新生儿惊厥86例临床分析  

Etiological exploration on 86 infants with convulsions

作　　者：张先来 许长娣[2] 

机构地区：[1]芜湖市第一人民医院儿科,安徽芜湖241000 [2]南京医科大学附属南京儿童医院新生儿科,江苏南京210000

出　　处：《皖南医学院学报》2009年第5期347-349,共3页Journal of Wannan Medical College

摘　　要：目的:探讨新生儿惊厥的病因,以便有效控制惊厥的发作,早期干预并减少后遗症。方法:对我院86例新生儿惊厥的临床资料进行回顾性分析。结果:以缺氧缺血性脑病和颅内出血多见,发病时间多在生后3d内,其次为低血钙和低血糖,发病时间多在生后1周,而感染多发生于出生1周后。结论:新生儿惊厥主要与围产期窒息、感染和电解质紊乱有关。加强围产期保健,提高产科技术,建立高危新生儿监护,早期干预,有助于降低发病率,病死率及后遗症。Objective： To investigate the etiology of neonatal convulsion for controlling the incidence. Methods： The clinical data were examined in 86 neonates with convulsion in our hospital. Results ：The neonatal convulsion was frequently characterized by hypoxie ischemic encephalopathy and intraeranial hemorrhage, with episode in 3 days after delivery. Hypocalcemia and hypoglycemia ranked the second on the incidence and were most seen in one week after birth. However, most of the infections oceurred in the first week of their early life. Conclusion：Neonatal convulsions is associated with perinatal asphyxia, infection and electrolyte disturbances. Reducing the incidence or mortality and preventing the sequelae of this disease should rely on the intensive peripartum care, improvement of delivery techniques, monitoring the neonates with higher risk factors and early intervention.

关 键 词：新生儿 惊厥 病因 

分 类 号：R720.597[医药卫生—急诊医学]