小儿热性惊厥的诊治进展

Progress in Diagnosis and Treatment of Febrile Seizures in Children

作为临床儿科一类较常见的疾病类型,热性惊厥于人的小儿时期较为常见。热性惊厥疾病好发于6个月~3岁的婴幼儿阶段,多于发热性疾病病发初期见惊厥。绝大多数热性惊厥患儿的发病原因与上呼吸道感染疾病呈密切相关,少数出疹性疾病初期、胃肠道感染或中耳炎发病者可伴发热性惊厥。需要注意,小儿热性惊厥不包含以颅内疾病为发病机制的热性惊厥。针对小儿热性惊厥疾病的诊治工作展开对应研究,能够有效提升患儿确诊率,有助于后续临床诊治方案的制定,帮助患儿更早地实现疾病转归,故此类研究开展尤为必要。该文主要以小儿热性惊厥的诊治进展作研究目的,参阅临床大量文献,就疾病病因、诊断与治疗内容展开讨论,整合一文予以综述。

As a more common type of disease in clinical pediatrics,febrile convulsions are more common in children.Febrile convulsions usually occur in infants and young children from six months to three years old,and convulsions are more common in the early stage of febrile disease.The causes of most children with febrile seizures are closely related to upper respiratory tract infections.Febrile seizures may be associated with the onset of rash,gastrointestinal infections or otitis media in a small number of children.It should be noted that febrile convulsions in children do not include febrile convulsions with intracranial disease as the pathogenesis.Corresponding research on the diagnosis and treatment of febrile seizure diseases in children can effectively improve the diagnosis rate of children,help formulate follow-up clinical diagnosis and treatment plans,and help children achieve disease outcomes earlier,so such research is particularly necessary.This article focuses on the diagnosis and treatment of febrile seizures in children as the research purpose.It refers to a large number of clinical literatures,discusses the etiology,diagnosis and treatment of the disease,and summarizes the article.