国际医药卫生导报2019，Vol.25Issue(16)：2636-2638,3.DOI:10.3760/cma.j.issn.1007-1245.2019.16.003
轻度胃肠炎伴婴幼儿良性惊厥的临床特点及预后分析
Clinical characteristics and prognosis of mild gastroenteritis complicated with benign convulsions in infants
摘要
Abstract
Objective To explore the clinical features and prognosis of mild gastroenteritis complicated with benign convulsions (BICE) in infants. Methods The clinical data of 75 children with BICE admitted to our hospital from June, 2017 to May, 2018 were retrospectively analyzed. Their clinical features and prognosis were analyzed. Results Among the 75 cases, the predilection occurred in 13-36 months old, and in autumn and winter, accounting for 89.3％ and 90.7％, respectively. Most of the convulsions occurred in ankylosing-clonic seizures;the number of seizures was 1; the duration was less than 5 minutes; the interval between convulsion and mild gastroenteritis was more than 2 days; accounting for 65.3％, 57.3％, 94.7％, and 85.3％, respectively. Among the mild gastroenteritis cases, the frequency of mild diarrhea was 1-2 times per day; the body temperature was normal;and most of them were accompanied by vomiting; accounting for 61.3％, 62.7％, and 85.3％, respectively. In the auxiliary examinations, stool routine examination, cranial CT, and electroencephalogram were normal, and the positive rate of rotavirus antigen detection was 82.7％. After routine treatment of seizure and gastroenteritis, good effects were achieved. 6 months' follow-up showed that BICE had a good prognosis and no convulsions occurred. Conclusion Most BICE are transient, and no epilepsy has been found. Mild gastroenteritis caused by rotavirus infection may be one of the main causes of BICE. After targeted anticonvulsion and gastroenteritis treatment, convulsions can be effectively controlled and the clinical prognosis is good.关键词
轻度胃肠炎/婴幼儿良性惊厥/临床特点/预后Key words
Mild gastroenteritis/Benign convulsions in infants/Clinical characteristics/Prognosis引用本文复制引用
李素丽,周方,李小芹..轻度胃肠炎伴婴幼儿良性惊厥的临床特点及预后分析[J].国际医药卫生导报,2019,25(16):2636-2638,3.基金项目
河南省医学科技攻关计划项目(201702324) Project of Problem-tackling Plan of Medical Science and Technology in Henan (201702324) （201702324）
