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目的分析轮状病毒肠炎伴良性婴幼儿惊厥的临床特点。方法对我院收治的23例轮状病毒肠炎伴惊厥患儿进行临床观察和随访。结果23例患儿发病年龄(13．8±6．4)个月,3 d内发生惊厥者19例,均为全身性发作,持续时间短,不超过5 min,一次病程中平均发作次数1．7次。多数病例不复发,部分可复发,病程＜1年。惊厥停止后未行抗癫痫治疗。发作间期脑电图正常,血生化、脑脊液、脑CT等检查正常。全部病例无癫痫和热性惊厥家族史,精神运动发育正常。结论本组病例具有以下特点：(1)1～2岁高发,冬春季多见,婴幼儿既往体健,无家族史；(2)惊厥于病程1～5 d发作,1～3 d多见,惊厥多发生于玩耍过程中,全身性发作为主,无脱水及酸中毒；(3)血生化、脑脊液、脑CT和发作间期脑电图均正常；(4)多数病例不复发,部分可复发,病程＜1年,预后好。
Objective To analyze the clinical features of rotavirus enteritis with benign infantile convulsions. Methods 23 cases of rotavirus enteritis and convulsion in our hospital were observed and followed up. Results The onset age of 23 cases (13.8 ± 6.4) months and 19 cases of seizures within 3 days were all systemic, with short duration, no more than 5 minutes and average number of seizures in one course of disease .7 times. Most cases do not relapse, some may relapse, duration <1 year. No antiepileptic treatment after convulsion stopped. Interictal EEG normal, blood biochemistry, cerebrospinal fluid, brain CT and other tests were normal. All cases without epilepsy and febrile seizures family history, mental motor development is normal. Conclusions This group of patients has the following characteristics: (1) high incidence of 1 to 2 years old, more common in winter and spring, infants and young children with past health, no family history; (2) seizures in the course of 1 ~ 5 d attack, 1-3 days more common , Convulsions occurred in the process of playing, systemic attacks without dehydration and acidosis; (3) blood biochemical, cerebrospinal fluid, brain CT and interictal EEG are normal; (4) most cases do not relapse, part of Recurrence, duration <1 year, the prognosis is good.