小儿特重度烧伤惊厥的原因及救护

Causes of Convulsion of extraordinarily severe burn children and its treatment

目的 :探讨小儿特重度烧伤惊厥发生的原因 ,为临床提供有效的救护措施。方法 :回顾分析 5 6例小儿特重度烧伤并发惊厥病人的临床资料。结果 :5 6例患者中入院时发生休克 33例 ,其中发生惊厥 15例 (占 4 5 5 % ) ,另 2 3例未发生休克患者中无 1例出现惊厥。 15例惊嗍病人中有 13例伴有高热 (占 86 7% )。结论 :小儿特重度烧伤多在合并休克时发生惊厥 ;惊厥与高热密切相关。镇静、解痉治疗是抢救惊厥的关键措施 ,针对发生惊厥原因进行治疗护理是抢救成功的有力保证。

Objective:To explore the causes of convulsion of severely burned children and to provide an effective treating method.Method: 56 severely burned children were treated in the hospital, and their clinical data were analyzed.Result: 33 out of the 56 children had suffered from shock and among them, 15 had convulsion (45%). Among the 15 children with convulsion, 13 hadhigh fever (86.7%). The rest 23 children with no shock, none had convulsion. Conclusion: Convulsion always happened in the shock stage, and was closely related to high fever. Antispasmodic and sedative measures were important in the rescue of the patients.