280例儿科惊厥的临床病因分析  

A Clinical Analysis of Etiology for 280 Cases of Pediatric Convulsions

作　　者：朱顺叶[1] 陈昕[2] 余振华[3] 

机构地区：[1]中山大学附属第三医院儿科,广东广州510630 [2]中山大学附属第三医院急诊科,广东广州510630 [3]中山大学附属第一医院神经外科,广东广州510080

出　　处：《临床医学工程》2009年第11期31-32,共2页Clinical Medicine & Engineering

摘　　要：目的探讨儿童惊厥的病因,尽可能减少误诊的机会。方法回顾分析280例儿童惊厥的临床资料。结果新生儿期惊厥多发生于颅内出血、缺血缺氧性脑病,同时须对先天性遗传代谢病提高警惕;婴幼儿期惊厥病因以热性惊厥为主,同时应重视维生素D缺乏性手足抽搐和低血糖;儿童期则多见癫痫、脑肿瘤。结论儿童惊厥在不同的年龄段其常见病因不同,应结合临床,尽早明确诊治,减少误诊。Objective To explore the causes of children＇s seizures to minimize the chance of misdiagnosis. Method Two hundred and eighty children with convulsion for evaluation of the clinical, laboratory data. Results For the etiology of neonatal convulsion, intracranial hemorrhage and hypoxic ischemic encephalopathy are most common, congenital inherited metabolic diseases are also required to be vigilant. Common causes of infant convulsions is febrile convulsions, at the same time, vitamin D deficiency and low blood sugar should be paid attention to. In childhood, brain tumors are more common causes. Conclusion As the causes of seizures are different in different age groups, clinical diagnosis and treatment are necessary to reduce misdiagnosis.

关 键 词：惊厥 儿童 病因 

分 类 号：R720.597[医药卫生—急诊医学] R742.1[医药卫生—儿科]