回顾性分析81例捂热综合征婴儿神经系统临床表现及防治

Retrospective Analysis of Clinical Manifestation of Nervous System and Preventive Treatment of 81 Infant Muggy Syndrome Cases

目的:探讨婴儿捂热综合征(IMS)的神经系统临床表现及其预后。方法:回顾性分析2009年12月至2013年12月就诊于湖南省儿童医院神经内科的81例捂热综合征婴儿(包括从ICU住院好转后转入我科继续治疗患儿,不包括新生儿),调取住院病历资料,结合门诊复诊病历及电话随访数据,完成统计分析。结果:捂热综合征对神经系统及脑损害明显,本组81例患儿中,19例死亡(包括住院期间死亡及放弃治疗出院后死亡),15例失访,随访47例,均行综合康复治疗后,其中25例已完全康复,22例仍留有不同程度的后遗症,主要表现在肢体运动障碍(11例)、抽搐发作(4例)、语言发育落后(8例)、智能发育落后(10例)。结论:婴儿捂热综合征严重者或治疗不及时可导致死亡,存活者发生神经系统后遗症高,在积极抢救治疗及康复干预的同时,应加大科普睡眠卫生及育儿知识的宣教,指导小婴儿如何科学防寒、保暖,提倡母婴分床。

Objective： To discuss the nervous system clinical manifestation and prognosis of infant muggy syndrome.Methods： Retrospective analysis 81 infant muggy syndrome cases during from Dec.,2009 to Dec.,2013 in Hunan Children＇s Hospital. Results： Infant muggy syndrome has obvious damaged nervous system and brain. Among 81 cases,19 cases dead,15 cases lost to follow-up,25 cases perfectly recovered,22 cases have varying degrees of sequelae which include limb movement disorder（ 11 cases）,convulsive seizure（ 4 cases）,language retardation（ 8 cases）,and mental retardation（ 10 cases）. Conclusion： Infant muggy syndrome will result in death in severe cases or without timely treatment. Survivors may have high incidence of sequelae of nervous system. At the time of active salvage therapy and rehabilitation care,it is necessary to increase popular science sleep health and child care knowledge education.