血清钠、钙浓度与高热惊厥再发关系探讨

Discussion on the relationship between the concentration of the sodium and calcium in serum and the recurrence of febrile convulsion

目的 探讨高热惊厥再发与血清钠、钙浓度的关系。 方法 对 1998年 1月～ 2 0 0 1年 12月 12 5例高热惊厥患儿进行血清钠、钙浓度测定。 结果 观察组患儿低血清钠和低血清钙率分别为 5 6.3 %和 45 .5 % ,明显高于对照组的 2 8.6%和 15 .7%。 结论 血清钠、钙浓度越低 ,则预示惊厥有再发的可能 ,故对高热惊厥患儿应及时测定血清钠、钙浓度 ,如发现血清钠、钙浓度下降时应及时补充 ,可预防高热惊厥再发 。

Objective To discuss the relationship between the concentration of the sodium and calcium in the serum and the recurrence of febrile convulsion(FC). Methods 125 infant patients with FC from January 1998 to December 2001,were collected to determine the concentration of the sodium and calcium in the serum in two groups. Results The concentration of sodium and calcium in the sera of the case group with more than one FC is obviously lower than that of the case group with only one time FC.There is a significant difference between the two groups (P<0.01). Conclusion The lower concentration of sodium and calcium in the sera is the great possibility of the FC will recur .Therefore, the concentration of sodium and calcium in the sera of the infant patients with FC must be tested in time.If the concentration of sodium and calcium in the serum is found lower than normal,the sodium and calcium must be supplemented so as to prevent the recurrence of FC and reduce the organic damage to the brain .