不同月龄患儿热性惊厥的临床特征  

Clinical Speciality of Initial Attack Febrile Convulsion in Different Months Infant

作　　者：陈琅[1] 黄敏霞[1] 陈宝容[1] 戴珍珍 林英哺[1] 

机构地区：[1]福建省立医院儿科,福州350001

出　　处：《福建医科大学学报》2000年第2期196-198,共3页Journal of Fujian Medical University

摘　　要：目的　了解热性惊厥的初发月龄和病因、临床表现、预后等多因素的关系。　方法　对因热性惊厥(FC)住院的 15 6例患儿进行随访 ,采用问卷调查表调查 ,并统计住院病历相关资料。　结果　完成随访 92例 ,早期发作组 (初发月龄 <18月 )有以下特征 :(1)初发时体温较低 ,39℃以下诱发 FC发生率高 ;(2 )出生时异常 ,如产伤、窒息、颅内出血、早产、低出生体重等对本组发病影响较大 ;(3)家族遗传因素影响大 ;(4)复发率高 ;(5 )发作持续时间长 ;(6 )转变为无热惊厥率高 ;(7)脑电图 (EEG)异常率低。晚期发作组 (初发月龄 >31月 )有以下特征 :(1)初发时体温高 ;(2 )出生异常史较少 ;(3)具有家族史者少 ;(4)大多数仅发作一次 ;(5 )发作持续时间长 ;(6 )转变为无热惊厥者少 ;(7) EEG异常率高。　结论　初发月龄与 FC的临床表现、复发以及转变为无热惊厥等不良预后密切相关。预防 FC复发 ,减少不良后遗症 ,改善预后 ,关键在于积极防治早期发作的 FC。Objective\ To study the age of initial attack febrile convulsion(FC) and its clinical significance.\ Methods\ By following\|up all the patients admitted to our hospital with FC during the period of Jan, 1989 to Dec,1994.\ Analysis detail data to find out the relationship among the age of initial attack and other facts.\ Results\ Early attack group(initial attack age less than 18 months) have following characters:\ (1)The temperature while initial attack mostly lower than 39℃;\ (2)Usually with abnormal laboring history;\ (3)The family member usually has FC or other convulsion patient;\ (4)With higher reattack rate;\ (5)Usually last a long period after attack;\ (6)With a higher rate transfer to afebrile convulsion;\ (7)With lower abnormal rate of EEG.\ Late attack group(initial age older than 31 months):\ (1)With higher temperature during initial attack.\ (2)Less abnormal rate of labor history;\ (3)Less family member with FC or other convulsion patient;\ (4)Mostly attack just once;\ (5)Usually last a long period during attack;\ (6)With a lower rate transfer to afebrile convulsion;\ (7)With a higher abnormal rate of EEG.\ Conclusion\ The age of initial attack has closely relationship among clinical reattack and the rate transfer to afebrile convulsion.\ It's very important to prevent the early attack in children, and following\|up is necessary.\;

关 键 词：惊厥 发热性 初次发作 儿童 临床特征 

分 类 号：R720.597[医药卫生—急诊医学]