热性惊厥患儿血钠、钾、钙、糖变化的临床意义  

Clinical significance of changes of blood sodium,potassium,calcium and glucose in children with febrile convulsion

作　　者：袁增权[1] 蒋玮[1] 

机构地区：[1]安徽省巢湖市第二人民医院儿科,238000

出　　处：《蚌埠医学院学报》2009年第5期419-420,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨热性惊厥(febrile convulsion,FC)患儿血钠、钾、钙、糖变化的临床意义。方法:FC组为住院治疗的FC患儿32例;发热组为同期住院的"上呼吸道感染"患儿,有发热症状且伴有惊厥发作30例;正常组为同期健康体检的正常儿童30名。均测定血清钾、钠、钙、糖水平,3组间进行方差分析。结果:血清钾和钙水平在FC组与发热组间,血清钠、糖水平在发热组与正常组间差异均无统计学意义(P>0.05)。FC组血钠明显低于发热组和正常组,血糖明显高于后两组(P<0.01)。结论:低血钠与FC发作有密切关系,低血钠是FC的结果且引起惊厥阈降低;低血钙可能是发热和FC的后果,也可能是诱发FC的因素;FC患儿血糖水平可一过性升高。Objective：To discuss the clinical significance of changes of blood sodium,potassium,calcium and glucose in children with febrile convulsion （FC）. Methods： Thirty-two cases of hospitalized FC patients were concluded in FC group, 30 cases of upper respiratory infection with fever symptoms were concluded in fever group and 30 cases of healthy children acted as controls. The blood sodium, potassium calcium and glucose level were determined and analyzed among the three groups. Results ：The blood potassium and calcium had no significant difference between FC group and fever group;the blood sodium and glucose had no significant difference between fever group and the controls（ P 〉0.05 ） ; the blood sodium in FC group was significantly lower than that in the fever group and the normal controls, while the blood glucose was higher than that of the latter two groups （P 〈 O. Ol ）. Conclusions： There is close relation between low blood sodium and FC;low blood sodium is the consequence of FC,and may lower the convulsion threshold;low blood calcium may be the result of fever and FC, and may also be the inducing factor ; the blood glucose level of FC patients may have a transient rise.

关 键 词：惊厥 发热 血钠过少 血糖过多 儿童 住院 

分 类 号：R720.597[医药卫生—急诊医学]