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目的研究新生儿产生惊厥的病因及其临床特点,并分析其临床治疗效果,以减少后遗症的发生,提高治疗新生儿惊厥的水平。方法对140例惊厥患儿的病因、临床特点、惊厥发作类型等相关资料进行回顾性分析。结果 140例患儿中,主要病因是缺血缺氧性脑疾病45例、化脓性脑膜炎30例、代谢性疾病25例与颅内出血病15例,其它原因25例。临床表现为微小型发作51例,阵挛性发作21例,肌阵挛性发作32例,强直性发作36例。140例患儿经抗惊厥治疗后,治愈率达到95.00%。结论惊厥是新生儿期常见的症状,由多种病因引发,轻微型惊厥难以被发现,危害较大,需密切观察。临床还需加强围生期的保健工作,预防感染与并发症,如低血钙、水电解质紊乱等发生。
Objective To study the etiology and clinical features of neonatal convulsion and to analyze its clinical effect in order to reduce the incidence of sequelae and improve the treatment of neonatal convulsions. Methods Retrospective analysis was made on the etiology, clinical features, seizure type and other related data of 140 cases of convulsion children. Results Among the 140 cases, the main causes were hypoxic-ischemic brain disease in 45 cases, purulent meningitis in 30 cases, metabolic disease in 25 cases and intracranial hemorrhage in 15 cases, and other causes in 25 cases. Clinical manifestations of micro-episodes in 51 cases, 21 cases of clonic seizures, myoclonic seizure in 32 cases, 36 cases of tonic seizures. 140 cases of children after anticonvulsant treatment, the cure rate reached 95.00%. Conclusions Convulsion is a common symptom in neonatal period. It is caused by many etiologies. It is difficult to find mild convulsions. It is more harmful and needs close observation. Clinics also need to strengthen the perinatal care work to prevent infection and complications such as hypocalcemia, water and electrolyte disorders occur.