小儿热性惊厥再发与血清钠的关系  

The Relationship Between The Febrile Convulsion Relapse Rate And Serum Sodium

作　　者：张梅 陈晓华[2] 

机构地区：[1]成都市急救指挥中心,四川成都610041 [2]成都市第七人民医院,四川成都610041

出　　处：《现代临床医学》2012年第4期258-259,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨小儿热性惊厥的再发与血清钠的关系,从而预测和防止热性惊厥的再发生。方法:将53例发热并出现惊厥患儿作为观察组,将发热但无惊厥的40例患儿作为对照组,均于入院后1小时内取静脉血检测血清钠浓度。结果:对照组平均血清钠浓度136.54±3.85 mmol/L,观察组平均血清钠浓度为130.12±2.25 mmol/L,2组比较有显著性差异(P<0.05)。且惊厥≥2次者血清钠平均值明显低于惊厥1次者(P<0.05)。结论:热性惊厥患儿血清钠浓度降低,低血钠可能是同一热性病程中24小时内惊厥多次发作的诱因之一。血钠浓度检测应作为热性惊厥患儿常规的检查项目。Objective：To explore the relationship between the febrile convulsion relapse rate and serum sodium, to forecast the recurrence of the febrile convulsion. Methods：Selected 93 children with febrile convulsion ,and divided 53 of them as a observation group（ one -convulsion had 41 cases, more than two convulsions had 12 cases）. Other febrile children with no convulsion were the control group in the same period. Then took the venous blood and measured the serum sodium concentration in an hour. Results：The average serum sodium concentration in the control group was 136.54 ± 3.85 mmol/L, the concentrations of serum sodium in observation group was 130.12 ± 2.25 mmol/L. The differences between the two groups were significant （ P 〈 0.05 ）. Conclusion： There is a decrease of the serum sodium concentration in children with febrile convulsion, which may be a factor of repeated convulsion within 24 hours during the same febrile illness. So the measurement of serum sodium concentration is an important routine examination item in children with febrile convulsion.

关 键 词：小儿 热性惊厥 血清钠 再发 

分 类 号：R720.597[医药卫生—急诊医学]