摘要
目的分析小儿轮状病毒肠炎合并惊厥的病因及预后,为该病的临床诊治提供依据。方法对2007年10月～2011年10月我院收治的62例婴幼儿轮状病毒肠炎合并惊厥发作患儿的临床资料和随访结果进行回顾性分析。结果小儿轮状病毒肠炎合并惊厥62例患儿中,热惊厥23例,占37.1%;脑炎14例,占22.6%;脑膜炎2例,占3%;良性惊厥10例,占16.1%;低血钙8例,占12.9%;低血镁1例,占1.6%;低血钠2例,占3%;低血糖2例,占3%。62例均痊愈出院,随访58例无抽搐发作病情。结论轮状病毒肠炎合并惊厥的病因是多方面的,热惊厥为最常见病因,中枢神经系统感染、良性惊厥、低血钙分列二、三、四位,该病预后良好,无明显后遗症。
Objective： To analyze the etiology and prognosis of children with rotavirus enteritis combined with convul- sions, and provide the basis for clinical diagnosis and treatment of the disease. Methods ： Sixty-two infants with rotavirus enteritis combined with convulsions, who were diagnosed in our hospital during October 2007 to October 2011, were en- rolled. Clinical data and follow-up results of these infants were analyzed. Results ： Among the 62 infants with rotavirus en- teritis combined with convulsions, 23 cases （37.1% ） had febrile convulsions, 14 cases （22.6%） encephalitis, 2 cases （3%） meningitis, 10 cases （16.1%） benign convulsions, $ cases （12.9%） hypocalcemia, 1 case （1.6%） hypomagnesemia, 2 cases （3%） hyponatremia and 2 cases （3%） hypoglycemia. All 62 cases were cured, and 58 cases were fol- lowed-up and had no convulsive seizure. Conclusion： There are many reasons to lead to convulsions in the infants with rota- virus enteritis. Febrile convulsions are the most common cause, central nervous system infections, benign convulsions and hypocaleemia are the second, the third and the fourth cause, respectively. The prognosis is good, and there is no signifi- cant sequela.
出处
《泰山医学院学报》
CAS
2012年第11期783-785,共3页
Journal of Taishan Medical College
关键词
轮状病毒肠炎
惊厥
病因
儿童
rotavirus enteritis
convulsions
etiology
children
