早产儿惊厥相关临床问题

• 作 者: 母得志
• 机 构: 四川大学华西第二医院儿科,
• 出 处: 中国新生儿科杂志
• 发表日期: 2012年03期
• 关键词: 早产儿 惊厥病因 运动功能障碍 围生期医学 治疗措施 支持治疗 临床表现 康复医学 康复训练 急救医学 幸存者 新生儿 特异性 死亡率 误诊 弱智 脑瘫 漏诊

随着围生期医学、新生儿急救医学和康复医学的发展,采用综合的治疗措施和康复训练在一定程度上改善了早产儿惊厥的预后。但是,由于早产儿惊厥病因复杂,缺少特异性临床表现,容易漏诊或误诊,而且临床多采用对症支持治疗,预后较差,死亡率近38%,幸存者中约80%可能出现运动功能障碍、弱智、脑瘫和癫疒间等[1]。因此,国内外新生儿学专家呼吁重视早产儿惊厥的研究[2]。本文将讨论目前早产儿惊厥面临的几个重要临床问题。

With the development of perinatal medicine, neonatal emergency medicine and rehabilitation medicine, comprehensive treatment and rehabilitation training have improved the prognosis of convulsions in premature infants to a certain extent. However, due to the complex etiology of seizures, lack of specific clinical manifestations, easy misdiagnosis and misdiagnosis, and the clinical use of symptomatic and supportive care, the prognosis is poor. The mortality rate is nearly 38% and about 80% of the survivors may have motor dysfunction. Mentally handicapped, cerebral palsy and epilepsy, etc. [1]. Therefore, domestic and foreign neonatology experts call attention to convulsions in preterm children [2]. This article will discuss several important clinical issues facing the current convulsions in preterm infants.