轻度胃肠炎伴婴幼儿良性惊厥的临床特点

The Clinical Characteristics and of Benign Convulsions Associated with Mild Gastroenteritis(BICE)in Children

目的探讨轻度胃肠炎伴婴幼儿良性惊厥临床特点及预后。方法对符合轻度胃肠炎伴婴幼儿良性惊厥诊断的30例患儿的临床资料进行回顾性分析,并随访1年以上。结果 BICE患儿惊厥常发生在病程前3 d内,呈全面性强直或强直-阵挛性发作,每次惊厥发作持续时间短,在1次病程中可发作多次,无神经系统阳性体征。绝大多数患儿血常规、脑脊液、CT/MRI、脑电图等无明显异常。BICE患儿经补液处理后惊厥容易控制,预后好。结论轻度胃肠炎伴良性婴幼儿惊厥为婴幼儿常见惊厥发作疾病,治疗以控制反复发作为原则,预后良好。

Objective To explore the clinical characteristics and the prognosis of benign convulsions associated with mild gastroenteritis（BICE）in children.Methods To study clinical features of 30 children with BICE,they followed up for 1 years,and their prognosis were observe.Results The convulsion occurred mostly during the first 3d of the illness and was in a generalized tonic or tonic-clonic form.In a course of disease may attack many times,no positive signs of nervous system.Laboratory examinations were normal,including blood,cerebrospinal fluid,CT/MRI and EEG.Conclusion BICE occurs frequently in infantile and controlling relapse is the main purpose.The prognosis is good.