摘要
目的:探析轻度胃肠炎伴婴幼儿良性惊厥的临床特点。方法:在本院儿科住院病人选取2017年1月-2019年10月收治的60例轻度胃肠炎伴婴幼儿良性惊厥患儿为研究对象,对其临床特点进行总结。结果:发现60例轻度胃肠炎伴婴幼儿良性惊厥患儿轮状病毒阳性率35.00%、诺沃克病毒阳性率5.33%;日腹泻次数1次~18次,平均日腹泻次数(10.50±0.50)次;惊厥发作以全面性发作为主,占比90.00%(54/60);惊厥发作次数1次18例、2次28例、3次8例、4次4例,5次及以上2例;起病后惊厥发作时间0h^19例、12h^30例、24h^6例、36h^4例、48h^1例;惊厥发作持续时间<1min者33例、1min^5min者20例、6min^10min者7例。结论:轻度胃肠炎伴婴幼儿良性惊厥日均腹泻次数在10次左右,惊厥发作以全面性发作为主,发作次数1次~2次,绝大多数发生于起病24h内,发作持续时间多在5min内。
Objective:To analyze the clinical characteristics of benign infantile convulsions with mild gastroenteritis(BICE).Methods:A total of 60 children with BICE who were treated from January 2017 to October 2019 in the pediatric inpatients of our hospital were selected as the study objects,and their clinical characteristics were summarized.Results:The positive rate of rotavirus and norovirus was 35.00%and 5.33%in those 60 children with BICE.The frequency of diarrhea was 1-18 times a day,with an average of(10.50±0.50)times a day.Convulsive seizures were mainly generalized seizures,accounting for 90.00%(54/60).The number of convulsive seizures was 1 in 18 cases,2 in 28 cases,3 in 8 cases,4 in 4 cases,5 or more in 2 cases.The duration of convulsive seizures after onset was 0h^to 19 cases,12h^to 30 cases,24h^to 6 cases,36h^to 4 cases,and 48h^to 1 cases.The duration of convulsive seizures was<1 min in 33 cases,1min^5min in 20 cases,6min^10min in 7 cases.Conclusion:The daily average diarrhea frequency of BICE is about 10 times.Convulsive seizures are mainly generalized seizures.The attack frequency is 1-2 times,most of which occurs within 24 hours after the onset of the disease,and the attack duration is more than 5 minutes.
作者
王海慧
Hai-Hui Wang(Yangquan Coalmine Group General Hospital,Yangquan 045000,Shanxi,China)
关键词
轻度胃肠炎
婴幼儿良性惊厥
临床特点
Mild gastroenteritis
benign infantile convulsions
clinical characteristics