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惊厥是新生儿期重证之一,常造成脑损害,重者可危及生命,及时而合理的处理是改善预后的关键。现将我院新生儿病区1994年1月至1997年12月收治的80例新生儿惊厥病例分析如下: 1 临床资料 1.1 一般资料:男55例,女25例。足月儿54例,早产儿17例,过期产儿9例。体重低于2500g23例,高于4000g7例。日龄小于7天59例,其中小于3天41例。 1.2 惊厥的病因及临床类型:缺氧缺血性脑病和颅内出血最多见,共32例(40％),其次为低钙血症18例(22.5％),低血糖11例(13.8％),新生儿破伤风6例(7.5％),低镁血症6例(7.5％),化脓性脑膜炎5例(6.3％),核黄疸2例(2.5％)。按照《实用新生儿学》临床类型分类
Convulsiveness is one of the neonatal evidences, often causing brain damage, severe cases can be life-threatening, timely and reasonable treatment is the key to improving the prognosis. Now neonatal ward in our hospital from January 1994 to December 1997 admitted 80 cases of neonatal convulsions are as follows: 1 Clinical data 1.1 General Information: 55 males and 25 females. 54 full-term children, premature children in 17 cases, 9 cases of obese children. Weight less than 2500g23 cases, higher than 4000g7 cases. 59 days old less than 7 days, of which 41 cases less than 3 days. 1.2 seizures etiology and clinical type: the most common hypoxic-ischemic encephalopathy and intracranial hemorrhage, a total of 32 cases (40%), followed by hypocalcemia in 18 cases (22.5%), hypoglycemia in 11 cases (13.8%), Neonatal tetanus in 6 cases (7.5%), hypomagnesemia in 6 cases (7.5%), purulent meningitis in 5 cases (6.3%) and kernicterus in 2 cases (2.5%). According to “Practical Neonatology” clinical type classification