河北医学2012，Vol.18Issue(2)：187-190,4.DOI:10.3969/j.issn.1006-6233.2012.02.017
轻度胃肠炎伴婴幼儿良性惊厥38例临床分析
Benign Infantile Convulsions with Mild Gastroenteritis:Clinical Study of 38 Patients
孙鹏 1王燕 1武彦秋 1马桂云1
作者信息
- 1. 承德医学院附属医院儿内科, 河北 承德067000
- 折叠
摘要
Abstract
Objective; To analyze the etiology, clinical characteristics, treatment and prognosis in patients of benign infantile convulsions with mild gastroenteritis ( BICE). To improve the congnition, diagnosis and treatment standard of the disease. Method: Evaluated the clinical manifestations , laboratory findings , treatment outcome and follow-up results of 38 patients who were assessed in our hospital. Result: All of the 38 children had mild gastroenteritis with or without minor dehydration, electrolytes were normal, CSF examination were normal, with normal head imaging. The children were aged 2 to 36 months [ (15. 6±8. 2) months]. Convulsions occurred in 10 patients (26. 3% ) on the first day; The number of seizures ranged from 1 to 5 per child; Convulsions did not recur in 25 children (65. 7% ). 35 children had generalised seizures and 3 had absence and focal seizures. The interictal EEG was abnormal in 4 patients. After 6 and 24 months of follow-up, 38 children had no seizures and neurological sequelae. Conclusion; The mechanism underlying convulsions is not clear. The digestive system manifestations are mild and seizures can be recurrent. Mental state is good during convulsion. Phenobarbital sodium is still effective drug treatment, the first dose is10mg/kg. Most of children with BICE have a good prognosis, without recurring and central nervous system's sequelae.关键词
胃肠炎/良性惊厥/婴幼儿/轮状病毒Key words
Gastroenteritis/Mild convulsion/Infant/Rotavirus引用本文复制引用
孙鹏,王燕,武彦秋,马桂云..轻度胃肠炎伴婴幼儿良性惊厥38例临床分析[J].河北医学,2012,18(2):187-190,4.
