儿童惊厥210例病因分析及预防策略

Cause analysis of 210 cases of children convulsion and preventive measures

目的:分析儿童惊厥的主要原因,为儿科急诊提供快速安全救治依据;预防惊厥复发。方法:回顾分析210例惊厥患儿临床资料,分析归纳其病因。结果:热性惊厥(42.86%)、癫痫(23.33%)及颅内感染(13.33%)是儿童惊厥的主要病因,新生儿期惊厥原因主要是缺氧缺血性脑病和颅内出血;婴幼儿期是热性惊厥、癫痫及颅内感染;学龄前期仍主要是热性惊厥;学龄期则是癫痫。结论:儿童不同年龄时期,惊厥病因不同,需针对病因采取预防措施。

Objective： To analyze the causes of children convulsion in order to provide quick and safe reference for pediatric e-mergency and prevent convulsion recurrence. Methods： A retrospective analysis of clinical data of 210 cases of children convulsion was done to analyze and suminary the causes. Results： The main causes of children convulsion were febrile seizures （42. 8 6 % ） ,epi-lepsy （23. 33% ） and intracranial infection （13. 33% ） , and the causes of neonatal seizures were hypoxic ischemic encephalopathy and intracranial hemorrhage. Febrile seizures, epilepsy and intracranial infection were common in infancy, while febrile seizures in pre-school age and epilepsy in school age. Conclusions： The causes of convulsion of different age group of children are various, and then the preventive measures should be taken according to the different causes.