儿童抽搐87例致病因素及抢救措施分析

Analysis of pathogenic factors and rescue measures of 87 cases of children convulsions

目的 探讨儿童抽搐致病因素及临床抢救措施.方法 选取87例儿童抽搐患儿,入院后对其行常规检查,明确不同年龄阶段患儿抽搐病因,并实施对应抢救工作,统计记录抢救结果 .结果 1-3岁儿童抽搐发生率[75.86％（66/87）]最高,热性惊厥[65.52％（57/87）]为最主要致病因素,低血钙、脑膜炎、癫痫等也是诱发儿童抽搐的重要原因;入院后给予患儿镇静、加强监护、并发症防治等对症抢救措施,且所有患儿经抢救完全治愈,未遗留后遗症.结论 儿童抽搐多发于3岁以下婴幼儿群体,且热性惊厥、化脓性脑膜炎、病毒性脑膜炎、低血钙等均可能与儿童抽搐发病有密切相关,抽搐发病较急,及时实施有效抢救措施对改善患儿预后具有积极意义.

Objective To investigate the pathogenic factors and clinical rescue measures of chil-dren convulsions. Methods Eighty-seven children with convulsions were performed routine examination after admission to identify the cause of the convulsion in children at different age stages,and the corre-sponding rescue work was implemented,and rescue results were recorded. Results The incidence of convulsions was highest[75. 86% （66 / 87）]in 1 - 3 years old children,febrile convulsion [65. 52%（57 / 87）]was the most important pathogenic factor,hypocalcemia,meningitis and epilepsy were also important causes of convulsions in children. After admission,the children were given sedation,intensive care,prevention and treatment of complications and other symptomatic rescue measures,and without any sequela. Conclusions Children convulsions is common in infants under 3 years old,and febrile conv-ucdsion,purulent meningitis,viral meningitis,hypocalcemia are likely to have a close relationship with the incidence of convulsions in children;and convulsions was more urgent,therefore,the timely imple-mentation of effective rescue measures to improve the prognosis of children has positive significance.