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目的:探讨轻度轮状病毒胃肠炎合并无热惊厥的临床特点。方法:对2013年10月至2015年1月上海交通大学医学院附属苏州九龙医院确诊的28例轮状病毒胃肠炎合并无热惊厥的患儿的临床资料、检查检验结果、随访情况进行回顾性分析。结果:28例患儿均伴无热惊厥,神经系统检查均正常,血生化均正常或轻度异常;大多数患儿惊厥时间不超过5 min(27例),平均时间2.7 min;发作形式包括强直-阵挛发作(26例)、失神发作(2例);27例脑电图均正常,1例脑电图异常患儿均于10 d恢复正常;在16~33个月的随访期间,1例诊断为癫痫,1名患儿于首次惊厥2个月后发生热性惊厥。结论:轮状病毒感染可能引起肠道外神经系统并发症,大多数患儿预后良好,但少数患儿可能再次惊厥,需加强随访。
Objective: To investigate the clinical features of mild rotavirus gastroenteritis with no febrile seizures. Methods: From October 2013 to January 2015, 28 cases of rotavirus gastroenteritis complicated with no heat-induced convulsion in Suzhou Kowloon Hospital affiliated to Shanghai Jiao Tong University School of Medicine were studied retrospectively Sexual analysis. Results: All the 28 children had no febrile seizures, nervous system tests were normal, blood biochemistry were normal or mild abnormalities. Most of the children had convulsions less than 5 minutes (27 cases) with an average time of 2.7 minutes. The forms of seizures included Tonic-clonic seizure (26 cases), absence of seizure (2 cases); 27 cases of normal EEG, 1 case of EEG abnormalities returned to normal after 10 days; during the follow-up period of 16 to 33 months, One case was diagnosed as epilepsy and one child had febrile seizures after 2 months of first convulsion. CONCLUSIONS: Rotavirus infection may cause extra-intestinal neurological complications. Most children have a good prognosis. However, a small number of children may experience convulsions again and follow-up should be strengthened.