小儿烧伤后无热惊厥原因分析  

Analysis of Reasons Accounting for Non-fever Convulsion in Pediatric Burns

作　　者：王继学[1] 李卫[1] 陆平言[1] 

机构地区：[1]复旦大学附属金山医院烧伤整形外科,上海200540

出　　处：《中国临床医学》2003年第6期896-897,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :探讨小儿烧伤后无热惊厥原因。方法 :回顾性分析我院 1990年 1月～ 2 0 0 0年 12月 2 3例住院期间发生惊厥的临床资料。结果 :2 3例中 14例为无热惊厥 ,约占 6 0 % ,多合并有水电解质紊乱 ,其中低钠血症 8例 ,代谢性酸中毒 6例 ,低血钾 4例 ,低血钙 3例 ,低镁血症 2例。低血糖和癔病性抽搐各 1例。结论 :水电解质代谢紊乱在小儿烧伤中较为常见 ,且为小儿烧伤无热惊厥的重要原因 ,其中低钠血症最为常见 ,而且发生代谢性酸中毒的同时存在潜在性的低血钾和低血钙 ,低镁血症亦不容忽视 。Objective: To investigate causes of non-fever convulsion in pediatric burn injuries.Methods: 23 cases with convulsion during hospitalization from Jan.1990 to dec.2000 were retrospectively reviewed.Results:Of the 23 cases, 14 cases(60%) were non-fever convulsion. Most cases accompanied by disorders in fluid and electrolyte balance. 8 of 14 cases with hyponatremia, 6 cases with metaboic acidosis , 4 cases with hypokalemia, 3 cases with hypocalcemia. 2 cases with hypomagnesemia.Conclusion:Fluid and electrolyte diorders are common in pediatric burns, and are main causes of pediatric non-fever convulsion. Of which hyponatremia is the most common, metaboic acidosis, hypokalemia, hypocalcemia, and hypomagnesemia occupied the rest. Mixed fluid and electrolyte diorders should be emphsized while non-infectious brain injuries and centrical nervous disorders may not be neglected.

关 键 词：小儿 烧伤 惊厥 原因分析 水电解质平衡 

分 类 号：R726.44[医药卫生—儿科]