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小儿急诊惊厥的特点与治疗疗效分析 被引量:10

Analysis of the Characteristics and Therapeutic Effect of Children with Convulsion in Emergency Department
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摘要 目的:分析小儿急诊惊厥的特点与治疗效果。方法:对137例小儿急诊惊厥患儿的临床特点及治疗效果进行分析。结果:137例患儿中,28 d^3岁占71.53%,伴有发热者占77.37%,有咳嗽、流涕者占66.42%;神经系统阳性者占26.28%。脑电图检查异常者占58.68%,高发年龄段患儿脑电图异常率高于低发年龄组(P<0.05)。惊厥原因主要为热性惊厥、颅内感染。137例患儿中,治愈114例,好转20例,死亡3例。结论:儿童发生惊厥的病因复杂多样,应结合儿童病史、年龄、脑电图、头颅CT等进行诊断,并尽早治疗,治疗后多数患儿预后较好。 Objective:To investigate characteristics and therapeutic effect of children with convulsion in emergency department.Methods:137caseswith convulsion in emergency department were analysed.Results:Among 137 cases,28 d-3 years old accounted for 71.53%,associated with fever accounted for 77.37%;With a cough,runny nose,accounted for66.42%;Nervous system positive accounted for 26.28%.Abnormal EEG examination accounted for 58.68%,abnormal rate of EEG in cases with high incidence was higher than that in the low age group(P〈0.05).The main causes of convulsions were febrile convulsion and intracranial infection.Conclusion:The etiology of cases with convulsions is complex and diverse,should be combined with the history of cases,age,EEG,head CT and other diagnosis,and early treatment,the majority of patients with good prognosis after treatment.
作者 李文玲
出处 《中国医药导刊》 2017年第1期11-12,共2页 Chinese Journal of Medicinal Guide
基金 国家医学教育发展中心课题项目(项目编号:2014-03-06-166) 课题名称:探讨小儿急诊惊厥的特点及治疗
关键词 小儿 急诊 惊厥 临床特点 治疗 Children Emergency department Convulsion Clinical characteristics Treatment
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