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惊厥是危重新生儿的脑病时常见的重要表现。总发生率约为0.15～1.4％。某早产儿ICU报道其惊厥发生率为25％。不成熟的大脑皮质惊厥阈值是高的,故新生儿惊厥常提示有引起脑病的重要原因,如窒息、脑膜炎、创伤、颅内出血或脑畸形。一、诊断 1.脑电图(EEG)对诊断的确定:本文中的新生儿癫痫发作是指一组伴有EEG异常(如高度同步的神经元过度放电)的临床发作,非癫痫性发作是指不伴有EEG异常的临床发作。表现为突然产生的
Convulsions are a common and important manifestation of critically ill neonatal encephalopathy. The overall incidence of about 0.15 to 1.4%. ICU of a premature child reported the incidence of convulsions was 25%. Immature cortical convulsions threshold is high, so newborns convulsions often prompted an important cause of encephalopathy, such as asphyxia, meningitis, trauma, intracranial hemorrhage, or brain deformity. First, the diagnosis 1. Electroencephalogram (EEG) to determine the diagnosis: Neonatal seizures in this article refers to a group with EEG abnormalities (such as highly synchronized neuronal over-discharge) clinical seizures, non-epileptic seizures are Refers to the clinical episode without EEG abnormalities. The performance of a sudden arising