广西医学2017，Vol.39Issue(8)：1160-1163,4.DOI:10.11675/j.issn.0253-4304.2017.08.15
儿童惊厥性癫痫持续状态的病因及其预后的影响因素
Etiology and factors influencing prognosis of children with convulsive status epilepticus
朱海霞 1李小晶 1王秀英1
作者信息
- 1. 广东省广州市妇女儿童医疗中心神经内科,广州市 510120
- 折叠
摘要
Abstract
Objective To explore the etiology and factors influencing the prognosis of children with convulsive status epilepticus.Methods Clinical data of 103 children with convulsive status epilepticus were retrospectively analyzed.The etiology was summarized and the factors influencing the prognosis of the children were analyzed.Results Of the 103 children with convulsive status epilepticus,the most common etiology was febrile seizure(34%),and the secondly common etiology was acute symptomatic causes(32%).Intracranial infection(including purulent meningitis,viral encephalitis and tubercular meningitis) accounted for 66.7% of acute symptomatic causes.Poor outcome was found in 20 children(19.4%) and death during hospitalization occurred in 6 children(5.8%).Age ≤2 years,seizure duration >60 minutes,C-reactive protein(CPR) level >10 mg/dl and blood glucose level <3.9 mmol/L or >6.1 mmol/L were the risk factors for poor outcome in children with convulsive status epilepticus(P<0.05).Conclusion Febrile seizure and intracranial infection are the common causes of children with convulsive status epilepticus.Age,seizure duration,CRP and blood glucose levels can be taken as the early predictors of outcomes in children with convulsive status epilepticus.关键词
惊厥性癫痫持续状态/病因/预后/影响因素/儿童Key words
Convulsive status epilepticus/Etiology/Prognosis/Influencing factor/Children分类
医药卫生引用本文复制引用
朱海霞,李小晶,王秀英..儿童惊厥性癫痫持续状态的病因及其预后的影响因素[J].广西医学,2017,39(8):1160-1163,4.
