误诊为电解质紊乱、腹泻病的轻度胃肠炎伴良性惊厥34例临床特征分析  

Clinical Analysis on 34 patients with benign infantile convulsions associated with mild gastroenteritis who were misdiagnozed as electrolyte disturbances and diarrhea disease

作　　者：刘增荣[1] 易志刚[1] 杨洁[1] 吴春[1] 王建军[1] 

机构地区：[1]川北医学院附属医院儿科,四川南充637000

出　　处：《现代预防医学》2012年第8期2097-2098,共2页Modern Preventive Medicine

摘　　要：目的探讨轻度胃肠炎伴良性惊厥的临床特征,以提高对该病的认识和诊断、治疗水平。方法对某院收治的34例门诊以电解质紊乱、腹泻病收入的患儿的临床、实验室检查资料及治疗结果进行回顾分析。结果发病季节:1～3月份8例、9～12月份26例。惊厥特点:(1)惊厥均发生在疾病早期的3d内,首次惊厥出现时间:d14例(11.8%),d216例(47.1%),d314例(41.8%);(2)惊厥可在短期(大多24h)内连续发作多次,其中发作1次22例(64.7%),2次10例(29.4%),3次2例(8.8%);(3)惊厥发作形式均为全身性强直-痉挛性发作,每次持续时间短,多不超过5min,惊厥后无明显意识障碍,无明显后遗症;(4)随访患儿未有复发、预后良好,不影响生长发育。结论轻度胃肠炎伴良性惊厥主要发生在秋冬季,惊厥与电解质紊乱无关,预后良好,不必进行抗癫痫治疗。OBJECTIVE To study the clinical feature of benign infantile convulsions associated with mild gastroenteritis BICE.METHODS The clinical data of 34 children with BICE were retrospectively studied.All the children were misdiagnosed as electrolyte disturbances and diarrhea disease when admission.RESULTS The convulsion feature of 34 BICE children were as following：（1）All convulsions occurred in the three days of acute illness,4（11.8%）patients had first attack in the first day,16（47.1%）in the second day and 14（41.8%）in the third day.（2）Convulsions may recur in a short time（most of the attack happened in the first 24 hours）.22（64.7%）cases had only 1 attack,10（29.4%）cases had 2 attacks,and 2（8.8%）cases had 3 attacks.（3）All the children presented with generalized tonic-spasm seizures with the longest time,and no longer than 5 minutes,and there was no significantly conscious disturbance and lingering effects after attack.（4）The follow-up patients showed no recurrence,no growth and development retardation.CONCLUSION The present study indicated that most of BICE occurred in autumn and winter seasons,convulsions had nothing to do with the electrolyte disturbances and good prognosis,it is not necessary to perform antiepileptic therapy.

关 键 词：腹泻病 良性惊厥 婴幼儿 

分 类 号：R373.25[医药卫生—病原生物学]