摘要
目的分析单纯性热性惊厥的病因和临床特点。方法 76例单纯性热性惊厥患儿,回顾性分析其临床资料,观察患儿体温变化、抽搐持续时间、总计抽搐发作次数、抽搐后意识恢复状态、是否存在异常神经症等情况。结果体温突然升高是导致单纯性热性惊厥发作的主要原因。入组患儿多在早期发热时体温骤升状态下即伴有单纯性热性惊厥,患儿一次发热期间基本不会出现连续抽搐症状,且症状持续时间相对较短(≤10 min),抽搐症状纠正后患儿意识恢复用时较短,且未出现异常神经征。经过对症治疗后76例患儿体温均恢复正常,7 d后脑电图扫查结果无异常。结论单纯性热性惊厥大多为一过性发作,与患儿高热状态存在密切关联,经积极治疗后即可快速恢复,预后大多良好。
Objective To analyze pathogeny and clinical characteristics of simple febrile convulsion. Methods A retrospective analysis was made on clinical data of 76 children with simple febrile convulsion. Observation was made on body temperature changes, seizures last time, total seizures occurrence times, consciousness recovery after seizures, and occurrence of abnormal neurosis. Results Sudden increased body temperature was the main pathogeny of simple febri!e convulsion. These chosen children patients all had simple febrile convulsion in early fever state. They had no continuous seizures during a single fever time with short time of occurred symptoms （≤ 10 min）. They had short consciousness recovery time after seizures correction, without occurrence of neurosis. Symptomatic treatment for 76 children provided recovered body temperature, and electroencephalogram after 7 d showed no abnormality. Conclusion Simple febrile convulsion is mostly transitory attack, and it is closely correlated with hyperpyrexia in children. Positive treatment can bring quick rehabilitation with mainly good prognosis.
出处
《中国实用医药》
2016年第10期34-36,共3页
China Practical Medicine
关键词
单纯性热性惊厥
小儿
抽搐
病因
Simple febrile convulsion
Pediatric
Seizures
Pathogeny
