儿童热性惊厥的研究进展

Research progress on febrile seizures in children

热性惊厥是儿科常见的神经系统疾病之一,好发于6个月~5岁儿童。热性惊厥发病机制复杂,大部分患儿预后较好,但也有部分患儿病情反复发作,甚至进展为继发性癫痫,引起神经系统后遗症。热性惊厥的治疗分为院外急救、院内治疗和预防性治疗等部分,包括一般支持性治疗、终止发作的对症治疗和预防复发治疗等。远程医疗技术的开发和应用丰富了热性惊厥的治疗手段,该文对近年相关基础和临床研究文献进行综述,探讨国内外在儿童热性惊厥治疗方面的进展。

Febrile seizures is one of the most common neurological diseases in pediatrics, which primarily occurs in children aged from 6 months to 5 years old. The pathogenesis of febrile seizures is complex.Most of them have good clinical prognosis, whereas some cases frequently recur, even progress into secondary epilepsy, leading to the nervous system sequelae. The treatment of febrile seizures can be divided into outof-hospital emergency, in-hospital treatment and preventive treatment, which consist of general supportive treatment, symptomatic treatment of terminating episode, and prevention and treatment of recurrence, etc. The development and application of telemedicine technology diversify the therapeutic options for febrile seizures. In this article, relevant basic and clinical studies were reviewed, aiming to summarize the latest research progress on the treatment of pediatric febrile seizures at home and abroad.