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目的探讨小儿热性惊厥复发病例的临床特点,为预防惊厥复发提供依据。方法选取65例热性惊厥复发病例为观察组,同期住院治疗的66例首发病例为对照组,对两组的临床资料进行回顾性分析。结果两组均在体温>38.5℃及发热24小时发病率最高,但观察组具有明显的低温惊厥及发热短时间内惊厥趋势,对照组<3岁居多,以单纯型病例为主,脑电图异常率低。而观察组无明显年龄界限,复杂型病例多,脑电图异常高。结论有热性惊厥史的患儿,发热时,不分年龄均应积极控制体温,具有惊厥高危因素的患儿同时进行预防性治疗,重视家长的配合,对预防热性惊厥复发有积极的意义。
Objective To investigate the clinical characteristics of children with recurrent febrile seizures and provide evidence for the prevention of recurrent seizures. Methods Sixty-five cases of recurrence of febrile seizures were selected as the observation group. The first case of 66 cases hospitalized in the same period was the control group. The clinical data of the two groups were retrospectively analyzed. Results Both groups had the highest incidence of fever> 38.5 ℃ and fever of 24 hours. However, the observation group had obvious hypothermia seizures and seizures within a short time of fever. The patients in the control group were mostly less than 3 years old. Abnormal rate is low. The observation group no obvious age limit, complex cases, abnormal EEG. CONCLUSIONS: Children with a history of febrile seizures should actively control body temperature regardless of age when they are febrile, and prophylactic treatment should be given to children with high risk factors for seizures. Paying attention to the cooperation of parents is of positive significance in preventing the recurrence of febrile seizures .