新生儿惊厥回顾性分析(附68例临床分析)  

The retrospective study of neonatal convulsion( Attach 68 cases of dinical analysis)

作　　者：王廉文[1] 朱晓东[1] 葛欣[1] 吴洁[1] 邵新华[1] 王治平[1] 

机构地区：[1]上海第二医科大学附属新华医院

出　　处：《海南医学》2003年第8期3-5,共3页Hainan Medical Journal

摘　　要：目的 分析新生儿惊厥的原因,与围产期的关系,以期加强围产期保健,尽可能预防新生儿惊厥的发生,从而有利于降低新生儿的死亡率和后遗症的发生率。方法 总结我院儿内科新生儿病房收住的新生儿惊厥68例,对引起惊厥的病因、惊厥发作类型、惊厥发生的时间分布以、新生儿惊厥的转归及相应的实验室检查,对其结果作回顾性分析。结果 本组68例新生儿惊厥中感染组13例,非感染组50例,原因不明组5例,其中以颅内出血17例,缺氧缺血性脑病13例,低钙血症10例,分列前三位,而以往占首位的颅内感染则退居第四。结论 新生儿惊厥是多种原因引起的新生儿期常见症状,临床以围产期因素多见,同时,新儿生惊厥是引起新生儿死亡的原因之一,并对不成熟的脑造成损伤,因而及早明确新生儿惊厥的原因和其相关因素,并制定相应的预防措施,对降低新生儿死亡率、脑性瘫痪发生率、智力发育迟缓发生率等有重要意义。Objective To analyze the pathogeny of neonatal convulsion and the relation with perinatal, in the hope of strengthening the health care of perinatal, preventing the occurrence of neonatal convulsion possiblv, thus benefit to reduce the mortality and the sequelae occurrence in neonate. Methods Summarize 68 cases of neonatal convulsion in the neonatal ward of our hospital.the author did retrospective study with the pathogenv of neonatal convulsion,the type of seizure, the time distributing of convulsion occurrence, the prognosis of neonatal convulsion and the lab examination. Result In all the 68 cases, 13 cases are infected group, 50 cases are uninfected group, and 5 cases are pathogeny - unknovm group. In all of them, 17 cases are intracranial hemorrhage, 13 cases are hypoxic ischemic encephabpathy, 10 cases are low calcium bfood diseases, they are among the top three. Condusions The neonatal convulsion is various familiar symptoms in newbom, perinatal factor are mostly in clinic. Also, the neonatal convulsion is one of the reason lead to neonatal death, and cause the pre-mature brain damage. As a result, we should definitude the pathogeny and the related factors of neonatal convulsion as soon as possible.establish the prevent measure.it is more important to reduce the morality, cerebral palsy and mental retarded occurrence.

关 键 词：新生儿 惊厥 临床分析 围产期 原因 

分 类 号：R720.597[医药卫生—急诊医学]