小儿急诊惊厥病因分析及疗效探讨  

Etiological Analysis and Curative Effect Observation of Emergency Convul-sions in Children

作　　者：吴雄[1] 

机构地区：[1]昆明市儿童医院急诊科,云南昆明650000

出　　处：《中外医疗》2016年第5期67-68,共2页China & Foreign Medical Treatment

摘　　要：目的探讨小儿急诊惊厥病因及其治疗效果。方法整群选取于2014年9月—2015年9月在该院接受治疗的惊厥患儿共110例。了解患者疾病的相关信息,并对患者进行辅助检查,针对病因实施针对性治疗。观察小儿的惊厥病因及其治疗方法。结果惊厥病因分析中,热性惊厥占53.6%,癫痫占20.9%,颅内感染占8.2%。其中,新生儿以低血糖为主,婴幼儿与6岁以下小儿以热性惊厥为主,6岁以上小儿以癫痫为主;治疗总有效率为97.3%,不良反应率为1.8%。结论小儿急诊惊厥的病因复杂,以热性惊厥最为常见。临床治疗中,选择必要的辅助检查手段,并进行对症治疗,能够预防疾病复发,保障小儿生命安全。Objective To discuss the etiology and treatment effect of emergency convulsions in children. Methods 110 cases of children with convulsions treated in our hospital from September 2014 to September 2015 were selected, the related information of the patient＇s disease was known, the patients were given accessory examination, targeted treatment were implemented according to the etiologies, the etiology and treatment method of children were observed. Results The convulsions etiology analysis showed that febrile convulsion accounted for 53.6%, epilepsia accounted for 20.9%, intracranial infection accounted for 8.2%, among them, the neonates were mainly with glucopenia, infants and children less than 6 years old were mainly with febrile convulsion, children more than 6 years old were mainly with epilepsia, the total treatment effective rat e was 97.3%, the adverse reaction rate was 1.8%. Conclusion The etiology of emergency convulsions in children is complex and the febrile convulsion is most common, in clinic treatment, choosing necessary accessory examination means and symptomatic treatment can prevent disease recurrence and ensure the safety of children＇s life.

关 键 词：小儿惊厥 病因分析 治疗效果 

分 类 号：R4[医药卫生—临床医学]