出生1周内新生儿惊厥50例临床分析  

Clinical Analysis of 50 Cases of Neonatal Seizures With in 1 Week of Birth

作　　者：张雨[1] 张璋[1] 

机构地区：[1]郑州市儿童医院新生儿内科,河南郑州450000

出　　处：《中国卫生标准管理》2016年第7期37-38,共2页China Health Standard Management

摘　　要：目的探讨出生1周内新生儿惊厥临床特征。方法选取我科收治出生1周内惊厥新生儿共50例作为研究对象,对患儿的一般临床资料进行总结与分析。结果引发新生儿惊厥的类型主要有微小型发作28例(56%),强直性发作12例(24%),阵挛性发作8例(16%),肌阵挛性发作2例(4%);病因有缺氧性脑病20例(40%)、代谢性病症14例(28%)、颅脑出血9例(18%)。结论新生儿惊厥的主要发病因素有缺氧性脑病、代谢性病症、颅脑出血这3类,主要类型有微小型、强直型、阵挛型、肌阵挛型3类。对于新生儿突发惊厥症状,应当尽早明确其发病原因,并给予相应的对症治疗措施。Objective Discussion born 1 week neonatal seizures clinical features. Methods Selected admitted to our department of neonatal seizures was born one week a total of 50 cases for the study of children with clinical data were summarized and analyzed. Results Types of neonatal seizures caused mainly micro and small seizures 28 cases（56%）,tonic seizures in 12 cases（24%）,clonic seizures in 8 cases（16%）,myoclonic seizures in 2 cases（4%）,causes are hypoxic encephalopathy 20 cases（40%）,14 cases of metabolic disorders（28%）,brain hemorrhage in 9 cases（18%）. Conclusion The main risk factors of neonatal seizures have anoxic encephalopathy,metabolic disorders, brain hemorrhage these three main types of micro and small,tonic type,type clonic,myoclonic categories. For neonatal seizures sudden symptoms,its causes should be clear as soon as possible,and appropriate symptomatic treatment.

关 键 词：惊厥 新生儿 脑损伤 颅脑出血 

分 类 号：R722[医药卫生—儿科]