摘要
目的探讨轻度胃肠炎伴婴幼儿良性惊厥(BICE)的临床特点和近期预后。方法对我院2008年1月—2009年5月因急性胃肠炎合并无热惊厥住院并诊断为BICE的患儿进行临床分析并进行2年以上随访。结果 78例患儿诊断为BICE,发病月龄3～40个月,平均17.1个月;表现形式均为全身强直-阵挛发作;76例发作时间在5min之内,2例发作时间长达15 min;56例患儿发作次数≥2次,平均1.95次,均在24～48 h内反复;56例行脑脊液常规、生化及培养检查均正常;发作间期脑电图72例正常,6例异常;颅脑核磁共振检查68例无明显异常,7例轻度异常,3例拒做。随访中有3例复发,2例出现热性惊厥,1例转化为癫痫。结论 BICE预后良好,不需要长期抗惊厥治疗。
Objective To determine the clinical characteristics and recent prognosis of benign infantile convulsions associated with mild gastroenteritis（BICE）.Methods Studied clinical features of 78 children with BICE who were hospitalized between January 2008 and May 2009 and then followed for at least 2 years′ follow-ups.Results Age of onset of these 78 children ranged from 3 to 40 months with the average age of 17.1 months;the symptom was generalized tonic-clonic;the seizures lasted for less than 5 min in 76 children,and longer than 15 min in 2 children;56 children had seizures twice or more,the average times of seizures being 1.95,which all recurred within 24~48 h;Crebrospinal fluid routine check,biochemical and training tests proved 56 children normal;EEG of 72 children proved normal during seizure and 6 abnormal;Brain magnetic resonance imaging showed 68 without obvious abnormalty,7 with mild abnormality,3 having refused the check.During the follow up,only 3 children suffered from recurrence of CwG,2 suffered from simple febrile seizures,and 1 developed into epilepsy.Conclusion Prognosis can have a good effect on patients with BICE,so it is not necessary for the children to receive long-term antiepileptic therapy.
出处
《中国全科医学》
CAS
CSCD
北大核心
2012年第5期558-559,共2页
Chinese General Practice
关键词
胃肠炎
惊厥
婴儿
Gastroenteritis
Convulsions
Infant
