62例轻度胃肠炎伴婴幼儿良性惊厥临床分析  

Clinical analysis of 62 cases of benign convulsions with mild gastroenteritis in infants

作　　者：姜永生 陈妞妞 吴晓芳 张小鸽 高华 宋婷婷 JIANG Yongsheng;CHEN Niuniu;WU Xiaofang;ZHANG Xiaoge;GAO Hua;SONG Tingting(Northwest Women’s and Children’s Hospital,Shaanxi Xi’an 710061,China)

机构地区：[1]西北妇女儿童医院,陕西西安710061

出　　处：《中国妇幼健康研究》2021年第1期142-145,共4页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨轻度胃肠炎伴婴幼儿良性惊厥的临床特征,以提高对该病的认识。方法回顾性分析2018年1月至2020年1月西北妇女儿童医院收治的62例年龄为4~31个月轻度胃肠炎伴婴幼儿良性惊厥患儿的病例资料,并对电话随访结果进行分析。结果患儿2岁前发病占79.03%,秋冬季节发病占69.35%;83.87%的患儿于急性胃肠道症状2~3天后出现惊厥,67.74%出现2次及以上惊厥发作,82.26%为全面性发作,72.58%发作持续时间小于5分钟;对15例患儿行脑脊液检查结果显示正常,所有患儿发作间期视频脑电图及头颅影像学检查未见明显异常。随访时间最少1个月,最长为2年,暂未出现复发病例,所有患儿精神运动发育正常。结论轻度胃肠炎伴婴幼儿良性惊厥是一种年龄相关的发作性疾病,临床以伴随轻度胃肠炎症状,全面性、丛集性发作为特征,辅助检查多无明显异常,绝大多数患儿预后良好。Objective To explore the clinical characteristics of benign convulsions with mild gastroenteritis,so as to improve the clinicians’understanding of the disease.Methods Clinical data of 62 infants with mild gastroenteritis and benign convulsion aged 4 to 31 months and admitted to Northwest Women and Children’s Hospital from January 2018 to January 2020 were analyzed retrospectively.Results 79.03%of the cases suffered the disease before the age of 2 years,and 69.35%of the cases suffered in autumn and winter.83.87%of the cases had convulsions after 2-3 days of acute gastrointestinal symptoms.67.74%of the cases occurred two or more convulsions.82.26%of the cases had comprehensive seizures,and 72.58%of the cases had seizures lasting less than 5 minutes.The results of cerebrospinal fluid examination were normal in 15 cases,and there was no significant abnormality in electroencephalo-graph and cephalography in all children.The follow-up time was at least 1 month,and the longest was 2 years,there was no recurrence during this period.All the children had normal psychomotor development.Conclusion Mild gastroenteritis with infantile benign convulsion is a kind of age-related paroxysmal disease,which is characterized by mild gastroenteritis symptoms,comprehensiveness clustering.Auxiliary examination usually shows no obvious abnormalities,and the most of the children have good prognosis.

关 键 词：轻度胃肠炎 良性惊厥 无热惊厥 婴幼儿 

分 类 号：R725.7[医药卫生—儿科] R720.597[医药卫生—临床医学]