感染轻度胃肠炎伴婴幼儿良性惊厥临床特点及预后分析
发布时间：2018-08-11 11:47
【摘要】：目的探讨感染轻度胃肠炎伴婴幼儿良性惊厥临床特点及预后。方法选取2008年11月-2015年12月期间医院收治的42例轻度胃肠炎伴婴幼儿良性惊厥患儿为研究对象,通过查阅病历等掌握其临床资料,包括年龄、发病情况、检查及治疗、预后等,均采集病史、体检、辅助检查包括血常规、电解质、血气、脑电图、头颅CT、脑脊液、大便常规、大便培养及轮状病毒检查;根据患儿病原学检查结果将其分为轮状病毒阳性组与阴性组,比较两组患儿临床特点及检查结果。结果所有患儿均有胃肠炎的表现,病初呕吐可轻可重,轻度腹泻,腹泻多以每日3次以内为主占61.90%,体温正常27例、低热(38℃内)11例;9例伴发热者行腰穿脑脊液检查均正常,42例患儿均进行大便轮状病毒检查19例阳性;急性发作时经单一止惊药均能达到止惊效果,未予以长期抗癫痫治疗;全部患儿出院后进行1~5年的随访,有2例再次出现惊厥,但复查脑电图均正常。结论轻度胃肠炎伴婴幼儿良性惊厥患儿发病年龄主要集中于13~24个月,多发病于秋冬季节;惊厥表现以单次为主,预后较好,无需长期采用抗癫痫治疗。
[Abstract]:Objective to investigate the clinical features and prognosis of mild gastroenteritis with benign convulsion in infants. Methods from November 2008 to December 2015, 42 children with mild gastroenteritis with benign convulsion were selected as study subjects, and their clinical data, including age, incidence, examination and treatment, prognosis and so on, were obtained by consulting medical records. All patients were collected history, physical examination, auxiliary examination, including blood routine examination, electrolyte, blood gas, EEG, head CT, cerebrospinal fluid, stool routine, stool culture and rotavirus examination. The children were divided into rotavirus positive group and negative group according to the results of etiological examination. The clinical characteristics and results of the two groups were compared. Results all the children had gastroenteritis, the initial vomiting was mild or severe, mild diarrhea, diarrhea mostly within 3 times a day accounted for 61.90%, body temperature was normal in 27 cases. In low fever (38 鈩，
本文编号：2176909
[Abstract]:Objective to investigate the clinical features and prognosis of mild gastroenteritis with benign convulsion in infants. Methods from November 2008 to December 2015, 42 children with mild gastroenteritis with benign convulsion were selected as study subjects, and their clinical data, including age, incidence, examination and treatment, prognosis and so on, were obtained by consulting medical records. All patients were collected history, physical examination, auxiliary examination, including blood routine examination, electrolyte, blood gas, EEG, head CT, cerebrospinal fluid, stool routine, stool culture and rotavirus examination. The children were divided into rotavirus positive group and negative group according to the results of etiological examination. The clinical characteristics and results of the two groups were compared. Results all the children had gastroenteritis, the initial vomiting was mild or severe, mild diarrhea, diarrhea mostly within 3 times a day accounted for 61.90%, body temperature was normal in 27 cases. In low fever (38 鈩，
本文编号：2176909
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