以有效控刺惊厥,避免引起不可逆性损伤.

Objective To investigate the clinical characteristics and treatment of children with febrile convulsion.Methods Sixty children with febrile convulsion in the sixth people＆#39; s hospital of Luoyang from August 2010 to October 2013 were randomly selected,the data of patients were retrospectively analyzed,to summarize and analyze the clinical manifestations,characteristics of the disease of children,and the therapeutic effects were discussed.Results Febrile seizures occured more common in four months to 3 years old children,mainly due to high fever,upper respiratory tract infection convulsion;in this study,51 cases were markedly effective after the treatment,six cases of effective therapy,only 3 cases of invalid,the total effective rate of treatment was 95.0%.Conclusions The febrile convulsion is more common in younger children,the key of clinical treatment is timely cooling,anti convulsion,and active treatment of the original diseases,so as to effectively control the seizures,avoid causing irreversible damage.