秋冬季婴幼儿腹泻并发惊厥148例病因及预后分析

Analysis of pathogenic and prognostic of infant diarrhoea combined with convulsions in autumn and winter(an analysis of 148 cases)

目的 :探讨秋冬季婴幼儿腹泻并发惊厥的原因 ,并分析其预后。方法 :回顾分析 1 48例秋冬季婴幼儿腹泻并发惊厥的临床资料。结果 :腹泻并发惊厥时伴高热 44例 ,血钙降低 2 7例 ,血钠降低 1例 ,血镁降低 1 7例 ,低血糖 1 3例 ,头颅 CT示大脑发育不良 2例 ,脑室扩大 1例 ,脑电图有弥漫性异常慢波 2 3例 ,脑脊液检查细胞数及蛋白均正常。结论 :秋冬季婴幼儿腹泻并发惊厥依次与高热、低血钙、低血钠、低血镁、低血糖及病毒性脑炎 ,先天性脑发育不良有关 ;大部分预后良好 。

Objective:To investigate the reasons and prognoses of infant diarrhoea combined with con-vulsions in autumn and winter. Methods:The clinical materials of the patients were analysed retrospectively. Results: In these patients,hyperpyrexia was found in 44 cases,hypocalcemia 27 cases,hyponatremia 1 case,hypomagnesemia 17 cases,hypoglycemia 13 cases,CT scan showed 2 cases of cerebral hypoplasia and 1 case of cerebral ventricle dilation. The EEG were diffusivly abnomal slow wave in 23 cases. The cytology and protein measurement of the CSF were all normal. Conclusion:The patients cambined with convulsions had the concern with hyperpyrexia, hgpocalcemia, hyponatremia, hypomagnesemia, hypoglycemia, viral encephalitis and congenital cerebral hypoplasia in the given order.The great majority had a favourable prognosis and the individual cases combined with viral encephalitis had poor prognosis.