摘要
目的探讨符合新生儿特点的惊厥诊断思维程序,降低诊断成本。方法不明原因惊厥新生儿共386例(男189例,女197例,年龄平均7.5d),严格按照儿科疾病诊断程序制定的新生儿惊厥诊断程序进行诊断。诊断程序包括3个步骤:第一步确定是否为新生儿惊厥,第二步为最初的评价,第三步通过对提示诊断者进一步的检查。结果经过前2步的诊断程序评价,共有262例患儿得出明确诊断(262/386,67.9%),经过第三步的诊断程序评价,共有91例患儿明确诊断(91/386,23.6%),经过整个诊断程序可明确诊断患儿为353例,占91.5%。其中最常见的病因为新生儿缺氧缺血性脑病共229例(占59.3%),颅内出血共32例(占8.3%),33例患儿为诊断不明(占8.5%)。结论应用该新生儿惊厥诊断思维程序,可有效地提高新生儿惊厥的病因学诊断效率,并可指导合理地应用各种辅助检查,降低诊断成本。
Objective To research into the diagnostic course of convulsion which is in accordance with neonates characteristics,thus reduce the diagnostic cost. Methods The study population included 386 patients（189males and 197 females,mean age 7.5 days） with convulsion of unknown causes from October 2006 to June 2008. All patients were evaluated by strict diagnostic protocol in neonatal with convulsion. Results By the initial evaluation diagnosis was clarified in 262 patients（262/386,67. 9%）. After further tests, a definite diagnosis was established in 91 patients（91/386,23.6%）. After the whole diagnostic protoeol,a definite diagnosis was established in 353 patients（353/386,91.5%）, undiagnosed patients,8.5%. Conclusion The use of practical diagnostic protocol for neonatal convulsion results in higher etiological diagnosis rate, and it can properly guide the performance of the accessory examination,thus reduce the diagnostic cost.
出处
《中国中西医结合儿科学》
2009年第3期205-207,共3页
Chinese Pediatrics of Integrated Traditional and Western Medicine
关键词
惊厥/诊断
脑疾病/诊断
婴儿
新生
婴儿
早产
Convulsions/Diagnose
Encephalopathy/Diagnose
Infant,newborn
Infant, preterm
