摘要
目的探讨轻度胃肠炎伴良性婴幼儿惊厥临床特点。方法回顾分析147例轻度胃肠炎伴良性婴幼儿惊厥患儿病例资料。结果轻度胃肠炎伴良性婴幼儿惊厥占全部住院肠炎患儿的6.8%,轮状病毒为最常见的病原体(44.2%),12~23月龄(46.9%)儿童为主要发病人群,冬春季(70.7%)高发,易发生在主要由祖父母照看(61.9%)及居住在市郊、农村(72.8%)的儿童;单次病程中惊厥发作次数以1~2次(80.3%)最为多见,绝大多数发作≤5min(83.0%),以全面发作(56.4%)为主。结论轻度胃肠炎伴良性婴幼儿惊厥大多数病例预后良好,少数病例有患儿有转化为癫痫的可能,需随访至少18个月。
Objective To discuss the clinical features of benign infantile convulsions combined with mild gastroenteritis(BICE). Methods The clinical data of 147 children showing BICE were retrospectively analyzed. Results BICE cases accounted for 6.8% of total hospitalized children with enteritis, and rotavirus was the most common pathogen (44.2%). The disease was mainly occurred among children age 12-23 months (46.9%), who were mainly taken cared of by their grandparents (61.9%) and lived in the suburbs and rural areas (72.8%), during winter and spring (70.7%). In most cases (80.3%), the attack frequency of convulsions was 1-2 times, most of which lasted for less than 5 minutes (83.0%), and mainly performed as comprehensive attacks (56.4%). Conclusion Most of the BICE cases obtains favorable prognosis, while there' s a possibility that a few of them might develop into epilepsy.Thus, at least 18 months of follow-up visits should be considered for them.
出处
《中国医药科学》
2016年第20期73-75,82,共4页
China Medicine And Pharmacy
关键词
轻度胃肠炎
婴幼儿
良性惊厥
Mild gastroenteritis
Infant
Benign convulsions