CAJ | 학술논문

[目的]研究婴幼儿轻度胃肠炎伴良性惊厥的临床特点。[方法]回顾性分析本院2010年1月至2011年12月收治的39例婴幼儿轻度胃肠炎伴良性惊厥患儿的临床资料。[结果]惊厥发病率为6．81％。1～2岁患儿最多，占76．93％。患儿全年均有发病，而以冬春季节为多，多发生在急性胃肠炎的1～3 d 内，占87．18％，发作以1～2次者最多，共28例，占74．36％，平均发作1．96次。发作形式多表现为全身强直-阵挛性发作，间歇期脑电图背景活动正常。随访患儿均未长期应用抗癫痫药物治疗，出院后均无惊厥复发，随访期间精神神经发育和运动发育如正常同龄儿童。[结论]婴幼儿轻度胃肠炎伴良性惊厥在住院患儿中发病率较高，但经治疗后无复发，无需长期应用抗癫痫药物治疗，临床预后良好。
[목적]연구영유인경도위장염반량성량궐적림상특점。[방법]회고성분석본원2010년1월지2011년12월수치적39례영유인경도위장염반량성량궐환인적림상자료。[결과]량궐발병솔위6．81％。1～2세환인최다，점76．93％。환인전년균유발병，이이동춘계절위다，다발생재급성위장염적1～3 d 내，점87．18％，발작이1～2차자최다，공28례，점74．36％，평균발작1．96차。발작형식다표현위전신강직-진련성발작，간헐기뇌전도배경활동정상。수방환인균미장기응용항전간약물치료，출원후균무량궐복발，수방기간정신신경발육화운동발육여정상동령인동。[결론]영유인경도위장염반량성량궐재주원환인중발병솔교고，단경치료후무복발，무수장기응용항전간약물치료，림상예후량호。
[Objective]To study the clinical features of mild gastroenteritis with benign infantile convul-sions.[Methods]Clinical data of 39 cases of mild gastroenteritis with benign infantile convulsions admitted to our hospital from Jan.2010 to Dec.2011 were analyzed retrospectively.[Results]The incidence rate of con-vulsions was 6.81%.The patients aged from 1 to 2 years old were most,accounting for 76.93%.The inci-dence of convulsions was throughout the year,and mostly occurred in winter and spring.The disease mainly occurred within 1~3d of acute gastroenteritis,accounting for 87.18%.Most of the patients attacked up 1 or 2 times,accounting for 74.36%,on average 1.96 times.The form of attack was mainly general tonic-clonic sei-zures with normal intermittent EEG background activity.During the follow up,none took long-term anti-epi-leptic drugs.No seizure recurred after discharge.Neurological development and motor development in the fol-low-up period were the same as the normal children with the same age.[Conclusion]Mild gastroenteritis with benign infantile convulsions has higher prevalence in hospitalized pediatric patients,but no recurrence occurred after treatment.Long-term antiepileptic drugs are not needed.Clinical prognosis is good.