轻度胃肠炎伴婴幼儿良性惊厥30例临床分析  

Benign infantile convulsions associated with mild gastroenteritis:a 30-case analysis

作　　者：张纪泳[1] 董国庆[1] 黄爱娣[1] 范圳南[1] 陈会平[1] 

机构地区：[1]南方医科大学附属深圳市妇幼保健医院儿科,广东深圳518000

出　　处：《广州医学院学报》2013年第2期120-121,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的：探讨轻度胃肠炎伴婴幼儿良性惊厥的临床特征。方法：回顾性分析2004年1月-2012年7月本科收治的轻度胃肠炎伴婴幼儿良性惊厥患儿30例的临床资料，分析患儿的惊厥发生情况、治疗结果和临床检查结果．观察随访1年内患儿疾病复发和后遗症发生情况。结果：30例患儿中，20例（66．7％）于冬季发病，1～2岁患儿占发病总人数的比例为80．0％（24／30），大便轮状病毒检测阳性27例（90．0％）。惊厥发生后静脉注射安定．或10％灌肠后患儿病情均缓解。所有患儿随访1年，未发现疾病复发和后遗症发生、，结论：冬季是轻度胃肠炎伴婴幼儿良性惊厥发病的高发季节，1～2岁为患儿的高发年龄，轮状病毒感染是其主要病因之一。Objective：To explore the clinical characteristics of benign infantile convulsions associated with mild gastroenteritis （BICE）. Methods： Clinical data of 30 BICE children registered to our department between January 2004 and June 2012 were retrospectively analyzed for occurrence of infantile convulsions, therapeutic outcomes and findings of clinical investigations. One-year recmTenee and sequela in these children were followed up. Results： Of the 30 cases, 20 （66.7%） developed BICE during the winter months. Patients aged 1-2 years accounted for 80% of all cases （24/30）. Rotavirus was detected in stool specimens from 27 patients （90.0%）. Intravenous diazepam or chloral hydrate enema （ 10% ） after convulsion attack could alleviate the symptom. No recurrence and sequela were found in one-year fullow-up. Conclusion： BICE is more likely to occur during winter months, and at the age of 1-2 years old. Rotavirus infection is one of the major causes of BICE.

关 键 词：轮状病毒属 胃肠炎 惊厥 回顾性研究 

分 类 号：R575.2[医药卫生—消化系统]