轮状病毒肠炎伴婴幼儿良性惊厥22例临床分析及随访研究  

Clinical analysis and follow-up study of 22 rotavirus gastroenteritis cases with benign infantile convulsions

作　　者：石凯丽[1] 韩虹[1] 郭伟丽[1] 

机构地区：[1]山西省儿童医院,030013

出　　处：《山西医药杂志（下半月）》2013年第2期127-128,共2页Shanxi Medical Journal

基　　金：山西省卫生厅科技攻关项目(20100102)

摘　　要：目的研究轮状病毒肠炎伴婴幼儿良性惊厥的临床特点、治疗及预后。方法对22例2010年1月至2012年4月我院诊治的轮状病毒肠炎伴婴幼儿良性惊厥患儿的病史、辅助检查、治疗等做回顾性分析并进行随访研究。结果轮状病毒肠炎伴发婴幼儿良性惊厥患儿平均年龄(16±4)个月,每年10月至次年3月为发病高峰,首次惊厥好发于胃肠炎后3d内,发作类型以强直阵挛性发作最多,也存在强直发作形式。研究随访0.5～2年,因胃肠道症状再发抽搐者1例,所有随访患儿生长发育均良好,未使用抗癫痫药物。结论轮状病毒肠炎伴婴幼儿良性惊厥好发于1～2岁儿童,秋冬季好发,有再次复发可能,预后良好。Objective To investigate the pathogenesis, clinical features, treatment and prognosis of rotavir- us gastroenteritis cases with benign infantile convulsions. Methods A retrospective study and long term follow up were carried out for 22 patients with rotavirus gastroenteritis and benign infantile convulsions from January 2010 to April 2012. Results The average age of rotavirus gastroenteritis cases with benign infantile convulsions was （16~ 4）months, it mostly happened from October to the following year in March, the first onset often occured between the first and the third day of gastroenteritis. The seizure type of rotavirus gastroenteritis and benign infantile con- vulsions patients were mostly generalized tonic-clonic seizures, the tonic seizure form also existed. During the 0.5 ~2 years follow-up. One case had seizure again due to gastroenteritis. Antiepileptic drugs were not administered and their growth and development were good. Conclusion The prevailing age is 1 to 2 years, the oneset often oc- curred in autumn and winter. Children with rotavirus gastroenteritis and benign infantile convulsions may have re- currence of seizures, but the prognosis is good.

关 键 词：胃肠炎 发作 轮状病毒属 

分 类 号：R512.5[医药卫生—内科学]