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分析轻度胃肠炎伴良性婴幼儿惊厥(BICE)的临床特点,以指导正确诊断及合理治疗。对15例轻度胃肠炎伴良性婴幼儿惊厥患儿进行临床观察和随访。15例BICE患儿的发病年龄平均14.8个月。其中11例(73.3%)秋冬季发病;12例(86.7%)3 d内发生惊厥,均为无热惊厥;全身强直-阵挛性发作11例;发作2～3次者11例,占73.3%;发作时间均少于5 min;发作间期脑电图、头颅CT、血生化、血电解质及脑脊液检查正常。惊厥停止后未行抗癫痫治疗,均无复发,生长发育正常。本组病例的临床特点:1～2岁高发,秋冬季多发,无家族史;惊厥多于病程的第1～3天发生,为全身性或部分性发作,早期频繁发作多见;血电解质、血生化﹑脑脊液、脑影像学检查正常,发作间期脑电图正常;预后好,未见复发。
Analysis of mild gastroenteritis with benign infantile convulsions (BICE) clinical features, to guide the correct diagnosis and reasonable treatment. Fifteen patients with mild gastroenteritis and benign infantile convulsion were observed and followed up. The age of onset of 15 cases of BICE average 14.8 months. Eleven patients (73.3%) were affected by autumn and winter; 12 patients (86.7%) had seizures within 3 days, all of whom had no febrile seizures; 11 patients had generalized tonic-clonic seizures; 11 patients had seizures 2 to 3 times, accounting for 73.3% %; The onset time was less than 5 min; interictal EEG, head CT, blood biochemistry, blood electrolyte and cerebrospinal fluid were normal. Convulsions did not stop after anti-epilepsy treatment, no recurrence, normal growth and development. The clinical features of this group of patients: high incidence of 1 to 2 years, multiple seasons in autumn and winter, no family history; seizures occurred more than the first 1 to 3 days, systemic or partial seizures, frequent early episodes of frequent; blood electrolytes, Blood biochemistry, cerebrospinal fluid, brain imaging examination was normal, interictal EEG normal; good prognosis, no recurrence.